Depends on your nipple areola position and degree of skin laxity

The need for breast lifting depends on the relative position of the nipple areola and the inframammary crease below the breast. The closer they get to the crease or if they are at or below the crease, the more you need a lift to restore ideal breast aesthetics.

So the true answer to your question is that it just depends on these factors. It might be obvious before they are removed that you do or don't need a lift, but sometimes there are marginal cases in which you just need to sse how things look with the implants out.

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Depending on how long you have had the implants, the implant volume, and the amount of breast tissue you started with - these are the factors that will determine if you'll need a lift post-op.

If you want the nipple position restored to the aesthetically correct position, then a breast-lift or 'mastopexy' is the procedure that a plastic surgeon can help you make a decision about.

Your skin is 'stretched' by the implant- more accurately, the tissues you have 'above' the implant were thinned by the presence of the implant. One tactic your surgeon may suggest is to do the implant removal and mastopexy in two-stages.

First stage: remove implant. Allow you to see what your breast looks like in the un-augmented state.

Second stage: do the mastopexy if you don't like the look.

Alternatively, you could decide to do nothing- especially if you are happy with the way you appear in clothing. If you're unhappy with the nipple position and lack of breast volume post-op, then go for a mastopexy. Hope this helps. You really need to be examined by a plastic surgeon to answer this question.

Scott Sattler MD FACS