There are some scenarios in which a patient may need her breast prostheses surgically removed due to medical reasons, which may essentially arise when the implants get infected or there is an extrusion or failure of the cutaneous cover; additionally some patients may freely decide to remove their breast implants due to personal reasons; if the explantation of the breast implants is elective and in a controlled situation a total capsulectomy is required in association.
Once the implants are removed no other procedure or method may palliate the loss of breast fullness, the subsequent flaccidity and the lack of mammary size, neither a mastopexy or breast lift is indicated unless the breasts were actually droopy prior to the explantation; the only option to restore breast fullness reshaping and enhancing the mammary mounds is reinserting again breast implants in due course, given they have no technical substitute.
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