Implant removal on tuberous breast? Will a mastopexy help my natural breast shape?

Question

I have had saline implants under the muscle for 6 years now. I am wanting to seek an explant but worried about my shape afterwards. Will a mastopexy/areola reduction help the natural shape of my breast? I understand the fullness will not be the same without implants and I am not concerned about size, I am just hoping to achieve a better shape than my original breasts with out the implants?

Kenneth Hughes, MD · Answer

Hello, thank you for your question. It is very difficult to predict breast size following explant b/c breast implants, and weight fluctuations over time tend to thin tissues, cause a decrease in size, and create more droop. You may need a lift and breast fat transfer may be an option. Consult with a board certified plastic surgeon via email or Skype.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Most likely an implant removal will revert your breast appearance nearly to your original appearance. A mastopexy can help with areolar herniation and some shape but not correct the original tuberous appearance.  Hope this helps.

Gary M. Horndeski, MD · Answer

The technique I recommend is explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Helpful142621,
tuberous breasts can rarely be corrected without implants or at least a small one. The breast needs to be scored radially from the inside to expand it. If you don't place an implant behind the radial scoring it will fall back to its original state. You could theoretically remove the implant at a later day and graft with fat but that would be a separate surgery.If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

You should have improvement with a lift.  The nipple/areola complex can be resized and the puffiness corrected.  If you want more volume, you can consider a small implant. I encourage you to visit with a board certified plastic surgeon near you for a consultation.

Implant removal on tuberous breast? Will a mastopexy help my natural breast shape?

Answers (6)

Answer: Tuberous breasts

Answer: Tuberous breasts

Answer: Breast shape

Answer: Breast shape

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Everything you need to know about Breast Implant Removal

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Implant removal on tuberous breast? Will a mastopexy help my natural breast shape?

Answers (6)

Answer: Tuberous breasts

Answer: Tuberous breasts

Answer: Breast shape

Answer: Breast shape

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Recommended reading

Everything you need to know about Breast Implant Removal

Our mission is to create a world where every investment in modern beauty is Worth It.