Will explanting give me a bad result due to very little breast tissue? (Photos)

Simply
explanting will give you marked deformity of the breasts because of the
stretched skin envelope.  Instead, I
recommend explantation using The Bellesoma Method.  This technique 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 is additional volume is desired.Best Wishes,Gary Horndeski, M.D.

I'm sorry you are unhappy with your implants.  If you elect to remove them you will likely have some loose skin with a "deflated" look.  The amount of breast tissue will be similar to what you had prior to your augmentation.

It is difficult to predict the appearance after implant removal, although usually a breast lift is recommended to take in the excess stretched skin and to avoid that "deflated" look.Always check with your board certified plastic surgeon for an in-person exam.  Hope this is helpful, best of luck!

Thank you for the question. No, I do not think that you will end up with an aesthetically "bad result" after breast implant removal. Of course, "better results" may mean different things to different people. My best estimate, based on the information here, is that your breasts will look pretty similar (after breast implant removal surgery) to what they look like prior to breast augmentation surgery.


Generally speaking, what your breasts will look like after explantation depends on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back), the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation).


Life experience since your breast augmentation procedure, such as pregnancy or weight gain weight loss, will potentially influence the factors discussed above. If you take these factors into consideration and apply them to your specific circumstances you may get a good idea of what to expect after the implants are removed.


 Patience is definitely indicated after removal of breast implants; it will take many months/year for the skin to “bounce back” and for you to see the final appearance of the breasts.


In "borderline" cases where there is doubt whether breast lifting is necessary or not, I advise patients to undergo explantation only and to give their breasts the benefit of the doubt  before deciding whether breast lifting would be beneficial.  


In your case specifically my best advice: select your plastic surgeon very carefully. Ask him/her to show you examples of previous patients (demonstrating what he/she expects your breast to look like after breast implant removal and breast lifting surgery.   Seeing these visual representations of what you might expect, will likely help you make an informed decision as to how to proceed.


 I hope this helps. Best wishes.

Good morning and thank you for your question and photos. I am sorry that you aren't happy. It is commonly accepted that the majority of women after breast augmentation if dissatisfied with the implants wish they had gone fuller. Your case is clearly quite the opposite. It is very helpful that you included your preop photos...after removing the implants you have, I anticipate your breasts will look a lot like preop with likely a little more deflation given 400cc for 3 years stretching the tissue. The tricky decision here is would the absence of implants be better or a smaller option? There is a lot of wiggle room from 400cc...maybe a 200c range implant is your solution for shape and volume given your small frame. In my practice for patients in a similar situation, I have taken the existing implants out under local anesthesia to allow the patient to see for themselves if no implant is the preferred solution or smaller: sizing can then be done immediately if the decision is a smaller implant and plans made to return to the operating room for that placement. I do not offer implant replacement or breast revision outside of the OR under anesthesia but I have found that saving the right patient an anesthetic to remove the volume and make an educated decision for themselves is very helpful and the removal is well tolerated in the office. Good luck!