Implants out and how to address animation deformation? I'm 35 and want to take my implants out.

Question

I am considering doing it under local anesthetic. I have had four surgeries and three sets of implants. It’s a long story and I don’t have enough characters in this question to add it. I’m worried that when I take my implants out that I will still have animation Deformation from the pocket under the muscle. I am thinking of taking them out under local and then months later doing a vertical lift. I've had them since I was 18.

Jed H. Horowitz, MD, FACS · Answer

hello love2ride I would advice you go for an in-patient examination with a board certified plastic surgeon. #options #localanesthesia

Richard Baxter, MD · Answer

Animation deformity is caused by detachment of part of the muscle with the dual plane method. The cut muscle then adheres to the scar capsule all pulls on it. Removal of the implants will do nothing to correct it unless the muscle is re-attached. You will be compounding an already difficult problem. There are good options to consider such as converting to the split muscle plane. References, examples, and video on my site.

Gary M. Horndeski, MD · Answer

You
are an excellent candidate for explantation using The Bellesoma Method.  This will reshape your breast tissue creating
upper pole fullness without implants, elevate them higher on the chest wall and
more medial to increase your cleavage. 
Vertical scars are avoided, nipple sensation and the ability to breast
feed are maintained, if not injured during your previous surgery.  At the same time or later, fat transfers can
be performed if additional volume is desired. 
This procedure is done under general anesthesia, not local and takes
approximately 4 to 5 hours to perform.  Best Wishes,Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Love2ride,If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jules Walters, MD · Answer

The animation deformity is certainly increased by having an implant.  When you take it out, you will experience less because there is no implant to be contracting against.  Implant removal under local is  certainly an option and can be staged by doing a lift later.  I usually combine a lift with fat grafting for patients like yourself when I remove the implants.  The fat allows them to maintain some volume post removal.  Best wishes.

Implants out and how to address animation deformation? I'm 35 and want to take my implants out.

Answers (5)