Why do ribs get indented after implant removal?

Hello @jesscarlett, Thank you for your question. Sometimes, breast implant removal can result in alterations to the chest wall or breast tissue, such as indentations. This is typically more apparent in women with larger implants, as the larger the implant, the more it may alter the natural anatomy over time. However, it depends on the specialist surgical technique and procedures determined to be used in order to achieve an adequate result. I always approach a breast explant with immediate aesthetic reconstruction to reposition the mammary tissue and improve projection of the upper pole and medial areas using the BRALAN Technique (Breast Reconstruction Anatomical Lift Augmentation), since the results will be adequate in terms of aesthetics and have a minimal scar in the shape of an L and a lift if needed. To shed more light on this, I have attached a video. If you are considering a breast procedure, consultation with a plastic surgeon experienced in this procedure is essential to ensuring optimal results. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

When breast implants are placed under the muscle, they can create pressure on the surrounding tissues, including the ribs. Over time, the constant pressure from the implants can cause the ribs to adapt to the shape of the implant, leading to an indentation. This is more likely to occur when the implants are larger in relation to your body frame, as in your case.

During explantation (removal of the implants), the space previously occupied by the implants may appear deflated, leading to a visible dent or indentation in the breast area. The amount of indentation can vary depending on various factors, including the size and position of the implants, the elasticity of your skin, and your overall body composition.

To address the space left by the implants, there are potential options other than fat grafting, such as a breast lift or mastopexy. A breast lift can help reshape and reposition the breasts, improving their appearance and potentially reducing the visibility of any indentation. However, it's important to remember that the best course of action will depend on your individual circumstances, and a plastic surgeon will be able to provide the most accurate advice after assessing your situation in person.

I hope this helps,
best of luck !