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Breast Caved in After Removal? What Next? Can Time Fix This? Lift?

Implants obviously contribute to the volume of your breasts. When they are removed patients still have a similar skin envelope but with less volume. This can create exactly the appearance you are struggling with. Time will improve things somewhat, but it is difficult to know exactly how much. Other possible treatments include mastopexy (removing some of the skin to change the skin envelope) or fat transfer (adding some of your own fat removed from part of your body to replace some of the volume once occupied by implant). In our Tri-Valley practice in Dublin, we use both techniques to imrpve breast appearance after implant removal.

Clinical Context

After implant removal, the skin that stretched to accommodate the implant now has less volume underneath it, which can make breasts look hollow or deflated rather than simply saggy. This differs somewhat from typical age- or pregnancy-related sagging, where breast tissue is still present as skin loosens. Because both skin excess and volume loss may be involved, treatment often combines a lift with fat grafting, and sometimes a new implant, depending on individual anatomy and goals.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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