Posts Tagged breast implant removal

Breast Implant Removal Without Replacement: Reader Question

Reader Question:

I had breast implant removal without replacement (250cc after 23 years) five weeks ago, going from 38D to 38 A/B. I also had a lift at the same time. I understand there was some silicone leakage in my right breast, but had a capsulotomy on each breast as well. Both breasts, individually, look pretty good now. My problem is the left breast is at least 1 cup size larger than the right, very noticeable in a bathing suit or camisole. Any swelling reduction seems to have occurred equally so far in both. In your opinion, what are the chances the left one is that much more swollen. I think my surgeon may have closed my left breast before realizing the leakage required additional tissue removal on the right as they were visibly uneven immediately after surgery. Have you ever seen evening out weeks or months out?? I will not get an implant to even it them out and I can’t imagine cutting into the left breast to further reduce it. Please share your opinion. Regards!

Re-operative breast implant surgery can get complicated particularly when it involves leaking silicone gel implants. Leaking silicone gel can encourage a body response involving scarring, inflammation and profound hardening. The individual breasts may react differently to that leakage as well. During redo surgery, this reactive scar tissue must be removed to soften the breast allowing a good result. On the next page I will put up the images you sent, so we can flesh out what likely happened.

Originally posted 2010-02-18 07:30:56.

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Sharon Osbourne Removed Breast Implants


Sharon says that she is going to have the one implant made into a paper weight for Ozzy to keep next to his bed, and the other one she is going to give to her pal Gary Farrow to use as a way to relive some stress, nothing like a friend squeezing your breast to relive some stress.
Source: ecanadanow.com/entertainment/2010/04/20/sharon-osbournes-breast-implants-the-gift-that-keeps-on-giving

I have had patients make more interesting requests regarding their old implants. Sometimes the implants are not in a condition in which you can do much with them. Old silicone implants kinda turn into a gooey mess with a crispy coating. That’s why I am pro-saline.

On Sharon’s stress relief gag, I have never seen a breast implant as all that interesting without a woman attached.

Best Regards,

John Di Saia MD

Originally posted 2010-04-22 07:30:12.

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Huge Breast Implant Removal? a Reader Asks

Huge Breast Implant Removal?

Reader Question:

Just wondering what your thoughts were on girls such as this. I understand these sort of implants were only available for a short time only….can’t imagine why they were ever invented actually! Are these implants able to be removed? What are the long term complications?

Huge Breast Implant Patient

As we have mentioned before, silicone gel doesn’t do a body good. When this stuff is placed into your body, your tissues are best shielded from the bare silicone gel. The degree to which there may be a problem can be minimized, but the larger breast implants have more involved effects upon the patient’s body than smaller ones.

When the implants get really large, those changes affect not only the skin and soft tissue, but also the chest wall (ribs, and bones.) Really large implants actually wear into and bend bones and cartilage. These kinds of problems are most commonly seen in reconstructive breast surgery (re-creation of the breast after breast cancer treatment,) but would certainly affect patients with huge breast implants over time. The implants this woman has are in the “well over a 1000 cc each.” You can’t get them in the United States and I wouldn’t want to place them if you could. This makes my malpractice carrier happy. ;)

Very few of these “super large” implant patients come to having their implants removed (without replacement) as the appearance afterward would be pretty unusual. Such a patient would likely have to have several operations to take in the stretched skin and would likely be left with noticeable contour defects visible under that stretched skin, that is, if the implants were not to be replaced.

I think it is safe to say that most people would categorize implants in this size as “ridiculous breast implants.”

Best Regards,

John Di Saia MD

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Sheyla Hershey Breast Implant Removal Surgery

The world has come to know her well. Sheyla Hershey is known for her striking smile and her large M cup breast implants. She has tried to save them for the past three months, but that fight has come to an end. Hershey had to have her implants removed, along with most of her own breast tissue. Hershey tells FOX 26 News her surgeon realized in surgery that most of her tissue was too damaged to save. She says her surgeon tried to save just enough tissue to attempt reconstructive surgery within three or four months.

Source: myfoxhouston.com/dpp/health/100909-sheyla-hershey-breast-implants-removed

When she had the surgery to make her the largest breast implant patient in the World, I said it was risky. Sheyla Hershey ultimately realized some of that risk. When implants so large are placed the pressure stretches, thins and to an extent destroys tissue. There is not enough breast tissue to cover the implants in these types of cases. The implants are too large.

In Sheyla’s case, the implants became involved with infection which undoubtedly further destroyed tissue. She had a Wound Vac put in to help encourage wound healing in the absence of tissue…mainly to close the space the implants had developed. It is doubtful that she will be able to have large implants placed once again as the soft tissue cover has likely been severely compromised.

In essence she has become a reconstructive type case. This is sad. Things will end up looking pretty poorly by the sounds of things. This type of outcome is almost unheard of with the much smaller, more routinely implanted sizes.


“Really big comes with really big risk with breast implants.”

Best Regards,

John Di Saia MD

Originally posted 2010-09-10 19:00:29.

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Silicone Breast Implants Plus Twenty to Thirty Years- Picture Alert

I am asked pretty regularly about what a woman should do with old breast implants. The answer depends upon how things look and feel and what kind of implants are in place. Silicone gel implants in my opinion should be changed more frequently.

Why?

Silicone gel implants degrade over time and our bodies react with the gel creating scar and calcium. This hardens the breasts and requires removal of the implants and capsules to repair. This is amongst my reasons for preferring saline filled implants as they cause much less of this reaction than the silicone gel implant types. Newer generation gummy bear silicone gel implants will hopefully cause less reaction than their predecessors, but we won’t know how much for about another 10 years.

The images on the next page are those from a recent case in which I removed 25 year old silicone breast implants and the scar capsules that surrounded them. In this case the patient didn’t realize that her right implant was ruptured until an imaging study was obtained. In addition, since her breasts had hardened slowly over years, she didn’t connect it with her implants.

Best Regards,

John Di Saia MD

Related:

Dr D’s YouTube Silicone Breast Implant Removal Video

Dr D’s YouTube Breast Implant Redo Video

Dr D’s Old Breast Implant Options Page

Originally posted 2010-04-28 07:30:32.

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Victoria Beckham & Breast Implant Removal

Posh Spice looks minus her silicone breast implants. Although my story source link below indicates a breast reduction, an implant removal is more likely by the looks of the images there. I doubt she had much native breast tissue. The implants she had seemed too big for her.

Source: dailymail.co.uk/tvshowbiz/article-1242552/Victoria-Beckham-looks-little-deflated-treats-sons-frozen-yoghurt.html

Best Regards,

John Di Saia MD

Related:

Dr D’s “Old Breast Implant Options” Page

Originally posted 2010-01-21 07:30:58.

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Don’t Want Your Breast Implants Anymore? – Have Them Out

In the office we have had a noticeable increase in requests for breast implant removal without replacement. Women are naturally concerned about what things will look like afterward and this does vary quite a bit.

Not everyone needs or wants a breast lift afterward. If the patient’s implants are not too large and are saline-filled, often the operation is quite simple and leaves nice results. On the other hand, old silicone gel implants or their remnants can leave a mess in there. This can require more surgery to repair.

Best Regards,

John Di Saia MD

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Aylar Lie – Before and After Breast Implant Removal

Aylar Lie has had an unusually interesting life. She has been Miss Norway, a porn star in the US, and more recently a Norwegian celebrity of sorts.

She is interesting from a plastic surgery point of view as she admits to having had breast implants and then later having them removed. There are images with her before and after the removal here.

She appears to have had “porn star variety” high profile implants that are really fake-looking, but then again it was probably at the time she was playing porn star.

For people who have asked the question how a woman may look like after removing her implants, here is an example.

Best Regards,

John Di Saia MD

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