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.
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Answer: Removal Your surgeon who has examined you will be the best one to see if a lift could be performed at the same time as the removal. Sometimes, the lift has to be done later to ensure proper circulation to the areolae.
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Answer: Removal Your surgeon who has examined you will be the best one to see if a lift could be performed at the same time as the removal. Sometimes, the lift has to be done later to ensure proper circulation to the areolae.
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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. Usually removing them and performing the lift at the same time makes the most sense as some patients clearly need a lift and only want to go through one surgery. If you are borderline, it is not unreasonable to remove the implants and then observe a waiting period of six months before the determination for breast lift is made. This will give your breasts time to bounce back and your PS time to determine what type of lift, if any, is needed.
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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. Usually removing them and performing the lift at the same time makes the most sense as some patients clearly need a lift and only want to go through one surgery. If you are borderline, it is not unreasonable to remove the implants and then observe a waiting period of six months before the determination for breast lift is made. This will give your breasts time to bounce back and your PS time to determine what type of lift, if any, is needed.
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January 16, 2020
Answer: Implant removal Dear surgeryregretgirl, based on your info, it is a good option to remove implants and capsules. IT is hard to predict how will they look after removal of implants. But you have option to remove them and wait to see the final shape of your breasts and decide whether you want breast lift or other procedure such as fat transfer in order to improve your results. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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January 16, 2020
Answer: Implant removal Dear surgeryregretgirl, based on your info, it is a good option to remove implants and capsules. IT is hard to predict how will they look after removal of implants. But you have option to remove them and wait to see the final shape of your breasts and decide whether you want breast lift or other procedure such as fat transfer in order to improve your results. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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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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