Flat After Breast Implant Removal: Journey of Healing

This choice, while deeply personal, is often shrouded in questions and uncertainties, particularly about the aftermath of implant removal. What prompts the decision to remove breast implants? And crucially, what can one expect in terms of breast appearance after explant? 

Let's delve into these queries, armed with data, insights, and the shared experiences of many who've navigated this path.

Why Remove Breast Implants?

Breast implant removal, medically termed 'explant surgery,' is becoming increasingly common. A study by the American Society of Plastic Surgeons noted a significant uptick in these procedures, citing various reasons that prompt individuals to reconsider their implants.

Causes for Breast Implant Removal?

1. Health Concerns: The most compelling motivator is often health-related. Complications such as breast implant illness (BII), capsular contracture (where scar tissue forms tightly around the implant), or the rare occurrence of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) lead many to opt for removal. Recent statistics indicate that these health concerns account for many explant surgeries.
2. Aesthetic or Personal Reasons: Changes in personal aesthetics or life circumstances also play a significant role. Some individuals may experience dissatisfaction with the size, shape, or feel of their implants over time or may simply wish to return to their natural body shape for personal or professional reasons.
3. Lifestyle Changes and Aging: With age or lifestyle changes, the body's natural anatomy alters, sometimes making the implants feel out of sync with the rest of the body. This misalignment can prompt a decision to remove the implants to realign with one's current body image and lifestyle preferences.

Will Breasts Fill Out After Explant?

The journey back to one's natural form post-explant surgery is unique to each individual, influenced by various factors like the duration the implants were in place, the size of the implants, and the body's natural healing abilities. Here's what you can generally expect regarding breast appearance after explant:

1. Breast Appearance After Explant: Initially, it's common to experience flat breasts after implant removal. The skin and tissues need time to retract and may not immediately return to their pre-implant state. Studies suggest that while some degree of 'fluffing' (natural filling out of the breast tissue) occurs over time, the extent varies from person to person.
2. Breast Shape Post-Explant: The natural breast look after surgery can differ significantly. Factors like skin elasticity, age, and the quality of breast tissue play crucial roles in determining the final breast shape post-explant. It's important to set realistic expectations and understand that the breasts may not return entirely to their pre-implant appearance.
3. Natural Breast Look After Surgery: Patience is key. The body gradually adapts and heals post-surgery. Many report a gradual improvement in the natural breast look after surgery over several months. Engaging with a supportive healthcare team and considering physical therapy or specific exercises can aid in regaining a more natural appearance and feel.

The decision to remove breast implants is as significant and personal as the choice to get them. It's a journey back to one's natural essence, a path marked by patience, acceptance, and an understanding of one's evolving narrative of beauty and health. 

Healing After Explant Surgery

The road to recovery after explant surgery varies from individual to individual, influenced by the body's natural healing capabilities, the type of surgery performed, and the individual's overall health. Generally, the initial few weeks are crucial for healing. During this period, it's common to experience swelling, bruising, and discomfort, which gradually subside.

1. Immediate Post-Surgery: You should limit physical activity and follow specific care routines to aid the healing process. Proper wound care, prescribed medication adherence, and supportive garments are pivotal during this phase.
2. Long-term Healing: Over time, the breasts settle into their new shape. Doing gentle exercises and following your surgeon's guidelines can facilitate smoother, more effective healing. Patience is vital, as the final results, such as the natural settling of the breast tissue and the fading of scars, can take several months to a year.

Side Effects Of Breast Implant Removal  

While explant surgery is generally safe, it's not devoid of potential side effects. Being aware of these helps in preparing and managing them effectively:

1. Physical Side Effects: Common physical side effects include temporary pain, swelling, and bruising. In some cases, changes in sensation or numbness around the surgical area might occur, often improving over time.
2. Aesthetic Concerns: Post-surgery, the breasts might initially appear deflated or have contour irregularities. These usually improve as the body heals and the skin retracts.
3. Emotional Impact: The change in body image post-explant surgery can have an emotional impact. It's essential to seek support from friends, family, or professional counselors to navigate this transition.

Will My Breasts Look Flat After Breast Implant Removal?

The appearance of breasts after implant removal is a common concern. While breasts may initially appear flat after implant removal, several factors influence the final appearance, including the original breast size, the size of the implants, and the duration they were in place.

1. Breast Lift After Explant: To address sagging or excess skin, a breast lift (mastopexy) is often performed alongside explant surgery. This procedure reshapes and raises the breasts, offering a youthful and uplifting contour.
2. Fat Grafting for Breasts: Fat grafting involves transferring fat from another body part to the breasts to enhance their shape and volume. This can be an option for those seeking a modest increase in breast size and a more natural look post-explant.
3. Non-Surgical Breast Enhancement: Various non-surgical options, such as certain exercises, massage techniques, or external vacuum bras, claim to improve breast appearance. However, it's crucial to approach these with caution and realistic expectations.
4. Cosmetic Options Post-Implant Removal: For those seeking further enhancement, options like fillers or newer non-surgical treatments might be worth exploring. Consulting with a qualified plastic surgeon can clarify the viability and safety of these options.

In summary, the journey after explant surgery involves:

• Navigating physical changes and emotional adjustments.
• Understanding the healing process.
• Being aware of potential side effects.
• Exploring available cosmetic options can empower you to make informed decisions.

Embracing this journey with patience, care, and a supportive network paves the way for a recovery that is not just about physical healing but also about rediscovering and embracing your natural self.

What Not to Do After Explant Surgery

Post-explant surgery, your body enters a delicate phase of healing and adjustment. It's important to adhere to certain precautions to ensure optimal recovery and avoid complications.

1. Avoid Strenuous Activities: Heavy lifting or vigorous exercise can strain your surgical incisions, leading to increased swelling or even wound reopening. It's crucial to give your body the rest it needs and gradually reintroduce activities as your surgeon recommends.
2. Don't Neglect Post-Operative Instructions: Your surgeon will provide detailed guidelines about wound care, the use of compression garments, and medications to take. Following these instructions is paramount for a smooth recovery.
3. Resist the Urge to Judge the Results Too Soon: It's natural to be eager to see the final results, but remember that swelling and changes in breast shape can take weeks or even months to stabilize. Patience is key during this period.

How Long Does Explant Surgery Take?

The duration of explant surgery can vary based on the complexity of the procedure and whether additional interventions, such as a breast lift or fat grafting, are performed simultaneously. Generally, explant surgery can take:

1. Simple Explant Surgery: Typically lasts between 1 to 3 hours. If the procedure involves only the removal of the implants without additional corrective measures, it tends to be on the shorter end of this timeframe.
2. Explant with Additional Procedures: When combined with a breast lift or other corrective surgeries, the procedure may extend beyond 3 hours. Your surgeon can provide a more accurate estimate based on your specific case.

It's important to note that the duration of the surgery also includes preparation and recovery time within the surgical facility.

Do Breasts Fluff After Explant And Lift?

'fluffing' refers to the gradual settling and softening of the breasts following surgery, leading to a more natural and aesthetically pleasing appearance. After explant surgery, especially when combined with a lift:

1. Initial Appearance: Breasts may initially appear somewhat flat or deflated due to the removal of the implants and the effects of surgery. However, this is typically a temporary phase.
2. The Fluffing Phase: As the swelling subsides and the tissues heal over the weeks and months post-surgery, the breasts often begin to 'fluff.' This means they regain a fuller shape as the skin and tissues adjust to the new breast contour.
3. Role of a Breast Lift: A breast lift performed in conjunction with explant surgery can significantly enhance the shape, position, and overall appearance of the breasts. It can help address sagging and provide a more youthful and uplifted breast profile.

While the journey of healing and adjustment post-explant surgery demands patience and careful attention to your body's needs, being equipped with the right information and having realistic expectations can pave the way for a satisfying outcome. It's a path to physical recovery and a renewed sense of self and comfort in your body.

Options After Explant Surgery

Post-explant surgery, you may consider various options depending on your personal preferences, health considerations, and the advice of your medical professional:

1. Embrace the Natural Look: Many embrace their natural body shape after explant surgery, celebrating their body's inherent beauty.
2. Breast Lift (Mastopexy): A popular option for addressing sagging and improving the breast contour after explant surgery. It helps reposition the breast tissue, remove excess skin, and elevate the nipples to a youthful position.
3. Fat Grafting: Involves transferring fat from another part of your body to your breasts to add volume and enhance shape naturally.
4. Non-Surgical Enhancements: Options such as external vacuum bras or certain exercises are chosen by some to improve the appearance of their breasts non-surgically. However, having realistic expectations and consulting with a healthcare professional before opting for these methods is crucial.

How Much Is Breast Implant Removal?

The cost of breast implant removal can vary widely based on geographic location, the expertise of the surgeon, the complexity of the procedure, and whether it's combined with other surgeries like a breast lift or fat grafting. On average:

1. Basic Explant Surgery: Costs can range from a few thousand to several thousand dollars.
2. Additional Procedures: The total cost can increase if combined with a breast lift or other corrective surgeries.

It's essential to consider all factors, including the surgeon's fees, facility costs, anesthesia, and post-operative care. Many surgeons offer detailed consultations to provide a personalized estimate.

How Do I Keep My Breasts Perky After Surgery?

Maintaining the perkiness of your breasts after surgery involves a combination of proper care, lifestyle choices, and, in some cases, additional procedures:

1. Post-Surgical Care: Follow your surgeon's instructions diligently. Wearing the right support garments and engaging in appropriate exercises as recommended can aid in maintaining breast shape and promoting healing.
2. Healthy Lifestyle: Maintaining a stable weight, eating a balanced diet, and regular exercise can help keep the skin and tissues around the breasts firm and more resilient.
3. Regular Check-Ups: Keep up with your post-operative appointments. Your surgeon can provide guidance and spot any issues early, ensuring the best possible outcome for your recovery and the appearance of your breasts.
4. Consider Additional Procedures: If desired, procedures like a breast lift or fat grafting can enhance the shape and perkiness of the breasts after implant removal.

The journey of healing after explant surgery is not just a physical process but also an emotional and psychological transition. It's a path that leads back to your natural self, yet its challenges and considerations accompany it. Understanding the phases of recovery, the potential side effects, and the options available to enhance the natural form of your breasts post-surgery is crucial in navigating this journey with confidence and clarity.

Unlock Your Journey to Wellness: Click here to explore comprehensive insights and compassionate guidance on breast implant surgery and embrace a confident, informed decision for your health and beauty.

Frequently Asked Questions (FAQs)

How long does it take for breasts to fluff after explant?

Breast 'fluffing,' or the process where the breast tissue expands and settles into a more natural shape, typically begins a few weeks after explant surgery and can continue for several months. The timeline varies based on individual healing processes, breast tissue, and skin condition.

How can I tighten my skin after breast implant removal?

You can tighten the skin after breast implant removal through various methods, including physical therapy and exercises, topical treatments, and surgical options. 

What is aesthetic flat closure after implant removal?

Aesthetic flat closure is a surgical technique to create a smooth chest wall after implant removal. This procedure involves carefully shaping the remaining tissue and skin to ensure a natural and aesthetically pleasing contour.

What happens to the pocket after breast implant removal?

After breast implant removal, the pocket that held the implant typically begins to heal and close up. The body's natural healing process involves the reabsorption of the capsule surrounding the implant, and the surrounding tissues contract to fill the space.

Do breasts look normal after implant removal?

The appearance of breasts after implant removal varies. While they may not return to their pre-implant state. Many individuals find their breasts regain a natural and aesthetically pleasing appearance after healing, especially with additional procedures like a breast lift or fat grafting.

Why do my breast implants look flat?

Breast implants can appear flat for various reasons, including implant leakage or rupture, capsular contracture (where the scar tissue squeezes the implant), or the natural settling of the implant over time.

Does skin shrink after implant removal?

After implant removal, the skin may retract to some extent, depending on factors like skin elasticity, age, and the duration the implants were in place. While some tightening occurs naturally, additional procedures might be necessary for optimal results.

Is breast implant removal a major or minor surgery?

Breast implant removal is generally considered a major surgery. It requires anesthesia and involves careful surgical techniques to remove the implants and ensure proper healing of the breast tissue.

Should I get a lift with an explant?

Whether to get a lift with explant surgery depends on your aesthetic goals and the condition of your breast tissue and skin post-explant. A lift can address sagging and improve the breast's shape and position. Consulting with a plastic surgeon can help in making this decision.

Is explant surgery worth it?

Many individuals find explant surgery worth it for health concerns, personal comfort, and aesthetic preferences. The value of the surgery is a deeply personal assessment, often based on improved physical comfort, alleviation of symptoms, or satisfaction with the natural breast appearance.

Can I sleep on my side after breast implant removal?

Directly after breast implant removal, the doctor will recommend sleeping on your back to avoid pressure on the breasts and ensure proper healing. Your surgeon will provide specific guidance on when it's safe to resume sleeping on your side.

How can I prepare my body for explant surgery?

Preparing your body for explant surgery involves Following Pre-Surgical Instructions, Ensuring Proper Nutrition, and Arranging for Post-Surgery Support.

When can I lift my arms after explant surgery?

Avoid lifting your arms above your head for the first few weeks after surgery to prevent strain on the incisions and aid in healing. Your surgeon will provide specific recommendations based on your case.

What should I wear after breast implant removal?

After breast implant removal, wearing a supportive, comfortable, and preferably front-closing bra is recommended. This helps support the breast tissue and minimize swelling during the healing process.

Did you feel better after breast implant removal?

Many individuals report feeling better after breast implant removal, citing relief from symptoms associated with their implants, improved physical comfort, or a renewed sense of self-confidence in embracing their natural body. The experience is highly individual and can vary based on personal health and aesthetic goals.

By Abdulaziz Ali - Medically reviewed by Prof. Zeynep Sevim, on Mar 30, 2024