I have 11yo 400cc textured Allergan high profile recall implants submuscular. CC grade 2 in left breast with pain, mass in right breast. Due to my CC and Bia-Alcl risk I have decided on explant with total capsulectomy (en bloc if possible) without implant replacement. Had two benelli lifts on right side, one at time of aug and second a year later. The right areola is still large, and skin is stretched. I wonder if a third lift can even be attempted due to skin quality, and if it is necessary.
Answer: Lift with my total capsulectomy explant? Thank you for your question and I'm sorry to hear about the issues that you have been experiencing. I think there are two issues. The first is determining the cause of the mass. If there is no fluid present around the implant, then BIA-ALCL is unlikely but the mass requires more investigation. Certainly you should discuss the mass specifically with your surgeon. The second issue is whether you truly needed a lift. Based on your photos it appears that you may benefit from a lift, but could also be borderline. The decision depends on your goals, but it's reasonable to remove your implants/capsules + fat grafting (restore volume) as a first step, followed by a lift six months later only if needed. It's important to find an experienced board-certified plastic surgeon who will take the time to discuss all of your goals and options. Good luck with the process.
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Answer: Lift with my total capsulectomy explant? Thank you for your question and I'm sorry to hear about the issues that you have been experiencing. I think there are two issues. The first is determining the cause of the mass. If there is no fluid present around the implant, then BIA-ALCL is unlikely but the mass requires more investigation. Certainly you should discuss the mass specifically with your surgeon. The second issue is whether you truly needed a lift. Based on your photos it appears that you may benefit from a lift, but could also be borderline. The decision depends on your goals, but it's reasonable to remove your implants/capsules + fat grafting (restore volume) as a first step, followed by a lift six months later only if needed. It's important to find an experienced board-certified plastic surgeon who will take the time to discuss all of your goals and options. Good luck with the process.
Helpful 1 person found this helpful
January 17, 2020
Answer: Lift with my total capsulectomy explant? (photos) En Bloc breast implant removal is the gold standard for all explants, even saline implants. The smaller the implant and the less the amount of time it has been since placement, the greater the chance the breasts will return to their preoperative state. It is very difficult to predict breast size following explant b/c breast implants and weight fluctuations over time tend to thin tissues, cause a decrease in size, and create more droop.
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January 17, 2020
Answer: Lift with my total capsulectomy explant? (photos) En Bloc breast implant removal is the gold standard for all explants, even saline implants. The smaller the implant and the less the amount of time it has been since placement, the greater the chance the breasts will return to their preoperative state. It is very difficult to predict breast size following explant b/c breast implants and weight fluctuations over time tend to thin tissues, cause a decrease in size, and create more droop.
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January 16, 2020
Answer: Implant removal Dear surgeryregretgirl,
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January 16, 2020
Answer: Implant removal Dear surgeryregretgirl,
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January 16, 2020
Answer: Breast Lift and Capsulectomy The removal with an enbloc capsulectomy can be performed and that is the easy part. To tell you if you need a lift or simply reduce the areola again is difficult to say without an exam. You may benefit from a lift, perhaps a full lift with fat transfer to the upper pole of the breast to help replace some of the upper pole volume that will be lost with the implant removal.I would recommend you see a board certified plastic surgeon to discuss your options.Hope that helps.
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January 16, 2020
Answer: Breast Lift and Capsulectomy The removal with an enbloc capsulectomy can be performed and that is the easy part. To tell you if you need a lift or simply reduce the areola again is difficult to say without an exam. You may benefit from a lift, perhaps a full lift with fat transfer to the upper pole of the breast to help replace some of the upper pole volume that will be lost with the implant removal.I would recommend you see a board certified plastic surgeon to discuss your options.Hope that helps.
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January 16, 2020
Answer: Explant It is difficult to make 100% accurate predictions following explant. There are a number of factors to consider including age (the breast changes over time irregardless of augmentation), weight change, skin stretch and residual elasticity.
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January 16, 2020
Answer: Explant It is difficult to make 100% accurate predictions following explant. There are a number of factors to consider including age (the breast changes over time irregardless of augmentation), weight change, skin stretch and residual elasticity.
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