How will breasts look post explant? Any indications for prediction of fullness? (photos)

Hello Graceful,

Am I correct that your far right photo represents your breast appearance 1.5 years after combination breast augmenation and mastopexy?

Removing the implants will reduce your breast volume and contribute to some immediate skin excess. Over the course of about 3 months from surgery, your skin will contract/tighten up a bit and your shape will improve.

In my practice, I perform a partial capsulectomy tat the time of explant to facilitate healing and collapse of the space that previously housed the implant. I also encourage active massage of the tissue to enhance overall shape and contour of the breasts.

You may find that with patience and time, you have no interest in any additional lift surgery. Keep in mind, your nipple and areola appear in good postion- not low. That position is the key factor on which lift surgery is predicated.

My suggeestion: take it one step at a time.

In good health,
Ellen Mahony, MD

With the size of implants you now have, you have thinned and stretched your tissue and will probably need a lift. You might consider going down in size since you were not happy with your breasts prior to implants and may not be happy once removed.

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.