Can I have 2nd second surgery for implants later if I don't have enough natural volume post explant? (Photos)

Question

I had 300 cc silicone implants placed under the muscle 5 years ago and I have always felt that they are too big. I would like to remove them and would probably need a lift. If I have them removed and have a lift at the time of removal, can I have a second surgery to install implants later if I feel I didn’t have enough natural volume? I know it’s easiest to be done at time of surgery but I need to see the results without implants to decide. Do they go in the same capsule if it’s months later?

Shaher W. Khan, MD · Answer

Hello, thank you for your question. It's completely understandable that you want to explore your options before making a final decision about implants and a lift. Please see the attached video to discuss potential options. The most important thing is to have a detailed conversation with a board-certified plastic surgeon. They can help you understand how your natural breast tissue will behave after the implants are removed and guide you on the best course of action based on your aesthetic goals. If you're uncertain about the final result, waiting to see how you feel after the lift and removal is a reasonable approach.

Camille Cash, MD · Answer

You can elect to have the implants removed at any time with a lift.  If you decide later that you would like implants again, you can have augmentation surgery at that point.  Each time implants are placed a scar capsule will form around the implant.

Alan Gonzalez, MD, FACS · Answer

Hello @updating2023,, thank you for your question. Absolutely, you can have a second surgery for implants later if you don't have enough natural volume post explant. The different options are determined by the specialist's technique. My opinion is that all explants must be followed by complete capsuleectomy since the capsules cannot be reabsorbed and can cause inflammation. There are other options that may provide good results. Breast fat transfer is one such procedure which enables plastic surgeons to transfer fat from other parts of your body and improve volume. This procedure does not involve any foreign material like silicone or saline being inserted into your body, producing very natural-looking. Ultimately, it will depend on what you decide when consulting with your doctor based on their diagnosis and recommendations tailored specifically for you and the outcome that works best for achieving an adequate result post explantation with enough volume so talk openly about all available options. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Johanna D'Agostino, MD · Answer

Hi Updating2023,
You can absolutely remove your implants and have a lift during the first surgery, take some time to evaluate your results and decide if you want a little more volume. If you do, you can undergo a second procedure a few months later to place a smaller implant. The same pocket (under muscle) can be used but it depends on how things look during surgery. Good luck!!!

Daniel Barrett, MD · Answer

Dear updating2023,
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

Can I have 2nd second surgery for implants later if I don't have enough natural volume post explant? (Photos)

Answers (7)

Answer: Implant removal

Answer: Implant removal

Answer: Implant removal

Answer: Implant removal

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Can I have 2nd second surgery for implants later if I don't have enough natural volume post explant? (Photos)

Answers (7)

Answer: Implant removal

Answer: Implant removal

Answer: Implant removal

Answer: Implant removal

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Recommended reading

Everything you need to know about Breast Implant Removal

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