What is the definition of “breast implant alternatives”?
Breast Implant Alternatives are a menu of procedures to lift the and enlarge breasts without implants. Patients may want to have their implants removed and not replaced because of a history of capsular contracture, implant displacement or may have textured implants and concerns about the risk of developing BIA-ALCL. Sometimes patient simply want to have their implants removed and have an implant-free state and smaller breasts.
Surgery can include removal of the implants and capsule removal (capsulectomy). En-bloc capsular removal may be performed if there is a severe capsular contracture. If implants are removed and the breasts are sagging (ptotic), a vertical breast lift (mastopexy) with or without a breast auto-augmentation is performed at the same time. Breast augmentation with fat can be performed at the same time as implant removal (with or without a breast lift) or alternatively, as a stand-alone procedure. Fat is suctioned from any available site such as thighs, hips and tummy and then processed and reinjected into the pectoralis major muscle and the breasts.