What do you think my end result will look like after explant? Do I need an uplift?

Hello, thank you for your question! Deciding to remove your 15-year-old Allergen implants is a significant choice. Understanding the potential outcomes of explantation and whether a lift is necessary can help set realistic expectations for your results. The outcome after explantation can vary significantly based on your individual anatomy and the condition of your breast tissue. Ultimately, a personalized evaluation by a qualified plastic surgeon will provide you with the most accurate predictions regarding your end result.

Dear janey.jess,
it is hard to predict how will your breast look after implant removal. You can get removal surgery and wait to see the final results. 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

When doing an explant surgery, it is tough to visualize the final result. My best advice is to ask your surgeon to show photos of patients with clinical features similar to your body and implant characteristics. It is a complex situation; removing the implant will not put your body back when you decide to place the implants. Other factors that affect the result are the implant size, the plane of implant placement, and the present quality of the tissues.

Hi @janey.jess, thanks for your question! Whether or not you need a lift after removing your 420cc, under muscle saline implants depends on your specific goals and aesthetic concerns. However, is important that you have total capsulectomy. It is important to note that after the removal of implants, the skin and tissues of the breast may be stretched or sagging, which can lead to a less-than-ideal appearance.

If you do decide to have a lift, the most optimal and aesthetically adequate option would be immediate reconstruction with the BRALAN technique (Breast Reconstruction Anatomical Lift Augmentation) combine with a breast lift to provide a natural and lifted appearance. I link a video that sheds more light on the matter. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure 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).

If you remove your implants and do not replace them, you will lose the fullness in the upper portion of your breast. Your nipple position appears appropriate and would likely not require a lift for repositioning; however, a breast lift would help tighten any excess skin following explant. You may also want to explore options such as autoaugmentation with fat transfer following explant to help maintain some volume. Ultimately, you have a variety of options to discuss with your plastic surgeon.

Your photograph shows that your nipple and areolar complex sits well above your inframammary fold so it will likely remain there after explantation. Your final appearance will depend on how much breast tissue coverage you have after your implants are removed. The more tissue, the overall better appearance. best wishes.

Good morning and thank you for sending the photos. Lifts are used after explant, not just if the nipple is too low, but to tighten the breast to adjust for the lack of implant volume. You will likely need one

It's hard to predict and one problem with explants is deflation and extra skin. In my opinion you don't need a lift and this would likely result in a flat chest with breast lift scars. I'd suggest doing an explant with fat transfer to replace some of the implant volume with a fat transfer.

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.

You will look deflated. You might consider adding minimally invasive radiofrequency skin tightening like Renuvion to your removal.