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Life After Breast Implant Removal

Are you thinking about breast implant removal?

If you are considering breast implant removal but are worried what your breasts might look like afterwards, you are not alone.
As your body and your circumstances change, you might find that the breast implants that you once loved, become uncomfortable and out of keeping with your frame.
There are many reasons that people want to have their implants removed or you may just be worried and think that your implants need to be changed.

When should you change your breast implants?

If you are concerned, then you can read my blog post about when you should change your breast implants here.
If you are considering breast implant removal, then you may have many questions about what would be involved and what you will do once your implants are removed.
The Staiano Clinic is the only clinic in the UK that specialises in cosmetic breast surgery and is owned and run by a Plastic Surgeon.

Should you have your implants replaced?

If you would like a consultation with one of our surgeons, then we can go over your options for breast implant removal and talk about whether you would need to have implants replaced, or whether you would be happy to be without implants.  If you are having your implants replaced, then you can think about whether you have implants of the same size, or if you have bigger or smaller implants.  It may be that all the options are feasible, but you will need to consider the consequences of changing the size of your implants.
You can read more about what to do if you are considering replacing your implants here.

Will I need a breast lift after implant removal?

If you are thinking of changing or removing your breast implants, then you might be concerned about how your breasts will look afterwards, or more specifically, will you need a breast lift after your implants are removed?
Jonathan speaks about whether you will need a breast lift after implant removal in this video and shows some examples of cases of breast implant removal with and without breast lift:

If you would like a copy of our Frequently Asked Questions Guides, please click the links below:

Breast Lift Frequently Asked Questions Guide

Breast Implants Frequently Asked Questions Guide

If you have any questions you can give us a call on 0121 454 3680 or email us at info@staianoplasticsurgery.co.uk.

If all you have is a hammer everything looks like a nail

There are a lot of different surgeons who perform cosmetic surgery.

They range from plastic surgeons to general surgeons, ENT surgeons, maxillofacial surgeons and even people who are not surgeons at all such as GPs or dermatologists.
This is not a problem in itself as long as the doctor is working within their scope of practice.
It may be that an ENT surgeon will be just as competent to perform a rhinoplasty as a plastic surgeon would. The problem comes when surgeons start working outside of their scope of practice and this is something that The Royal College of Surgeons is trying to address by credentialing surgeons which means they will assess them to make sure they are only working within areas that they have been trained to be competent in.
The problem with this is that first of all it has not been launched yet and secondly, it is a voluntary process so unless you know to ask or check whether your surgeon has the appropriate credentials then

untrained doctors will continue to be able to perform procedures on unsuspecting patients who may not know or feel comfortable to ask the necessary questions.

I am always surprised when I talk to people about some of the topics in my book.

They are shocked when they hear that there are surgeons out there performing breast surgery whose formal surgical training may have been in ENT surgery or accident and emergency surgery.  While it might sound unbelievable, it is happening and there is absolutely no law against it.
Unfortunately many surgeons do not make what their area of specialist training is, if it does not fit with the more lucrative cosmetic procedures that they mainly perform. You cannot assume that just because your surgeon is working in a plastic surgery clinic and is talking to you about having breast implants that they are a plastic surgeon or have any specialist training in cosmetic breast surgery.
We are very fortunate that the complication rate of most cosmetic surgery is very low but this allows untrained surgeons to get away with performing surgery on patients.
However, the problem comes when there is a complication or if the patient has a complex problem such as a breast asymmetry or a chest wall deformity.
It is in these situations where a surgeon who has experience of not only cosmetic breast surgery but also reconstructive breast surgery will have the necessary skills and experience to be able to foresee potential problems and tackle any issues that may arise.

Cosmetic breast surgery is not easy.

All patients will have some degree of asymmetry to a greater or lesser degree.
It is about identifying this, managing the expectations and knowing when and what to do about it.
It may be putting different size implants in, sometimes to maintain the base width of the implant and different profiles of implants will need to be used in each breast and this requires skill and experience.
It may be the use of internal sutures to redefine the inframammary fold and to ensure that the placement of the implants are accurate.
It may require a combination of a breast lift or possibly surgery to address the chest wall.

This is why I feel it is important to see a specialist for your procedure and to Never Accept A Lift From Strangers.

Here at the Staiano Clinic we are all plastic surgeons who specialise in breast surgery.
We love seeing people who have done their research and welcome questions.
If you do not feel that you are in a position where you can ask questions of your surgeon in your clinic then beware.
If you want to know more, then you can get a copy of the 5 Questions To Ask Your Plastic Surgeon here.
If you have any questions, then you can tune in watch Consultant Plastic Surgeon and  our Director, Jonathan Staiano on Facebook Live every Tuesday night at 7pm for a live Q&A session.  You can join in live or post your questions in advance to laura@staianoplasticsurgery.estaging.co.uk using the hashtag #AskJJ.
If you want to know more about plastic surgery training and what it takes to become a cosmetic surgeon.  Check out Jonathan’s book ‘Never Accept A Lift From Strangers – how to choose the best plastic surgeon for your cosmetic breast surgery’.  It is available to buy through our website or on Amazon.

I want to be a DD and nothing else will do!

When talking to patients considering breast surgery, I always ask what bra cup size they would like to achieve “ some patients have a very clear view ‘I’d like to be a DD and nothing else will do!’, while others are not so specific ‘I’d like to look natural, be comfortable and in keeping with my frame’.

I always ask the question because cup size is the way that we talk about breast size but I then always say that I cannot guarantee the final cup size.

The bra size is made up of two measurements, there is the chest size, 32, 34, etc., and the cup size, A, B, C, etc.  The chest size should not change following breast surgery (there may be a temporary increase due to swelling) and it is the cup size that is likely to be affected.  However, the precise change in the cup size is difficult to predict for several reasons:

  • bra size is relative.  The bra size is measured by measuring the circumference of your chest (this is the chest size), then the circumference around your bust.  The difference between the chest circumference and the circumference around your bust gives the cup size.  1 inch difference is an A cup, 2 inches is a B cup, 3 inches a C cup and so on.  Because the cup size is the difference between your chest and your bust circumference, it is not an absolute measurement, an A cup will be different for a person with a wide chest compared to someone with a narrow chest.  Therefore, I cannot show you a photograph of a pair of breasts and tell you the cup size, because the same sized breasts on you may be a different cup size if your chest circumference is different to the person in the photograph.
  • bra size varies between manufacturers.  I often have patients tell me that they wear a C cup in one make of bra or a D cup in another make
  • people often wear the wrong bra.   Most people could probably fit in to one cup size bigger or one cup size smaller than they normally wear if they were to adjust the strap size.  It may well be that someone who is a 34D could wear a 36C or a 32DD.

Having said all that, bra size is all we have got to go on, so I always ask what cup size you would like to be.  Just don’t be surprised when I say that I can’t guarantee that I will achieve it!

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