Why More Women are Having Their Breast Implants Removed or ‘Downsized’

breast implant exchange ft. myers

Chances are, if you’re considering breast augmentation surgery, you aren’t pondering reversing that surgery down the road. However, it’s important to take the step to acknowledge that at some point, you may want to exchange or remove your breast implants. Dr. Golosow is experienced in not only breast augmentation but also exchange and explant procedures. There are many reasons women may want to exchange/downsize or remove their implants. Let’s explore some of those reasons below!

A Growing Trend?

In 2015, more than 38,000 breast explant procedures were performed in the United States alone. According to the American Society for Aesthetic Plastic Surgery, growing numbers of women are requesting removal of their once-coveted larger breasts. The trend appears to be taking the internet by storm as well, with over 400,000 visits to the Breast Implant Removal forum on RealSelf.com. The site, which functions as a discussion board for consumers who’ve undergone plastic surgery, has seen a substantial rise in traffic over the past several years. There, consumers can find information on the removal process and converse with other individuals who share their sentiments. Many forum users express a desire to feel “normal,” or “less fake,” while others simply feel their implants no longer serve the purpose for which they were originally intended.

Implants Don’t Last Forever

According to Dr. Daniel Mills, president of the American Society for Aesthetic Plastic Surgery, women in the 35-50 age group generally have the highest number of explant requests. The statistics aren’t shocking either, considering the fact that implants generally have a life expectancy of about 10 years. According to Mills, most women who request explant surgery have had their implants for years, and as they age, have come to the realization that larger implants no longer fit into their lifestyles. Weight gain may also leave women feeling as though their breasts are too large for their bodies, necessitating either reduction or removal. Not to mention, retaining implants past the 10-year mark may come with complications, including rupture, hardening of the area around the implant, scarring and asymmetry, according to manufacturers.

Do We Prefer a More ‘Natural’ Look?

Culturally, the big-breasted look is just as popular as ever, but many women are now expressing a desire for full, curvy chests, just on a smaller scale. Breast augmentation surgeries are still among the most popular cosmetic procedures in plastic surgery, with over 300,000 procedures performed in 2015 alone. What surgeons are finding, however, is that women initially request smaller implants, and those who request explant surgery are often seeking a simple downsize, not a full removal. Even in the retail market, sales of barely-there bralettes and daintier sports bras have begun to soar — signs that the trend is undoubtedly shifting toward smaller breasts. It’s not surprising, either, given the fact that growing numbers of women are participating in high-intensity training, where larger breasts can present a significant challenge.

Should You Remove Your Breast Implants?

Among women considering explant surgery, a common worry appears to have emerged: impending regret. Many women who’ve had their implants for a long time are concerned they’ll regret the procedure after having it done; however, this doesn’t appear to be the case. The majority of women who undergo explant surgery report feeling satisfied with their results, whether they opt for just a downsize or full removal. At the end of the day, that’s what truly matters, women feeling satisfied and proud in their own bodies.

Breast Augmentation Recovery Overview – Everything You Need to Know

Breast augmentation is a medical procedure that involves the use of either “fat transfer” or implants to enhance the shape and size of your breasts. This type of cosmetic surgery (also known as plastic surgery) has been very popular for many years. Women from all areas of the world have changed their lives and their appearances with breast enhancements, and the process was the leading surgery performed in the U.S. this past year.

So many women thoroughly enjoy the results of their breast augmentation, stating that they have more confidence and comfort in their own skin.

Before you choose to have this procedure done, you will want to know everything about the surgery and the breast implant recovery. You will need to know what to expect prior to the process and during the recovery process, as your recovery is important when it comes to seeing the results you want. During your consultation, Dr. Golosow can walk you through your steps as well!

How Long Does It Take to Recover from this Type of Cosmetic Surgery?

Every woman’s healing time may be different, as each female’s body is different. Most women fully heal within a month and a half after their breast augmentation procedure. Some women might feel 100% back to normal after just a few weeks. Dr. Golosow can evaluate your health, and then offer you a more definite time-frame before you have your cosmetic surgery performed.

After Surgery – Breast Implant Recovery Overview

After you wake up from anesthesia, you can expect to feel sleepy and the surgical area will feel sore. You might feel the same as you would the day after using a sleeping aid, but the anesthesia effects will go away in a couple of hours. Dr. Golosow will advise you, prior to your breast surgery and recovery, that you must have someone else drive you home. Someone will need to stay with you through your first evening at home as well.

The First Few Days After Surgery

During the first 5-7 days after your breast enhancement procedure will be the days you might feel the most soreness and tenderness in and around the surgical location. There will be some swelling as well. You will be given a prescription for pain. However, most women only need this medication in the first few days.

The Second to Fourth Week Post-Operative

Dr. Golosow will encourage you to take things slowly and get back to your routine with small exercises and chores. By this time, your tenderness and pain should be hardly noticeable, however, we recommend that patients do not engage in any strenuous activities for the first few weeks. Dr. Golosow does not want you to injure yourself, so you should not lift anything heavy until you completely recover. If you have a job where heavy lifting is required, we recommend taking about three weeks off of work to heal.

Complete Breast Implant Recovery

Dr. Golosow will want to follow up with you when you have recovered from surgery. At the follow-up appointment, she will evaluate your recovery process. Normally, after a couple of months, most women will be able to resume all normal activities at home and work. It is important to listen to all Dr. Golosow’s medical recommendations so there won’t be any problems and the implants will heal correctly.

Tips for an Easier Breast Implant Recovery

  • Buy a couple of recovery bras before surgery. The bras will help lower the pain and help you recover faster and easier. They also help stabilize the breasts and implants while you heal, and they help to improve circulation and provide slight compression to guarantee adequate lymph drainage.
  • Buy bras that are made from breathable cloth, have a seamless (all-in-one) design, adaptable straps, and are comfortable. Such features in a bra are vital because your surgeon will recommend that you wear a bra (day and night) for the first couple of months after surgery
  • Before your surgical procedure, it is advisable to have someone available to help with housekeeping, etc. If you do these activities without help, you will want to do all of them before your breast enhancement is done
  • It is recommended that you make a meal plan (enough meals for at least five days)
  • If you believe you will need pain medication, you should fill the prescription the day before your procedure
  • If you have younger children, you should ask a friend or relative to help you with your children – you will not be capable of lifting your little ones for a couple of months
  • Lastly, it is important to rest as much as possible, eat healthier and drink more water (water with electrolytes work best to re-hydrate the body)
  • Keep in mind that smaller meals and foods that are easier to prepare will make your recovery process easier too

Once your breast implant recovery process is complete, you can enjoy your new appearance and life. Dr. Golosow is there to help you with every aspect of your surgery and the healing process. She is also there to encourage you to enjoy your life-changing surgery. You can go into the whole procedure with self-assurance; you will be capable of managing your improved profile, as well as the recovery.

Remember that your board-certified plastic surgeon is always available to answer any inquiries or concerns, during and after your breast enhancement surgery. We want you to have the best results and the best experience!



When Should I Opt for A Breast Implant Exchange or Removal?

Most women find excellent, long-term results with their breast augmentation procedure. However, it’s common to expect to undergo an additional surgery at some point after breast augmentation for various reasons. There’s no hard and fast age or number of years for an implant exchange or removal, but rather there are some things to watch out for that indicate it’s time to speak with your plastic surgeon.

Your implants are showing signs of wear

Although ruptures aren’t necessarily dangerous if they’re caught early, it’s still better to prevent them from happening altogether. It’s important to regularly examine your implants and, if you’ve had them for many years or believe they’re becoming prone to rupturing, you should see your plastic surgeon to discuss your options. If, after your breast augmentation, your plastic surgeon recommends regular MRIs to check for weaknesses, you should have them on a regular schedule. Although it’s not the case for every woman, implants generally last for upwards of ten years before they begin to require an exchange or removal procedure.

You’ve begun experiencing complication

Complications are always a risk with surgery, but implant surgeries come with specific complications to watch out for. The most common is capsular contracture, which occurs when scar tissue forms in excess around the implant. This can sometimes occur well after surgery, as well as other complications like rotation or migration of the implant (sometimes as a result of capsular contracture). It’s important to know your body and see your plastic surgeon if you begin to notice anything unusual, and they can determine whether it warrants an implant removal or exchange.

You’re no longer happy with your results

Both you and your body will inevitably change over time, and sometimes your implants change unfavorably. Whether you feel your results no longer fit your body or you simply would like to return to your natural breasts, your plastic surgeon can discuss your options for choosing new implants or removing them entirely. After all, it’s most important that you’re happy and confident with your body, so you should never feel like you have to live with unsatisfactory results.

Dr. Golosow is a top breast surgery specialist in the Ft. Myers area who can discuss your options for breast implants and achieving your intended results. To schedule a consultation, contact any of our offices by calling or filling out our online form.

What Should I Know Before a Breast Implant Exchange?

Sometimes, patients realize they would like to undergo an additional procedure after a breast augmentation. Although sometimes this is elective and sometimes it’s the result of complication, a breast implant exchange procedure can effectively replace implants. No matter your reasons for opting for a breast implant revision, there are some things that you should be sure to discuss during your consultation with Dr. Golosow.

Your New Implants

Sometimes, patients opt for a different implant size, shape, or type with their implant exchange. For this reason, it’s important to learn about your new implants and what you should expect. With a different implant, you may need to watch out for different signs of complication or expect a different feel or appearance. For example, a patient that experiences complication or rupture with one type of implant may opt for another type, meaning they may need to learn about their new type. During a consultation, Dr. Golosow can discuss what to expect with your new implants and even recommend the right one to get the results you’re looking for.


Although this might seem obvious, it’s an important factor that can impact the course of your surgical plan. If you’re experiencing capsular contracture or a rupture, these will need to be addressed during surgery before the new implants can be placed. It’s also important to know what to watch out for after your exchange surgery. If you feel or notice any unusual signs with your breasts or implants, you should be sure to discuss these with Dr. Golosow who can look into it further.

Additional Surgical Techniques

Each patient’s procedure will be unique, but some patients require additional breast surgery techniques during their exchange procedure to get best results. This can sometimes include a breast lift or breast reduction to further refine results or restore the breasts after a life event like nursing or weight loss. In most cases, these surgical techniques can be performed in one surgical session, although you’ll discuss with Dr. Golosow beforehand which techniques will benefit you most.

Whatever your goals for an implant exchange procedure, Dr. Golosow can recommend the best techniques and procedure for you. To schedule a private consultation, contact our Ft. Myers offices by calling or filling out our online form.

5 Common Misconceptions Regarding Liposuction

liposuction naples fl

Everyone wants a slim, toned physique. However, sometimes regular exercise and a healthy diet just are not enough. Liposuction is a comprehensive solution to getting rid of stubborn fat deposits to achieve the body you want. However, despite this procedure’s popularity, there are still misconceptions that surround it. Read on as we clear up many of these misconceptions.

Liposuction can Treat Cellulite

Truth: Liposuction is only able to remove soft, fatty tissues; and since cellulite is not simply an irregular pocket of fat, liposuction cannot alter the appearance of cellulite.

Liposuction will fix sagging skin

Truth: The main job of liposuction is to remove excess fat deposits. It cannot, however, fix sagging or lax skin. If you are dealing with noticeable areas of lax skin, your surgeon may recommend a skin tightening procedure to address it.

Fat deposits will return after liposuction

Truth: Liposuction results are long-lasting, and once those fat cells are suctioned out, they will not grow back. However, there will still be some remaining fat cells in the area that can grow in size if your calorie intake is excessive. That is why following a healthy lifestyle and maintaining a healthy weight is important in maintaining liposuction results.

Liposuction is only for women

Truth: Liposuction is a great treatment for both men and women! In fact, it is quickly rising in popularity among men to achieve a trim appearance.

Liposuction is dangerous

Truth: While every type of surgery carries some element of risk, liposuction techniques have become more and more sophisticated over the years. If performed by an experienced, board certified plastic surgeon, liposuction can be as safe as any other surgical procedure.

If you are interested in learning more about liposuction, contact our office today to schedule a consultation with Dr. Golosow.


Choosing the Right Implant for You

golosow breast implants

As you navigate your breast implant surgery consultation, one of the most important things to discuss is which implant suits you most. Whether you’re undergoing augmentation, revision, or reconstruction, there are some things to consider with the help of Dr. Golosow as you research your preferred implant. Here are some factors in deciding what will work best.


Implants come in a huge array of sizes that are much more complicated than a bra cup size. Although bra sizes can be helpful in describing how large you want your breasts to be, they can be unreliable when it comes to translating them to cup sizes. Also, implants usually gain a higher profile as they become larger, meaning they protrude further. This can also be a valuable measurement when choosing your implant, so you can try looking at your profile sideways in the mirror to determine what you want your results to look like.


Although breast implants were once a little more obvious due to their shape, implants have come a long way. You’ve now got more choices in shape, and teardrop-shaped implants can offer more natural, subtle results if you don’t want as much projection or volume in the upper breast. However, round implants offer the opposite, so it all depends on what you’re looking for. One thing to consider is how much cleavage you would like to have, and what you want it to look like.


This is one of the most common ways of classifying implants, but each type offers simillar sizes and shapes, so you can make this decision independent of your other factors. The two types are silicone, which is filled with a silicone gel, and saline, which is filled with a sterile saline solution. Both types are contained within a silicone shell, and can be placed differently during the procedure. They each offer different feel and risks (for example, silicone can feel softer, but require MRI’s to check for leaks or ruptures), so Dr. Golosow can help you weigh each type for the best fit.

There are many, many things to consider during your breast procedure, but Dr. Golosow can guide you through the decision-making process. It’s important to ask any questions you feel that you need clarification on, as well as thoroughly describe your intended results. It can even be helpful to bring pictures of what you hope to achieve. To schedule your consultation with Dr. Golosow to discuss your options, contact our office by calling or filling out our online form.

Why Should I Remove or Exchange My Implants?

Although it might seem like a breast augmentation procedure is permanent, many women opt to go under the knife again later on. There are plenty of reasons for this decision, but every woman is unique in her thinking. However, there are a few common reasons that can lead to another consultation process to remove or exchange breast implants.

You prefer a different implant

Despite the best augmentation techniques, your results can still change over the course of your life. The implants can shift, change, and sit differently on the body over the years, and you might prefer a different size, shape, or profile. Implant technology constantly changes, too, so you might even want to try out a new type. Each of these reasons are perfectly valid, and Dr. Golosow can help you select an implant that will achieve the new results you’d like.

You’ve experienced complication

Unfortunately, surgery with any kind of implant carries a risk of complication, the most common of which is capsular contracture. This occurs when the body forms a capsule of scar tissue around the implant, leading to hardness and possible shifting of the implant. Implants can also rupture inside the breast, leading to a risk to your health if it’s not addressed. These procedures are sometimes called breast implant revision, where complications with the implant are corrected, sometimes with a new implant.

You don’t want them anymore

For some women, life changes and they find themselves preferring their natural breasts. This is also a perfectly valid option, although you shouldn’t let your decision be affected by pressure from those around you. Some women simply prefer to return to their natural shape and size, although a breast implant removal procedure can sometimes be accompanied by a breast lift to shape the breast more naturally in the absence of the implant. After the implant is removed, the breast pocket naturally forms back together with the help of a compression garment.

Whatever your reasons for choosing to remove or exchange your breast implants, Dr. Golosow can help you create the best treatment plan to achieve your results. Dr. Golosow is a top board certified plastic surgeon who specializes in women’s breast procedures in the Fort Myers area.

How to Get the Most Out of Your Liposuction Results

If you’ve undergone liposuction, then you’re probably in love with your results. It can be a huge boost in confidence when you finally get rid of those stubborn pockets of fat. However, there are some steps you’ll need to take in order to maintain your new figure for as long as possible. The most important step is to continue your regular exercise schedule to keep fat at bay, but here are some additional tips to keep in mind as you enjoy your great results.

Adjust your diet

Relying on your exercise regimen to keep fat away will only be partially effective, so it’s important to keep your diet varied and healthy. Make sure that your chosen meals are low in fat and have lots of fruits, vegetables, and meat without any visible fat. It’s also important to keep track of your portions and intake versus your exercise routine. If you’re looking to also build muscle, you’ll want to visit your nutritionist or personal trainer to come up with a diet and exercise plan that’s unique to your goals.

Live an active lifestyle

Although an exercise schedule is important to your results, it should also go beyond the gym. If you work a job that requires you to sit for long periods of time, you should get up and move around regularly, or even use a standing desk. Things like taking the stairs and limiting your sitting time can add up over the course of your lifetime and can augment the results you get at the gym by keeping your body healthy and active. Conversely, be sure to take time to rest if your job requires you to be active for long periods of time.

Manage stress

More and more studies are beginning to show that stress can be one of the main causes of poor health and weight gain because of its tendency to induce cravings. In order to beat back the junk food cravings, one effective step is to manage the stress in your lifestyle. Things like practicing mindfulness and positive thinking can turn stressful situations into manageable ones. If you feel like it’s too big of a task to tackle, a mental health professional can help you create a plan to reduce stress and take steps towards a calmer, more positive outlook. This can be highly effective in keeping your diet healthy and beneficial.

There are many factors to consider in changing your lifestyle to get the best out of your liposuction, but an overall healthy lifestyle can be highly effective in keeping fat from coming back. Contact our office to schedule a consultation with Dr. Golosow, who can recommend post-treatment steps for your unique lifestyle and goals.

Is a Tummy Tuck Right for You?

You might have heard about tummy tucks or know someone who underwent one, but it can sometimes be hard to determine what a tummy tuck is or what it does. Tummy tucks, also called abdominoplasty, do a few specific things and may be the best solution to certain problems you might be having in your lower body. So, if you’re considering a tummy tuck, here is some information that may help you to decide.

You Have Stubborn Abdominal Fat

Although non-surgical fat reduction procedures exist, they can be ineffective in a few ways when working with stomach fat that can’t be tamed with diet and exercise. A tummy tuck can give you nearly-immediate, long-term results and is one of the most effective and time-tested methods for removing excess fat. Although not everyone may be able to undergo a surgical procedure, non-invasive techniques can sometimes be costly when they require multiple sessions and take many months before you see results.

You Have Excess Skin

This problem can be especially difficult for patients because excess skin can’t be reduced through diet and exercise like fat sometimes can. This can occur because of changes in the body like pregnancy and weight gain, leaving excess, saggy skin behind. A tummy tuck can trim this away when it’s around the abdominal area, leaving a slim and contoured profile. Your plastic surgeon can determine the right amount of skin that can be removed in order to give you the best results.

You Have Loose Abdominal Muscles

This condition, also caused by stretching during pregnancy or weight gain, can cause many problems that patients might not be aware of. Things like back pain or urinary incontinence can be caused by a lack of support from the abdominal muscles that become stretched, loose, and ineffective. Once this occurs, it can be impossible to restore them with exercise alone. During a tummy tuck procedure, they can be tightened and sutured together to restore them to their natural function.

If you have more questions about a tummy tuck procedure and would like to schedule a consultation with Dr. Golosow, contact Associates in Cosmetic Surgery today! Dr. Golosow and Associates in Cosmetic Surgery are proud to be serving the Ft. Myers area.

What You Should Know About Laser Hair Removal

Summer is just around the corner, which means more time spent at the beach, more time in bathing suits, and more time showing skin. No one wants to spend their time worrying about unwanted body hair, and shaving and waxing can be time-consuming and cause irritating bumps and ingrown hairs. Thankfully, laser hair removal is a popular option that can help to remove unwanted hair long-term. Read on to learn what you should know about laser hair removal.

It Works Best with Darker Hair

Lasers target pigment or color in the hair follicles, so white or blonde hair may not respond as well to permanent hair removal as darker colored hair. Skin color can also play a role in specific lasers.

It’s Generally Well-Tolerated

While laser energy does convert heat to damage the hair follicle, there are cooling mechanisms that can help to make the treatment more comfortable. Patients may experience a quick, sharp pain in more sensitive areas, but it is generally well-tolerated.

Avoid the Sun

Following treatment, it is very important to avoid spending extended periods of time in the sun or using tanning beds. Patients should wear sunscreen after each treatment to ensure optimal results.

Avoid Waxing

While patients are instructed to shave a few hours before their laser hair removal appointment, it is important that they do not pluck or wax. This is because the laser needs to target pigment within the hair follicles, which are removed by plucking and waxing.

Understand Cost

The overall cost of your laser hair removal treatment will depend on the size of the treatment area and the number of treatments needed. This can be discussed during your consultation with Dr. Golosow.

If you are interested in laser hair removal for smoother, silkier skin this summer, contact our Fort Myers office today to schedule a consultation!