Transcript excerpt from a clinical commentary by Robert Whitfield MD about considerations when removing breast implants in cosmetic patients, focusing on skin management and strategies to avoid flat/boxy breast contours. He discusses how preoperative breast size and implant size affect post-removal appearance and the role of limited skin excision and tissue reshaping.
For a cosmetic patient, it really depends on how they started. If they started, you know, as an A or B cup breast, then they're typically going to revert back. Obviously, if the implant was large, that's more of a problem because it stretches out skin. So then you're, you're dealing with trying to manage skin. And there's different, you know, options. You have not so much to reshape the breast tissue, but to help with the skin. So you may excise skin to help tighten it, but, but not overdo it, because everybody will heal differently, of course. And, you know, so there's, there's ways to vary it. Today I just saw somebody who has a relatively wide breast, so that needs to be narrowed. Otherwise, when you take out their implant, they'll be flat and boxy.
