Do i need a second uplift after explant? (Photo)

Question

I got 600cc under muscle with an uplift in december 2020. For health reason i want to remove my implants, will my breasts need another uplift? Will they be very saggy over the large implants? Thanks

Warren Schutte, MD · Answer

After implant removal, your skin will contract back in a positive way over the first few months following surgery. I am optimistic that your aesthetics will end up in a good place as your skin envelope appears taught now with nipple/areolas in great positioning. Be patient during the healing process - skin will change and contract.

Alan Gonzalez, MD, FACS · Answer

Hello @Original_1993, thank you for your question. To answer the question, it ultimately depends on the results that you are looking for. The most important factor in deciding which technique(s) to use is the opinion of your plastic surgeon, who will have assessed factors such as skin laxity, breast size and shape, and other individual characteristics that can determine the best approach. I always perform an explantation with total capsulectomy, followed by immediate reconstruction using BRALAN (Breast Reconstruction Anatomical Lift Augmentation) in order to provide anatomical projection to the breast (upper pole) and to provide a lift to the breast. I link a video to shed more light. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Joel Patrick Maier, MD · Answer

I would remove the implants and see how your breast recover. It may be that you will need a lift with a small implant depending on your expectations. Thank you.

Leila Kasrai, MD, FRCSC · Answer

Generally speaking, the larger the implants the higher the tendency for sagging. The extent to which they sag for you would be difficult  to predict.

Justin Yovino, MD, FACS · Answer

In your situation, with the implants removed there will definitely be deflation / significant loss of volume. With that will come some element of nipple areolar descent / downward migration. I don't think you have to rush into another lift. I think it's best to remove the implants and see how it heals. If the nipple are too low for you then you could always move forward with a lift. We perform explant / breast implant removal in the office under local anesthesia with oral sedation. We also perform breast lifts in the office under local anesthesia. No general anesthesia required. You may be a candidate for breast fat transfer after full healing of the explant. This will depend on you having enough excess subcutaneous fat either in the arms, abdomen, flanks, love handles, hips, or thighs.

Daniel Barrett, MD · Answer

Dear Original_1993,
it is hard to tell for sure how will your breasts look after implant removal. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

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.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

You may need some tightening because of the large implants you chose. You might consider going down to a more reasonable size for your frame and tissue, like 300-350 cc's.  Remember you were not happy with your breasts prior to implants and may not be happy once removed.

Shana Kalaria, MD · Answer

I would recommend just the implant removal first then waiting at least 6 months to see where your nipple position ends up. You are young with good skin quality and your skin may bounce back enough where you can avoid the lift. You will certainly have loss of significant volume after removal. Sometimes implant removal can be done in the office under local anesthesia. Please visit with a board certified plastic surgeon.

Camille Cash, MD · Answer

It is likely that the large implants will have stretched the skin envelope.  Your skin will retract to some degree after the implants are removed but they may look like empty pockets depending on the amount of natural breast tissue you have.  If you are wanting a perkier look you will likely need a breast lift to reshape the breasts.  I encourage you to discuss your concerns with your board certified plastic surgeon.

Do i need a second uplift after explant? (Photo)

Answers (11)

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