Why do ribs get indented after implant removal?

Hello, thank you for your question. It's completely understandable to have concerns about the appearance of your breasts after explantation, especially with the size and placement of your implants. The video I have attached share some insights and options to consider regarding the potential for indentation and strategies to address it. You have several options to help manage the potential for indentation after explantation. Consulting with a qualified plastic surgeon will be essential to discuss these options in detail, along with any concerns about your specific situation. They will be able to provide a comprehensive plan that addresses both the aesthetic and functional aspects of your breast health.

Dear jesscarlett,
ribas are made of bones and there is no way that breast implants can indent them. 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

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 !

Ribs are living bone tissue that can be molded and shaped or indented by large heavy implants over time. Removal does not cause the indention, but may show it more. You can consider going down in size with your implants. Sometimes the lift will solve the problem.

Hello, thank you for your question. Honestly, even though indentation is described as a possibility (the reason for this is the pressure exerted to the bone that creates an erosion over time) I have never seen one that is even apparent during surgery, much less after the procedure and over the skin. The way I like to perform explantations, is using a lower based flap to "bury" under your gland to provide projection. The use of fat is eventually dependent on your choice but allows a much nicer result as it fills the cleavage and lateral curve of the breast

Sometimes the constant pressure against the ribs from implants can affect the anatomy. This is most common with larger implants that have been in place for long periods of time. An exam would be needed to give a specific recommendation, but a breast lift may help to shape your natural breast tissue to give you a nice result. See a board certified plastic surgeon near you to discuss your concerns and learn more about your options.