Will I Have Scars After Breast Explant Surgery?
Many women considering breast implant removal ask Dr. Robert Whitfield the same question: Will I have scars after explant surgery?
The short answer is yes—every surgical procedure involves an incision, and incisions create scars. However, Dr. Robert Whitfield emphasizes that the type and location of scars depend on several factors, including breast size, breast shape, skin characteristics, and whether a lift or reshaping procedure is needed.
Understanding how these decisions are made can help patients feel more informed and confident before surgery.
Why Scar Patterns After Explant Surgery Are Different for Every Patient
Dr. Robert Whitfield explains that explant surgery is not simply about removing implants. Surgical planning also considers how the breast will look and function after the implants are removed.
During consultation, he evaluates:
Breast width and shape
Skin elasticity and excess skin
Nipple position
Previous incision location from the original augmentation
These factors help determine which incision approach will allow safe implant removal while supporting the best possible breast shape afterward.
What Incision Options Does Dr. Robert Whitfield Use for Explant Surgery?
Dr. Robert Whitfield typically performs explant procedures using one of three surgical approaches.
Fold Incision (Inframammary Fold)
One common option is an incision placed in the natural fold beneath the breast.
Dr. Robert Whitfield explains that removing the implant and the surrounding scar capsule often requires a slightly larger incision than the one originally used for placement. This is because the capsule creates additional tissue around the implant.
Key points patients should understand:
The incision is usually hidden within the breast fold
It may measure approximately six to seven centimeters
Visibility often depends on how the breast tissue drapes over the fold after healing
For many patients, this approach provides direct access for removal.
Periareolar Incision
Another option is an incision made around the outer edge of the areola.
Dr. Robert Whitfield sometimes combines this with a periareolar lift, particularly if the areola has stretched and the breast will be smaller after implant removal.
This technique can:
Refine the appearance of the areola
Leave a scar around the edge of the areola
Provide access for implant removal in certain cases
Patients often appreciate that the scar blends with the natural border of the areola.
Vertical or “Lollipop” Lift Technique
In some situations, Dr. Robert Whitfield recommends a vertical incision pattern commonly called a lollipop lift.
This is often considered when:
The breast is wider across the chest
There is excess skin after implant removal
The nipple position would benefit from elevation
Dr. Whitfield explains that this technique allows him to remove excess skin and reshape the breast.
Importantly, the nipple is not removed during this process. Instead, the surrounding tissue is adjusted to support improved positioning and contour.
The tradeoff is a vertical scar extending from the areola downward.
Why Breast Shape Matters After Implant Removal
A key part of Dr. Robert Whitfield’s approach is planning for how the breast will look after the implant is removed.
For example, when a breast is wider and extends toward the underarm area, simply removing the implant without reshaping may leave the lower portion appearing flatter or boxier.
In these cases, narrowing and lifting the breast can help create a more balanced contour.
This is why incision choice is based on anatomy and surgical goals, not simply choosing the smallest incision possible.
Will a Lift Always Be Needed?
Not necessarily.
Some patients may only require implant removal through a fold or periareolar incision. Others may benefit from a lift if there is excess skin or if nipple position has shifted.
Dr. Robert Whitfield emphasizes that each case is evaluated individually to determine what approach best supports the patient’s anatomy and desired outcome.
How Dr. Robert Whitfield Works to Preserve Sensation and Minimize Scarring
Whenever possible, Dr. Robert Whitfield plans surgical steps with the goal of:
Preserving nipple and breast sensation
Minimizing unnecessary scarring
Maintaining healthy breast tissue
For example, when adjusting skin around the areola, he describes a careful tangential technique, which removes small layers of skin while preserving underlying structures.
This type of detailed surgical planning helps balance cosmetic considerations with safety and function.
Can Fat Transfer Improve Breast Shape After Explant Surgery?
For some patients, Dr. Robert Whitfield may recommend fat transfer as part of the procedure.
Fat is typically taken from another area of the body and placed in the fatty layer between the skin and the breast tissue.
Dr. Whitfield emphasizes that:
Fat is not placed into the implant pocket
Proper placement helps support natural contour
Fat transfer may help restore volume in selected cases
Not every patient needs this step, but it can be part of a comprehensive plan for breast reshaping.
What Should You Ask During an Explant Consultation?
Dr. Robert Whitfield encourages patients to ask questions so they understand the reasoning behind surgical decisions.
Important questions include:
What incision type is recommended for my anatomy?
What scar pattern should I expect?
Will a lift improve breast shape after implant removal?
Is fat transfer appropriate in my case?
Understanding these factors helps patients make informed decisions about their care.
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Frequently Asked Questions
Will I always have a scar after explant surgery?
Yes. Any surgical incision creates a scar, but the location and visibility depend on the surgical approach and your anatomy.
What are the main incision options used in explant surgery?
Dr. Robert Whitfield typically uses three approaches: a fold incision, a periareolar incision, or a vertical lift technique when reshaping is needed.
How large is the incision under the breast?
Dr. Whitfield explains that the fold incision is often about six to seven centimeters to allow safe removal of the implant and surrounding capsule.
Does a lift mean the nipple is removed?
No. The nipple remains attached. The surrounding tissue is adjusted to elevate and support breast shape.
Why might a vertical lift be recommended?
It may help narrow a wider breast and address excess skin so the breast contour looks balanced after implant removal.
Can implants and the capsule be removed through the armpit?
Dr. Whitfield explains that he does not remove the implant and capsule through the armpit.
Can fat transfer be done during explant surgery?
Yes, in selected cases. Fat can be transferred to the fatty layer above the breast to help support shape and volume.
Will sensation be preserved after surgery?
Dr. Whitfield plans surgical techniques with the goal of preserving sensation whenever possible.
Medical Disclaimer
This article is for educational purposes only and does not replace medical advice or consultation with a qualified physician. Surgical decisions and outcomes vary based on individual anatomy, medical history, and treatment goals. Consultation with a board-certified surgeon such as Dr. Robert Whitfield is necessary to determine the most appropriate treatment plan.