Breast Implant Alternatives Procedure in Norwalk, Connecticut

Dr. Laurence Kirwan. is one of the most experienced Board Certified Plastic Surgeons in Norwalk, Connecticut, and in the entire country. He is a recognized international leader in Aesthetic Plastic Surgery. He offers a superior level of knowledge, care and understanding to help you achieve the youthful, bright and contoured look you desire.

Conveniently Located: Every patient is a VIP. For your breast lift appointment, you will see Dr. Kirwan himself at every single appointment. Our Norwalk, CT location is conveniently located in between Manhattan, New York and New Haven, Connecticut. Patients regularly visit from across Connecticut (Stamford, Greenwich, Stratford, Fairfield, Westport, Bridgeport, Darien, New Canaan, Trumbull), New York ( Manhattan, NYC, Larchmont, Mamaroneck, New Rochelle, Port Chester, White Plains, Harrison), New Jersey and other neighboring cities/towns for their breast lift surgery and other plastic surgery procedures. Our office is close to all of the New York Airports for patients who are coming from out-of-state or other countries.

What is the definition of “breast implant alternatives”?

Breast Implant Alternatives are a range of procedures that are intended to reconstruct, lift, or enlarge breasts after removal of breast implants. Implants are removed for many reasons. They may no longer ‘fit’ your lifestyle or body-image. The breasts may enlarge with age, menopause, and weight gain so that breast size with an implant may now be larger than the original size when the implants were inserted. Implants can result in one or more of the following conditions: capsular contracture, implant rupture, asymmetry, or discomfort. Another reason for removing implants is the presence of a textured implant and concerns about the risk of developing BIA-ALCL. Breast Implant Illness is a poorly defined condition but may also be a reason for implant removal. Sometimes patients simply want to have their implants removed. Surgery can include removal of the implants and capsule removal (capsulectomy).

Capsulectomy adds substantially to the surgical risk and the cost. Implant removal or an exchange for smooth implants without a capsulectomy is an acceptable choice for women with no capsular contracture. However, a capsulectomy is done in cases of a thickened or a calcified capsule or if there are symptoms or surgical findings suggesting BIA-ALCL. En-bloc resections are reserved for patients diagnosed with BIA-ALCL.

If implants are removed without replacement, a breast auto-augmentation (BAA) is performed simultaneously. This is called a Simultaneous Salvage Auto-Augmentation or SSAA. Breast enlargement using the patient’s own fat may also be done at the same time as SSAA. The fat is harvested from the thighs, hips or tummy and then processed and reinjected into the breasts at all tissue levels such behind and in front of the muscle behind the breast and in the subcutaneous fat layer.


Breast surgery is appropriate after the age of 18 and is tailored to the specific condition of the breasts and the patient’s general health.

Surgical technique

There are multiple techniques, which may be combined:

1. Breast implant removal with partial or complete (en-bloc) capsule removal
2. Breast Auto-augmentation with breast lift (mastopexy).
3. Simultaneous Salvage Auto-Augmentation (SSAA): (1) & (3) combined.
3. Fat Injection/Autologous Fat Injection (AFI).

See Breast Auto-Augmentation™.

Breast Autoaugmentation, Canadian Journal of Plastic Surgery, Volume 15, Number 2:73-76, Summer 2007

[1.]  Breast Auto-Augmentation: A Versatile Method of Breast Rehabilitation. A Retrospective Series of 107 Procedures, Archives of Plastic Surgery, 2015; 42:438-445.

See Dr. Kirwan’s publication in Plastic & Reconstructive Surgery-Global Open; published March 6, 2023.

Kirwan, Laurence MD, FRCS*; Wazir, Umar MBBS, MD, FRCS†; Mokbel, Kefah MB, BS, MS, FRCS†. Simultaneous Salvage Auto-augmentation: Contemporary Strategy for Management of the Breast Explantation Patient. Plastic & Reconstructive Surgery-Global Open 11(3): p e4860, March 2023. | DOI: 10.1097/GOX.0000000000004860

To create a soft natural-feeling breast that is perky or teardrop-shaped, with a ‘lollipop’ scar that turns white and is almost unnoticeable when completely healed.

Surgery takes about 3 hours. Fat grafting to the breast adds an additional hour. There are no drains unless a complete or significant capsulectomy is performed at the same time. Most patients experience minimal discomfort and are ambulating the same day. Patients can generally return to light work after 10 to 14 days.

Liposuction to contour the outer edge of the breast where excess fat or breast tissue extends to the side of the chest and under the arm. Liposuction of multiple other areas.

Nipple reduction.

Dr. Kirwan has published several articles on breast implant alternatives:


Before & After Photos