What are some outcomes to explant 400 HP silicone unders? (Photos)

hello bambi78 Although good results are expected, there is no guarantee or warranty, expressed or implied, as to the results that may be obtained.  The body is not symmetric and almost everyone has some degree of unevenness, which may not be recognized in advance.  One side of the face may be slightly larger, while one side of the face may be droopier.  The breast and trunk area exhibits the same possibilities.  Many of these issues cannot be fully corrected with surgery.  The more realistic your expectations are as to the results, the better your results will appear to you.  Some patients never achieve their desired goals or results, at no fault of the surgeon or surgery.  You may be disappointed with the results of surgery.  Asymmetry, unanticipated shape and size, loss of function, wound disruption, poor healing, and loss of sensation may occur after surgery.  Size may be incorrect.  Unsatisfactory surgical scar location or appearance may occur.  It may be necessary to perform additional surgery to improve your results.  Unsatisfactory results may NOT improve with each additional treatment.

 

You will definitely has SOME loose skin after removing the implants.  Changing to a smaller size would be an option.  Sometimes, it is a good idea to remove the implants and give it some time (6 months or so) to see how much the skin contracts.  If you feel like you need more volume then you can get small implants.  This method really helps with planning and getting the long-term result that the patient wants.  Good luck.

Removing the implants is a reasonable option if they are inhibiting your lifestyle or you simply don't want them anymore. Removing them would likely leave you looking similar to how they did before, though it will take time for your skin to heal and shrink down after removal, and they won't be *exactly* like they were before. Early after removal, the skin may look loose, though I would not call it distorted. Typically only a small amount of muscle attachments are released for implant placement, so unless there was something more done in your case, this alone would not be expected to lead to a distorted chest. If you have capsular contracture or scarring internally, then you may need a capsulectomy or capsulotomy at the time of surgery. Removing the implants versus downsizing really depends on what your goal is. If you would be happy to have them similar to how they were before implants, then you could opt for removal. If you want to have some volume, just smaller, than downsizing and maybe switching to moderate plus profile instead of high profile is a good option.

Based on your photos and the quality of your skin, I would expect that you would have a nice result after implant removal without a lift. You may consider breast fat grafting at the time of removal, but you have to have an adequate amount of fat to donate to your breasts. I would recommend avoiding a lift and allowing everything to heal for 3-6 months before considering a second stage breast lift. I think that it's unlikely you will need a lift.

Thank you for sharing your questions and photographs.  Because of the size and profile of your implant your breast skin has been stretched over the 2.5 years to likely leave you with some degree of sagging after removal.  It does appear that you have good quality to your skin, however, so I would anticipate an overall acceptable result without the need for a lift.  In order to prevent distortion be sure to have your surgeon remove the implant and the surrounding capsule.  Hope this helps.

Based on your photos you can anticipate some loose skin after explant, but the look may be acceptable to you as I don't think it will be severe.  One option is to have the implants removed and wait to see how you look after you've healed.  If you are unhappy you can consider a small lift or implants at that time.

You will likely have sagging skin if you just remove them. It is hard to predict how a smaller implant may appear at this point. You can always downsize, and if you need a lift it can be done at a later time.

If you are not happy with the implants, remove them. You could go smaller but you may not like them either. If you are ok with a deflated breast, love it! You will not be disfigured to have them removed. Best wishes. 

Thank you for the question and pictures. Based on your pictures, you have many positive things going for you when it comes to the outcome of surgery expected after breast implant removal: I would expect a nice aesthetic outcome after pressing a removal 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 for the skin to “bounce back” and for you to see the final appearance of the breasts. Generally, 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.   
I hope this helps.

The quality of the result after removal of implants in many cases can be difficult to predict, as there are several factors that influence the outcome.  To get a great result, the pocket has to close and the skin envelope has to contract.  Consequently, a young patient with great skin tone and a small implant may do well.  Predictably, an old patient with compromised skin and a large implant is likely to do poorly.  Most patients, however, are somewhere in the middle, and consequently, we try and discuss possible outcomes to develop a care plan.  After 2 1/2 years your skin is stretched out and removal of a 400 cc implant is likely to produce a loose skin envelope.  If you downsize your implant, you have a better chance of maintaining a youthful shape as you are asking less of your skin.  In either case, you still may desire a lift to optimize breast shape.  If you are reluctant to consider a lift, you may want to simply undergo removal or replacement and provide some time for the result to mature.  A mastopexy always could be considered as a staged procedure.  Hope this explanation is helpful!