"At first my pa said it was normal, then he said it might be a seroma. Then I took the stickies off and it go worse and he’s saying it needs to be aspirated. There is no fluid. There was a hard lump and extreme sensitivity. I took the stocked off and the sensitivity went away and the lump. Now the puckering has gotten worse."


DR. POUSTI: I had explant one month ago. Can anyone tell me why my left breast seems to be puckering?

I am sorry to hear about your concerns after breast implant removal. I think what you are experiencing is normal contraction of breast tissue/skin after breast implant removal. In other words, the breast skin/tissue may look somewhat depressed or “puckered” after the spacefilling breast implants have been removed. Hopefully this appearance will improve as time goes on and the breast envelope continues to contract. It may take six or longer before you see the final appearance of the breasts.

For the benefit of patients seeking breast implant removal in the future: generally speaking, what your breasts will look like after explantation depends on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back), the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation).

Life experience since your breast augmentation procedure, such as pregnancy or weight gain weight loss, will potentially influence the factors discussed above. If you take these factors into consideration and apply them to your specific circumstances you may get a good idea of what to expect after the implants are removed.
Patience is definitely indicated after removal of breast implants; it will take many months for the skin to “bounce back” and for you to see the final appearance of the breasts.

Best wishes.

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