Nipple and Areola Caved in After Explant Surgery. Permanent?

                  It’s
not unusual for patients to experience breast distortion following removal of
ruptured silicone implants, especially when calcified capsular contractures are
present.  Under these circumstances
patients are often emotionally devastated by breast distortion and associated
loss of breast volume.

When this situation arises in the
immediate post-operative period, it can be difficult to know if this distortion
is permanent.  In some cases
swelling resolves and tissue remodels over the course of 3-6 months with
significant improvement in the aesthetic result.  In other cases, the deformity may be permanent and secondary
surgery may be indicated.  This may
include implant replacement, breast lift and possibly fat grafting procedures.

If you’re concerned about the
appearance of your breasts following implant removal, consultation with a board certified plastic surgeon is appropriate.  This surgeon should be able to
formulate an appropriate treatment plan.

Although 3 weeks after explantation is too early to judge the outcome, it is possible to have some deformity after this type of surgery.  The breasts will settle down over 6 months.

Good day! Generally, 3 weeks is too soon to see final results as bruising and swelling may persist. Nipple inversion may occur after trauma and can be corrected with a procedure performed in the office under local anesthesia which is commonly performed with breast revision surgery. In severe cases of nipple inversion the breast ducts may need to be severed or devices such as the Niplette by Advent can be used without surgery with some success. It is often used after surgery to create suction and maintain the correction.Do not hesitate to ask your doctor or find a board-certified surgeon that has extensive experience with this procedure. Best of luck! #RealSelf100

The initial phase after surgery may be due to swelling.  However, there is an absence of tissue after implant removal that can cause the caved in appearance to be permanent.  You may consider a breast lift or reimplantation of breast implants. 

Breast fat grafting has evolved to be a very powerful technique for difficult cases like yours.You would be an ideal case for BRAVA external tissue expansion followed by breast fat grafting.You may need multiple sessions. The results can be outstanding. Don't give up hope!