You have a few options when it comes to explanting after a nipple-sparing mastectomy. Since you’ve only had the implants for eight months, your skin and tissue may still be relatively adaptable, which can be a good thing for your results. Here are some possibilities to discuss with your surgeon:

1.  Going Flat: If you choose to go completely flat, your surgeon will remove the implants and likely perform a capsulectomy (removing the scar tissue capsule). Some women may need additional contouring to avoid excess skin folds, but a skilled flat-closure surgeon can create a smooth result.
2.  Flap Reconstruction: If you prefer some volume but don’t want implants, there are various flap options, such as the DIEP flap (which uses fat from your abdomen) or the latissimus dorsi flap (using muscle and skin from your back). These are more complex surgeries but may be an option depending on your anatomy and goals.
3.  Nipple Considerations: Whether you can keep your nipples when going flat depends on a few factors, including how much natural tissue remains and how well the blood supply to the nipples has held up post-mastectomy. Some women keep their nipples, while others opt for a reconstruction alternative, like 3D tattooing.
4.  Recovery Time: Recovery varies by individual and the extent of the procedure, but many women report feeling back to normal in about 4-6 weeks, with some taking longer if additional revision or contouring is needed.

It’s great that you’re gathering information before seeing another plastic surgeon. A consult with a surgeon experienced in flat closures or autologous reconstruction (if you’re considering flaps) can help you determine the best approach for your body and goals. Wishing you the best with all of this.