Options for Breast Implant Removal after Mastectomy and Reconstruction?

Question

I am 53 years old. In 2016, I had a prophylactic Double Mastectomy and Reconstruction with Natrelle 410 implants. I have had continued pain and other problems since they were placed. I have decided to have them removed. I do not want new implants and I do tnot want any Flap surgeries. What are my options for fat grafting, etc?

Alan Gonzalez, MD, FACS · Answer

Thank you for your question, @whycellulite. I have performed at least 400 explant procedures. The procedure involves removing breast implants and capsules, reconstructing the breast with your own tissue, and what I can see from my patients is that they feel better, there is no more pain, and all the problems associated with Asia syndrome have disappeared. There is, of course, no substitute for having a consultation with a Board-certified plastic surgeon to get more information and options that are tailored to your specific situation. Best wishes!!

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided any photographs or told us your bra size or implant size. It may be possible that at the time of implant removal, the excess loose skin can be used to make an internal cone and at the same time or later fat transfers can be done. This technique can be performed without the vertical scar but with the incisions around the areola and in the fold of the breast.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear whycellulite,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

I'm sorry to hear of the discomfort you are experiencing.  You can elect to have your implants removed at any time.  You will need to be examined to determine if you are a good candidate for fat grafting based on your goals.  If you are not a candidate you can discuss other options with your board certified plastic surgeon.

Connie Hiers, MD, FACS · Answer

After mastectomies, your tissue may be fairly thin and may not support much fat. I would suggest being examined to see if you are a candidate for fat grafting.

M. Shuja Shafqat, MD · Answer

Good morning,
This is not an uncommon problem after breast reconstruction. This could be related to capsular contracture or rupture. I would also want to know if you had radiation. 
Having them removed is definitely an option. Fat transfer to reconstruct an entire breast can be challenging depending on how much fat you have on other parts of your body to transfer and usually takes several rounds of fat transfer. Typically we would remove them and perform an aesthetic fat closure by contouring the skin so the chest is flat. You could also consider an external prosthetic. 
A board certified plastic surgeon would be able to see you in person and give the best assessment of the options. Good luck!

Options for Breast Implant Removal after Mastectomy and Reconstruction?

Answers (6)

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