What should I expect after breast implant removal? Saline implants, worried about appearance. (photos)

Removing your implants would not cause a severe deformity. You will be left with breasts that are small- probably a small B cup. Your breasts will look essentially the same but smaller. Yes, you could use a lift but this is up to you.

Thank you for your inquiry! Removing the implant will remove volume, fat transfer could be an option for you. We would love to meet with you to discuss your concerns. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Hello, thank you for your question. It’s completely understandable to feel apprehensive about the outcome after breast implant removal, especially when it comes to the potential changes in appearance. Since you’ve had saline implants for 20 years and are seeking removal without a lift, there are several factors to consider regarding what to expect. Please see the attached video that answers your question in detail. Continue to have open discussions with your surgeon about your concerns regarding the appearance after removal. They can provide more specific insight based on your anatomy and help you come up with the best approach that fits your needs and budget.
Best of luck with your decision, and remember that every woman's experience and results are unique!

I often offer to percutaneously deflate saline implants in the office with a needle and a syringe so that my patient knows what their breasts will look like without implants before deciding on which surgery or combination of surgeries to have. Removing the saline in this way also allows your breast skin to retract/shrink. If the skin shrinks enough and we are planning a lift, sometimes I am able to shorten the length of the scars. The time necessary for skin to retract after percutaneous deflation is usually 8-12 weeks.

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.