Considering breast implant removal with a lift and fat transfer to replace the implants? (Photo)

I can see some slight constriction on the right side below the nipple which you referred to. But yes, fat transfer is a great option. First, I would recommend removal of the implants so allow your breasts to recover to their native shape and architecture and allow the capsule to retract. I would not perform capsulectomy if you do not have thick capsules as this is a bloody operation with complications and unnecessary. If you have saline implants, they could be percutaneously drained in the clinic with local as an initial step; silicone would require operative removal first. Then you can proceed with fat transfer with a predictable, durable result. Thank you.

Since you used the implants to reshape your constricted breasts, once removed, you should be able to keep your shape. Fat can then be added, but not at the same time as the lift. You may not be able to obtain the same volume as you have now with just one transfer.

You have not told us if the implants are in front of the muscle or behind. The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.