I’m 22 years old and had my breast augmentation done one year ago. I’m 6’0”, thin, and I got 400cc high profile silicone implants under the muscle. I don’t want to detransition but I don’t enjoy my implants at all, and I wish I could return to having a flat chest. The implants are uncomfortable, they’ve settled in an unnatural position and my nipples look really awkward now. I want to return to my natural chest size. How do I do this with minimal additional scarring?
Answer: Explant Approach Good afternoon!
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Answer: Explant Approach Good afternoon!
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March 23, 2019
Answer: Breast implant removal One option is for you to have the implants removed and allow the breasts to completely heal. As you have only had them in for one year and you are young you may get good retraction of the skin. If after you heal you are unhappy with the result you can return at a later time for a lifting procedure.
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March 23, 2019
Answer: Breast implant removal One option is for you to have the implants removed and allow the breasts to completely heal. As you have only had them in for one year and you are young you may get good retraction of the skin. If after you heal you are unhappy with the result you can return at a later time for a lifting procedure.
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March 22, 2019
Answer: Removal You can first try removal with skin tightening like ThermiTight which uses radiofrequency or heat to tighten skin. The tissue will gradually tighten up to one year. Scarring is very minimal. If after a year you have excess skin, you might need a lift. Also, you could consider removing the implants and fat grafting for some fullness. Your third option is to consider going smaller, and have your lower pocket tightened internally. I would suggest meeting with a board certified plastic surgeon who does transgender surgery and discuss all your options.
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March 22, 2019
Answer: Removal You can first try removal with skin tightening like ThermiTight which uses radiofrequency or heat to tighten skin. The tissue will gradually tighten up to one year. Scarring is very minimal. If after a year you have excess skin, you might need a lift. Also, you could consider removing the implants and fat grafting for some fullness. Your third option is to consider going smaller, and have your lower pocket tightened internally. I would suggest meeting with a board certified plastic surgeon who does transgender surgery and discuss all your options.
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March 20, 2019
Answer: Transgender breast implant removal. How can I do this with minimal additional scarring? (Photo) In general, 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. Breast implants over time tend to thin tissues, cause a decrease in size, and create more droop. No one can truly predict this as each soft tissue envelope will respond differently, but you may do well with just removal. If there is any doubt, explant using the original incision, followed by a period of several months of observation.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA
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March 20, 2019
Answer: Transgender breast implant removal. How can I do this with minimal additional scarring? (Photo) In general, 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. Breast implants over time tend to thin tissues, cause a decrease in size, and create more droop. No one can truly predict this as each soft tissue envelope will respond differently, but you may do well with just removal. If there is any doubt, explant using the original incision, followed by a period of several months of observation.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA
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March 19, 2019
Answer: Transgender breast implant removal. I am sorry to hear about your concerns after breast augmentation surgery. Based on your photographs and description, you are experiencing bottoming out (inferior breast implant displacement) of both breast implants. Through the years I have come to favor the infra mammary incision for breast implant removal surgery, for several reasons. In your case, some internal reconstruction of the inframammary fold area may help improve the final aesthetic outcome achieved after removal of breast implants. In regards to the final aesthetic outcome achieved with present a removal surgery, patience will certainly be indicated; it will take many months for you to see the final outcome achieved after the breast tissue and skin "redraping" that occurs with time.
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March 19, 2019
Answer: Transgender breast implant removal. I am sorry to hear about your concerns after breast augmentation surgery. Based on your photographs and description, you are experiencing bottoming out (inferior breast implant displacement) of both breast implants. Through the years I have come to favor the infra mammary incision for breast implant removal surgery, for several reasons. In your case, some internal reconstruction of the inframammary fold area may help improve the final aesthetic outcome achieved after removal of breast implants. In regards to the final aesthetic outcome achieved with present a removal surgery, patience will certainly be indicated; it will take many months for you to see the final outcome achieved after the breast tissue and skin "redraping" that occurs with time.
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