Breast implants 2 years after enbloc? Pec muscle retracted fully

Question

I had an enbloc capsulectomy 2 years ago. My implants were under the muscle. My pec muscles now have fully retracted to the top. I have deformity and the tissue is thin and ribs are visible through my skin on the left. Would it still be possible with use of an ADM to have very small implants put back in? I have been left completely flat chested and really want some shape again.

Daniel Barrett, MD · Answer

Dear Good141827,
it is hard to tell for sure without an examination. 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

Unfortunately, you have not provided photographs or told us your height and weight.  It may be possible to do fat grafting to add more volume.  Then consider placing the implants or consider autogenous reconstruction as an alternative.  ADM is temporary, dissolves and does not add much volume.  Small implants will not provide much volume either.  Often times, implants placed in front of the muscle will result in capsular contracture.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

First, "en bloc" terminology is used for surgery for cancer and removes part of the breast tissue beyond the capsule. If you did have cancer, you still qualify for reconstructive surgery on your breasts. If you just chose to have the capsules and implants removed, then you could have smaller ones replaced. Mesh may or may not be helpful. An examination could tell what would be best.

Breast implants 2 years after enbloc? Pec muscle retracted fully

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Breast implants 2 years after enbloc? Pec muscle retracted fully

Answers (3)

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Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.