Can breasts look better after implants removal?

Question

I have 300 cc and 255 cc (there was a big asymmetry). I am contemplating removal with or without lift. The breast where I have 300 cc was merely a nipple before (1 year ago) (and a tiny bit of breast tissue). The inframamary fold was moved down for both. Can they look better after explant then before implanting? Can I keep the present position of the folds? I am 34, had 1 child before augmentation (pregnancy and lactation didn't change the size or shape of mybreasts, only of the nipples).

Alan Gonzalez, MD, FACS · Answer

Hello @ada8823, thank you for your question. This depends on your goals and expectations There are several ways of perfoming breast implant removal. The most important thing is that you have a total capsulectomy no matter whether the implants are removed en bloc all of the capsule will be removed to avoid future autoinflammatory processes. Depending on the specialist a breast implant removal can be perform through defierent tchniques. My preference is to combine breast implant removal with immediate repositioning of the mammary tissue to address projection of the upper pole and medial areas using the BRALAN Technique (Breast Reconstruction Anatomical Lift Augmentation) since the results will be adequate and have a minimal scar in the shape of an L. Please find below a video to shed more light. If you are considering 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)

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)

Randal Haworth, MD, FACS · Answer

It is possible for your breasts to look better after explant surgery than they did before the augmentation, but this will depend on a number of factors, including the amount and quality of remaining breast tissue, the elasticity of your skin, and the surgical technique used during the explant and any associated lift procedure.

Best of luck !

If you decide to remove your implants without a lift, it is possible that your breasts may sag or appear deflated, especially if you had very little breast tissue prior to your augmentation. However, your doctor may be able to use a smaller incision and remove any excess skin to improve the appearance of your breasts.

If you opt for a lift in addition to the explant surgery, this can help to improve the shape and position of your breasts. Your surgeon will be able to reposition the nipple and areola and tighten the skin to create a more youthful, lifted appearance. It may be possible to maintain the position of your existing inframammary folds, but this will depend on the amount of excess skin present and the degree of sagging.

It's important to have a thorough consultation with your plastic surgeon to discuss your goals, expectations, and concerns, as well as the best surgical approach for your individual needs. Your surgeon will be able to assess your breasts and provide you with personalized recommendations based on your anatomy and desired outcomes.

I hope this helps,
best of luck !

Shaher W. Khan, MD · Answer

Hello, thank you for your question. Each and every patient have different results aesthetically after surgery. Given your age, your skin would most likely recoil/fluff out after surgery&mdash;this can take up to a year to see full results. With this, I recommend to wait at least a year prior to having a breast lift after removal of breast implants. There are many risks with implant removal at the same time of a lift, including nipple necrosis and longer anesthesia times. Hope this helps!

Daniel Barrett, MD · Answer

Dear ada8823,
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

Shana Kalaria, MD · Answer

You will likely need a lift with removal of your implants because you mentioned you hardly had any breast tissue. This means that if you just do removal alone, you will likely be left with just the extra skin, which will not look great. Usually women who have more breast tissue will still be able to have some volume after removal. You will need an auto-augmentation along with a breast lift and removal of your implants to recreate some volume. Please visit with a board-certified plastic surgeon who does this procedure. Good luck!

Camille Cash, MD · Answer

From your description it sounds as if your current look is comprised mostly of the implant with very little natural breast tissue.  When the implants are removed the skin will retract to a degree, but you may be left with some looseness of skin.  For this reason many patients elect to get a lift when the implants are removed.  An examination is needed to determine if you would be a good candidate for that procedure.

Connie Hiers, MD, FACS · Answer

If the implants make up most of your breast volume, then you will lose that volume once they are removed. Your skin has also been stretched from the implants and will sag with the excess once removed. Minimally invasive radiofrequency skin tightening might be helpful to your skin.  Your breasts will not look like they did prior to surgery.