Dear doctors, I have gained weight in the ~10 years since my implants. They started a 34c after aug and are now a 34 DD. if I explant and then lose weight (hopefully ~10 lbs or ~10% fat--I'm 5'4 and 145 lbs), what are the ramifications? Could weight loss in the first year after explant cause negative aesthetic results? Thank you.
September 16, 2013
Answer: Breast Implant explant
After having the breast implants for 10 years, and weight gain, many changes has occurred in the breast. The changes in volume, the sagging (Ptosis) of the breast, changes in the skin, the pressure of the implant on the breast tissue, all these factors has to be taken in consideration. Idealy if you want the explant before loosing the weight, then do the explant, no lift till weight has stabilized, and breast has healed and stabilized. Once that happens then re-evaluate as to the needs of a breast lift. If you do the breast lift and loose a lot from the breast you may need a revision of the lift.
Helpful
September 16, 2013
Answer: Breast Implant explant
After having the breast implants for 10 years, and weight gain, many changes has occurred in the breast. The changes in volume, the sagging (Ptosis) of the breast, changes in the skin, the pressure of the implant on the breast tissue, all these factors has to be taken in consideration. Idealy if you want the explant before loosing the weight, then do the explant, no lift till weight has stabilized, and breast has healed and stabilized. Once that happens then re-evaluate as to the needs of a breast lift. If you do the breast lift and loose a lot from the breast you may need a revision of the lift.
Helpful
September 16, 2013
Answer: Breasts Explants and Weight Loss
It is likely that over the years and with weight gain, your breast tissues have become less supportive and have stretched. Once an implant is removed there may be some retraction of the breast tissues, but it is likely that you will have deflated, droopy looking breasts. Weight loss may even increase the deflated, droopy look. You will have to decide if the look and shape of the breasts are acceptable. You may want to do a lift with possibly smaller implants to get some perkiness back. One thing I suggest to patients, ONLY if they have saline implants, is to have their implants percutaneously drained with a needle and some local anesthesia in the office. The patient will then have an instant assessment of what their breasts appear with none of the fullness an implants gives. Then, a better informed decision can be made to either just remove the implants, with or without a lift. Or possibly going with a smaller implant. Hope this helps. Thanks for the question
Helpful
September 16, 2013
Answer: Breasts Explants and Weight Loss
It is likely that over the years and with weight gain, your breast tissues have become less supportive and have stretched. Once an implant is removed there may be some retraction of the breast tissues, but it is likely that you will have deflated, droopy looking breasts. Weight loss may even increase the deflated, droopy look. You will have to decide if the look and shape of the breasts are acceptable. You may want to do a lift with possibly smaller implants to get some perkiness back. One thing I suggest to patients, ONLY if they have saline implants, is to have their implants percutaneously drained with a needle and some local anesthesia in the office. The patient will then have an instant assessment of what their breasts appear with none of the fullness an implants gives. Then, a better informed decision can be made to either just remove the implants, with or without a lift. Or possibly going with a smaller implant. Hope this helps. Thanks for the question
Helpful