I'm considering removing my 300/325 cc silicone implants. Will they sag and will I need a breast lift? Was 32A, now 32D

Question

I got a BA in 2/2012 w/ silicone under muscle thru crease. I have a petite frame, 5'1 and 105 lbs.. After BA, my L breast did not drop as much as the R side. I got revision on L side a yr after BA. It's now 1 yr and 3 months after rev. and i noticed again the L side has begun to sit higher w/ discomfort. I'm aware that my breasts will not look like it did before BA but if i do decide to get them removed, will i need a breast lift? Will the dr need to remove the capsule?

Thomas Fiala, MD, FACS, FRCSC · Answer

Hi.  Although it's difficult to tell just through picture analysis, it looks like you have a nice shape and reasonable looking skin.  I'd try the explantaion without a breast lift - and give it 6 -8 months to see how your skin re-drapes.  You can decide if a mastopexy, with its incisional scars, is really necessary at that point.All the best,

Camille Cash, MD · Answer

There are several factors that will influence how you will appear after implant removal.  Some include the size of the implants, the length of time they've been in place, and your skin elasticity.  Obviously you will lose the volume from the implants, but your current nipple position does not indicate a lift would be needed.  If you are noticing the implants are becoming firm or sitting higher you may have developed capsular contracture.  This will influence if the capsules should be removed along with the implants.  The best place to begin is a consultation with a board certified plastic surgeon near you to learn more.

George Bitar, MD · Answer

Thank you for your question.  Based on your photos it is unlikely that you will need a lift after Explantation.

Joseph Mele, MD · Answer

The concern of breast sagging after breast implant removal is always there. In some cases it is obvious that a lift is needed, because in some cases a lift is needed even before the implants are removed. In other cases the nipple is well placed, the skin tone is good and there is still some breast tissue to support the skin. Most cases are someplace in between. I would need to see you in person to offer any medical advice, but from your pictures, you have a good chance of nice result without a lift. If after removal there is too much sagging, you can still get a lift. The crease incision is the best one for breast implant removal, and has the most predictable cosmetic outcome in most cases. While individual results will vary, I have included a link below to my website, which includes some before and after pictures. Good luck.

Pravin Reddy, MD · Answer

Given the size of your implants, you probably will contract following explant.  This may take several months but you can probably enjoy a reasonable result without a lift.

I'm considering removing my 300/325 cc silicone implants. Will they sag and will I need a breast lift? Was 32A, now 32D

Answers (5)