Implant removal replacement with breast lift Before & After Case 556

This patient came to Dr. Michael Ablavsky, MD with capsular contracture, a condition in which scar tissue around breast implants hardens and compresses them, and a visible waterfall deformity, in which the breast tissue descends below the implant. In the before photos, the breasts appear high, firm, and round, with the lower pole of the breast tissue sitting noticeably lower than the implant, and the abdomen shows significant laxity and skin redundancy from the lower chest to the pubic area.

Dr. Ablavsky performed a total capsulectomy to remove the hardened implant capsules, replaced the existing high-profile approximately 450cc implants with moderate-profile approximately 350cc silicone implants, and combined that exchange with a breast lift. A tummy tuck with muscle repair and liposuction addressed the abdominal area simultaneously.

In the after photos, the breasts sit higher on the chest wall with a softer contour and a closer relationship between the implant and the surrounding breast tissue. The waterfall separation visible before is less pronounced. Along the midsection, the abdominal profile is notably flatter and the skin redundancy seen in the before photos is reduced, with a more defined waistline visible in both the front and lateral views.

For prospective patients considering implant removal replacement with breast lift in San Antonio, this case illustrates the combination of capsulectomy and implant exchange with a concurrent lift, which addressed both the firmness and the positioning issues present before surgery. The addition of a tummy tuck with muscle repair allowed the abdominal contour to be addressed in the same operative setting.