Implant removal with breast lift and auto augmentation Before & After Case 532

This patient came to Ablavsky Plastic Surgery with two concerns: her implants had migrated too high on the chest wall, creating a waterfall deformity in which the implant sits above the breast tissue rather than behind it, and she had developed capsular contracture. She chose to have the implants removed entirely rather than replaced.

Dr. Michael Ablavsky, MD performed an implant removal combined with a breast lift and autoaugmentation. The autoaugmentation uses the patient's own breast tissue to restore upper pole fullness and cleavage, addressing the concern of losing volume after implant removal. The breast lift repositions and reshapes the breast to a higher position on the chest wall.

The before photos show the characteristic waterfall deformity: the implants appear high and rounded on the chest while the breast tissue falls below them, with noticeable ptosis and downward nipple orientation. In the after photos, the breasts sit in a more proportionate position relative to the chest. Upper pole contour is fuller, the nipples are repositioned higher, and the overall breast profile appears more in line with the torso from both the front and lateral views.

For prospective patients considering implant removal with breast lift and auto augmentation in San Antonio, this case illustrates that implant removal does not necessarily mean a significant loss of volume. When sufficient native breast tissue is present, autoaugmentation can redistribute it to maintain shape and projection.