The operation involved removing the lower anterior capsule and then replacement of her implants with 390CC anatomical mentor sub glandular implants. This allows her natural breast tissue to drape more naturally over the new sub-glandular implant and the anatomical shape helps improve the projection lower in the breast behind the nipple areola complex. The remaining sub muscular implant capsule can remain beneath the muscle and the new implant is placed in a sub glandular position. 

These results are shown 8 weeks following surgery.  With any type of implant exchange the results can be less predictable than primary surgery, however if implants have ruptured then they need to be removed to reduce the risk of lymph node disease particularly with older implants which may not be manufactured using a cohesive gel.

However most implants that are less than 20 years old should contain cohesive gel which makes removing any silicone from inside the old capsule much easier than older implants. With capsule contracture it is generally better to change the implant position or to completely remove the capsule which is sometimes possible in a sub glandular pocket.

This patient underwent removal of her breast implants and a mastopexy (Breast uplift). 270 ml implants which were still intact in good condition, were removed that had been in place for 25 years. Breast size is now reduced from 34 DD to a more natural 34 C cup.

Results are shown at 8 weeks post-surgery.

This 47-year-old patient decided that she no longer wished to have her 300cc breast implants which she had had for many years. Removing the breast implants followed by a breast uplift or mastopexy can be a very popular operation as implants are often placed in the breast after weight loss or pregnancies to refill the breast skin envelope. Often if they are removed without an uplift then the breast may be quite droopy afterwards although this can vary significantly between different people and some patients are able to remove their implants without causing too much breast droop but this needs to be assessed on an individual basis.

This can also be a good option for patients who experienced recurrent capsule contracture or other problems with their implants. In this situation in the future it is possible to replace the breast implant perhaps with a smaller implant in the sub glandular position whilst the original might have been in the sub muscular position, but when the breast gland has been elevated a sub glandular placement can be possible. 

However most patients choose not to have their implants replaced and to be satisfied with their natural breast volume.

The results shown here are 10 weeks following surgery.

This patient underwent removal of 350 cc implants and a mastopexy. She had gained some weight and breast volume since her breast augmentation and no longer wanted to be so big but didn’t want to be left with breast droop after having her implants removed. These results are at 6 weeks and the scars can be expected to fade further over the next 12 months.

This patient underwent removal of 300 cc breast implants and a breast lift or mastopexy at the same time. The breast tissue is tucked back up behind the nipple to add some projection in the middle of the breast. Recovery usually takes 2-3 weeks. Sometimes the nipple sensation can be affected by this procedure.

This patient underwent removal of breast implants that were 20 years old but still intact. The breast has been lifted and the nipple elevated. The photographs are taken at 3 months and the redness in the scars can be expected to fade further over the next 6 to 9 months.  The lower breast tissue has been place inside the pocket where the implant has been removed. The volume removed was 275cc.  Sometimes the sensation to the nipple can be reduced with this procedure and it can take about a year for the maximum recover to take place and even then the overall sensation may be reduced compared to before the uplift.