What will my breasts look like after removal? (photos)

Hello @Modest41239, thank you for your question. It is important to answer that the breast will look good after explantation with a breast reconstruction. This will ensure that the breast doesn't look deflated, since removing the prosthesis will result in repositioning of the mammary tissues and improve the overall appearance of the breast. If you are considering a 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

Hello,
And thank you for the question and the photos.
Following removal of breast implants without replacement, a patient may choose one of two options: do nothing and see how much the skin retracts and then decide about fat grafting or breast lift at a later point, or undergo a breast lift and fat grafting at the same time.
Since you had small cup size breasts prior to undergoing breast augmentation, the breast volume and size will be similar after removing the breast implants.
If the breast capsules are soft without any issues or evidence of capsular contracture, it is safe to just remove the implants without performing capsulectomy.
Full mastopexy (breast lift) which will put your nipples into the correct position, make the areola smaller and allow excess skin to be taken away, giving you a more youthful and lifted breast appearance. Some people are a little apprehensive to the full breast lift due to the scars (lollipop or anchor), but typically they do very well and scars fade over time.
Fat grafting can also add additional volume to the breasts, sometimes more than 1 session is necessary.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.
Best, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

The smaller the implant and the shorter the amount of time it has been since placement, the greater the chance the breasts will return to their preoperative state. It is very difficult to predict breast size following explant b/c breast implants and weight fluctuations over time tend to thin tissues, cause a decrease in size, and create more droop.
Usually removing them and performing a lift at the same time makes the most sense as some patients clearly need a lift and only want to go through one surgery. If you are borderline, it is not unreasonable to remove the implants and then observe a waiting period of six months before the determination for breast lift is made. This will give your breasts time to bounce back and your PS time to determine what type of lift, if any, is needed.

thanks for the question, yes the breast will go smaller by the volume the implants were and there can be some droopiness of nipples. You can see a consultant plastic surgeon who offers 3D simulation to give you some idea of your breast safe after surgery.

After implant removal, your skin will hang and you will be dissatisfied. The technique I recommend is explantation with a mini lift. Using a circumareola incision, the implants are removed, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.

Best Wishes,

Gary Horndeski, M.D.

Thank you for sharing your question and photographs. Although you will not return to your pre-augmented appearance, you will likely not require a lift, but will have loose skin.

Dear Modest41239,
it is hard to tell how will your breasts look after removal of implants. You can get implant removal and wait to see the results and later decide whether to get another surgery. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Although your implants are relatively small, if you were an A cup before then there isn't a lot of breast tissue to fill out the skin envelope. It would be unusual to have the breasts revert back to their b pre-augmentation shape but you may be the lucky one. Can't really tell from the pictures.

You did not show nude photos, so I cannot be specific. Remove your implants if you wish. Your tissue has been stretched some and will be somewhat thinner than prior to surgery.

Thank you for your question. After years of having breast implants this is the biggest question of patients considering having them removed. The amount of breast tissue can fluctuate over those 9 years from a variety of reasons such as weight changes or pregnancy. Ultimately if you have made the decision to remove them for health and lifestyle reasons then that is the most important part. You should visit with a board certified plastic surgeon to determine whether or not a lift is recommended at the time of removal depending on you exam and the amount of skin excess. Good luck