Breast Implant Removal Only
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Some patients choose to remove implants and capsules without simultaneously undergoing a mastopexy. Three variables determine the resulting cosmetic outcome. First, how good is the breast skin quality? Will there be enough skin contraction to significantly remove the loose excess skin resulting from the implant removal? This is similar to how a women’s stomach skin might tighten after a pregnancy. Second, how big were the implants and how long were they in place? Larger implants that were in place for a long time will obviously stretch and damage the skin more with less likelihood of skin shrinkage. Third, how much natural breast tissue is present? More breast tissue results in better cosmetic outcome with less possibility of collapsed, sunken and folded breast skin. Ultimately the decision to add the simultaneous mastopexy is up to each individual patient.
She had malpositioned implants which mostly stretched the upper breast/chest skin. As a result, the actual breast skin/tissues didn’t stretch much. This combined with tight skin resulted in a good cosmetic outcome.
Good skin quality combined with adequate natural breast tissue volume resulted in a good cosmetic outcome.
Good skin quality and small implants resulted in a good cosmetic outcome.
The combination of small implants and adequate natural breast tissue volume resulted in a good outcome.
This case demonstrates sunken previous infra-areolar scar areas typically seen in patients with little natural breast tissue and who previously underwent infra-areolar approach.
Late 50’s patient who previously underwent 3 breast implant surgeries over 33 years due to recurrent capsular contractures.
Each previous surgery was done through the same infra-areolar scar and probably had breast tissues removed along with capsulectomies. The combination of little breast tissue, thin skin and multiple previous surgeries which probably removed breast tissues under the areola resulted in a very poor cosmetic outcome. She has subsequently undergone mastopexy with fat grafting with improved cosmetic result.
50’s patient with 11 years old silicone 225 cc implants used to reconstruct skin-sparing mastectomy defects
Post-mastectomy reconstruction patients represent the toughest cosmetic cases after implant removal surgery due to missing breast tissues. There is only skin remaining along with stretched and paper-thin muscle. The best possible outcome, unfortunately, is the mastectomy-defect appearance shown here.
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