Should I expect for my breasts to bounce back after implant removal? (photos)

Question

Age 41. 126lbs. 5ft4. 300cc overs for 13 years. 2 breastfed children since implants placed. I am due to explant, but I am nervous of the outcome. I have grade 2 capsular contracture and thinner skin. Implants are vpalpable both sides. I do not wish for a lift or any further surgeries. Is there any chance they may spring back to an extent?

Joel Patrick Maier, MD · Answer

Your breasts will retract and rebound to a variable degree. Implant removal (assuming no ruptured silicone) is a relatively simple process with minimal downtime. Then you can wait and see what happens. If you are not pleased, then a beast lift will rejuvenate you’re breasts by reshaping, tightening and lifting you’re breasts. Thank you.

Alan Gonzalez, MD, FACS · Answer

Hi @lovetheskinyouarein, thanks for your question. My opinion is that breast implant removal should be combined with immediate breast reconstruction to reposition the breast tissue and improve the projection of the upper pole and medial areas, in my case, using my BRALAN Technique (Breast Reconstruction Anatomical Lift Augmentation) as the results will be aesthetically adequate and have minimal scarring in the shape of an L. If you are considering breast explantation, consultation with a plastic surgeon experienced in this procedure is essential to ensure optimal results. best of luck!

Alan Gonzalez MD, FACS. Member of the American Society of Plastic Surgery (ASPS), Member of the International Federation of Adipose Therapeutics and Science (IFATS), Member of the Colombian Society of Plastic Surgery (SCCP).

Alan Gonzalez MD, FACS. Member of the American Society of Plastic Surgery (ASPS), Member of the International Federation of Adipose Therapeutics and Science (IFATS), Member of the Colombian Society of Plastic Surgery (SCCP).

Chet Mays, MD · Answer

Thank you for your inquiry!   It depends on how much breast tissue you have remaining.  There are options of rebuilding the breasts using the capsule and using fat.  We would love to sit down with you and review your options.  Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

Benjamin Baker, BMBS MBA FRCS(Plast) · Answer

Hi, you can expect some skin retraction following removal of your implants. The overall breast shape and size will depend on the quality of your skin and the volume breast tissue that you have retained since your implants were placed and you have breast fed your children. Once you have had your implants removed, you could consider letting your breasts settle, and if you were not happy with them after 6 months consider an uplift at that stage.

Shaher W. Khan, MD · Answer

Thank you for your question! Please see the attached video that specifically answers your question. From what I have noted after many explants is that everyone's results are different and you have to factor in things such as height, weight, age, size of implants. Given your relatively young age, and smaller implants, as well as them being placed over the muscle yield good results as just your skin is essentially holding them into place. I hope this helps!

Daniel Barrett, MD · Answer

Dear lovetheskinyouarein,
it is hard to tell for sure how will your breasts look after you get implants removal. 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

Gary M. Horndeski, MD · Answer

Your breasts will not bounce back after implant removal. I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Camille Cash, MD · Answer

From the submitted photos and description of your situation it is unlikely that you'll have significant skin retraction once the implants and capsules are removed.  There is no medical concern in not having further surgeries, but you will likely have flat, deflated breasts once surgical healing is completed.

Connie Hiers, MD, FACS · Answer

There is no "springing back" since the implants have stretched and thinned your own breast tissue. You will not look like you did before surgery since you will have stretched skin.  If you have fat, it could be transferred to give some added volume, but not like the volume of 300 cc implants.

Mats Hagstrom, MD (license on probation) · Answer

I think the first step is to make absolutely sure you do not want to maintain breast implants.
If you do, then you should not undergo explantation.
This includes the possibility of needing to accept your breast as looking deflated and possibly disfigured.
If you have significant capsular contractions, then explantation with a complete capsulectomy may be your best option.
If the outcome leaves, you disappointed and you change your mind and want implants again it may be a difficult road with high likelihood of further need for surgery and multiple revisions. 
I’m not sure what you are hoping for but recognize that if 90% of your breasts are implants you’ll be left with 10% of what you currently have. 
Explantation without Capsulectomies can increase the chance of post operative disfigurement. 
Seek council from highly experienced plastic surgeons with decades of implant surgery experience.
You do not want to have explanation then change your mind. This happens. 
Added complexity increases the chance of poor outcomes, more surgery and possible eventual failure.A well done explanation with proper management of your capsular contraction should leave you just looking deflated with little to no breast projection. 
If you’ve not had a current in person consultations, then that would be the place to start.
If your previous provider is still in practice and try to get copies of your medical record, including before and after pictures and copies of your previous operative report.
Best,
Mats Hagstrom MD

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