I'm researching a PS to remove 40 year old small implants that have ruptured within the capsule. MRI has confirmed that silicon has not spread. I do not want another implant but am curious on using fat transfer to help breast look inflated post surgery. I'm worried that my breasts will look deflated after the explant. Suggestions?
August 18, 2015
Answer: Fat Grafting Breasts Hello,This is a good alternative to implants. It can be done in a staged procedure or simultaneously to explant. Breasts should be overgrafted by 30% to 40% of the desired volume. The Brava bra system improves graft survival and is worn for two weeks prior to surgery. You'll need sufficient fat stores to harvest appropriate amount for grafting. Alternatively, new silicone gel implants will probably last you a lifetime without rupture.Best of luck!
Helpful 1 person found this helpful
August 18, 2015
Answer: Fat Grafting Breasts Hello,This is a good alternative to implants. It can be done in a staged procedure or simultaneously to explant. Breasts should be overgrafted by 30% to 40% of the desired volume. The Brava bra system improves graft survival and is worn for two weeks prior to surgery. You'll need sufficient fat stores to harvest appropriate amount for grafting. Alternatively, new silicone gel implants will probably last you a lifetime without rupture.Best of luck!
Helpful 1 person found this helpful
August 17, 2015
Answer: How successful is fat transfer to the breast after explant? In you case, I would not do fat grafts at the same time of implant removal with total capsulectomy for ruptured implants. This is a wide dissection, have to go through breast tissue. You can have delayed fat transfer (assuming you do have enough fat to transplant) once the implant pocket scars down and there's no open space. If I know that the implants are not broken, I remove them through a very small incision in the lateral chest just outside the breasts. This way, I do not dissect into the breast tissue, I intend to graft. Also, it allows me to place my finger into the pocket and make sure I do not place fat into this open space. The fat is placed into the muscle and breast fat deep and superficial, as the implant pocket is collapsed. See a board certified plastic surgeon with experience in fat grafting for an in person consultation/evaluation. Good luck.
Helpful 3 people found this helpful
August 17, 2015
Answer: How successful is fat transfer to the breast after explant? In you case, I would not do fat grafts at the same time of implant removal with total capsulectomy for ruptured implants. This is a wide dissection, have to go through breast tissue. You can have delayed fat transfer (assuming you do have enough fat to transplant) once the implant pocket scars down and there's no open space. If I know that the implants are not broken, I remove them through a very small incision in the lateral chest just outside the breasts. This way, I do not dissect into the breast tissue, I intend to graft. Also, it allows me to place my finger into the pocket and make sure I do not place fat into this open space. The fat is placed into the muscle and breast fat deep and superficial, as the implant pocket is collapsed. See a board certified plastic surgeon with experience in fat grafting for an in person consultation/evaluation. Good luck.
Helpful 3 people found this helpful
