Breast implant removal is a deeply personal decision. At Ablavsky Plastic Surgery in San Antonio, board-certified plastic surgeon Dr. Michael Ablavsky offers advanced techniques, like fat grafting and auto-augmentation, to restore a natural-looking, youthful breast shape. These options are especially effective for maintaining upper pole fullness, the rounded upper breast volume that many women wish to preserve after explant surgery.
Learn about breast implant removal and explore your options for restoring a beautiful breast shape.
Considering Implant Removal? You’re Not Alone.
Whether due to personal preference, lifestyle changes, or implant-related concerns, many women are choosing to remove their breast implants. While health and comfort often drive the decision, aesthetics still matter—especially when it comes to maintaining upper pole fullness and youthful breast shape.
At Ablavsky Plastic Surgery in San Antonio, Dr. Michael Ablavsky, a board-certified plastic surgeon, offers advanced techniques to help women look and feel confident after breast implant removal.
What Happens to the Breasts After Implant Removal?
After implant removal (also called explant surgery), some women experience:
- Deflation or volume loss
- Skin laxity or sagging
- Loss of fullness in the upper breast
- Downward nipple position
To address these concerns, Dr. Ablavsky combines implant removal with cosmetic procedures designed to reshape and lift the breast, without the need for new implants.
Options To Optimize Upper Pole Fullness
Dr. Ablavsky offers 2 highly effective surgical options that can restore volume, shape, and a youthful breast contour:
1. Auto-Augmentation Using Your Own Breast Tissue
Auto-augmentation is a specialized technique that reshapes and repositions your existing breast tissue to fill out the upper breast. Instead of discarding the tissue during a lift, Dr. Ablavsky reuses it to add support and fullness.
Benefits:
- No need for implants or fat transfer
- Maintains natural breast volume
- Can be performed alongside a mastopexy (breast lift)
- Long-term shape improvement
Auto-augmentation is particularly effective in women with adequate native breast tissue.
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2. Fat Grafting to the Breast (Autologous Fat Transfer)
Fat transfer to the breast uses the same process as facial fat grafting. It involves harvesting fat from another area of your body (usually the abdomen or flanks) via liposuction, purifying it, and strategically injecting it into the breast—especially the upper pole.
Benefits:
- Soft, natural-looking enhancement
- No foreign materials
- Body contouring as a bonus
- Long-lasting volume (with some fat reabsorption)
This technique is ideal for patients looking for modest, natural restoration after implant removal.
The Role of a Breast Lift (Mastopexy)
Whether paired with fat grafting or auto-augmentation, a breast lift is typically recommended after implant removal to:
- Remove excess skin
- Elevate the nipple to a youthful position
- Reshape and tighten the breast envelope
Dr. Ablavsky customizes the lift technique based on your anatomy and goals, ensuring a balanced, natural outcome. In some cases, he may combine auto-augmentation, fat grafting, and breast lift procedures to enhance the shape of the breasts after explant surgery.
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Why Choose Dr. Michael Ablavsky?
- Board-certified plastic surgeon with advanced expertise in breast aesthetics
- Offers both cosmetic and reconstructive options tailored to your anatomy
- Highly experienced in combination procedures like explant + lift + fat grafting
- Compassionate, individualized care in a private, accredited surgical setting
What To Expect from Recovery
Dr. Ablavsky and his team provide detailed aftercare instructions and support every step of the way. In general, however, patients can expect the following recovery timeline:
- Most patients return to normal activities within 1 to 2 weeks
- Swelling and bruising resolve gradually over 2 to 4 weeks
- Final results can be seen about 3 months post-op
The American Society of Plastic Surgeons offers additional information about recovery after breast implant removal.
Schedule Your Consultation Today
If you’re ready to remove your implants but want to maintain a beautiful, natural-looking breast shape, contact Ablavsky Plastic Surgery in San Antonio. Dr. Michael Ablavsky will guide you through your options with artistry, precision, and the assurance of board-certified care. Request a consultation today using our online form, or call us at (210) 942-6672 to schedule your consultation.
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