Many patients do opt for a breast lift after breast implant removal. The factors to consider are how large the implants are that are being removed, how elastic is your skin, have you had weight fluctuations while you had the implants, etc...
Breast implant removal and lift
You would need an exam by a PS as I can't tell without pictures or an exam. Many patients look fine with implant removal and no lift. If your breasts are saggy, you will most likely need a lift.
Lift After Explant?
For most patients, your breasts will return to their pre-augmented condition. I will often wait to address droop until 3-6 after explant as the tissues often contract nicely. However each patient is unique.
Often breast lift is required for the best results, but not always.
Many women's breasts will sag after implants are removed as the smaller breast volume settles to the bottom of their larger skin envelope. This is not always the case, however, and should be a question for your physician during an in-person consultation. If the breast is likely to sag after implant removal, a breast lift can help to restore the smaller, but perky, shape that you desire. This can often be done simultaneously with your implant removal or may be done later if there is a reasonable expectation that you will not need a lift.
Breast Implant Removal and Breast Lift
This question depends
on how much you changed your volume with your breast augmentation. If you went
from an A cup to a B cup or if you went from a A cup to a DD cup. The
contribution of your implant to your breast size will determine if you need a
breast lift or not. If you choose to have your implants removed, a breast lift
can be performed simultaneously. Consult with your board-certified surgeon.
Not always necessary
Removal doesn't always necessitate a lift. However, if you have larger implants and your skin has stretched, then it can be difficult for your skin to retract. As a result there is a higher risk of requiring a lift if you've had larger implants for a longer time.
Lift may not be necessary
It may not be necessary to perform a breast lift operation after an implant removal. It will just depend on how stretched out the skin is, what operation is performed, and how the skin responds after surgery.
Breast lift after explant
A breast lift is needed if the volume of implant is generally over 300 cc, if the nipple areolar complex is too low, if there is too much skin that does not tighten up (often due to poor skin quality and stretch marks), and if there are dents or tissue deficiencies that can be corrected with an internal lift.
Does breast implant removal require breast lift surgery?
Removal of breast implants, even if the implants are large, does not mean you will need a lift. If your breasts are already sagging or low with the implants in, then you will need a lift. If the breasts do not sag or only a little bit, then I would advise removing the implants, allowing time for healing, and then re-assessing the look of your breasts. Often a lift is not desired
Need for Breast Lift Surgery Varies from Patient to Patient Following Implant Removal
not unusual for patients who have large implants removed to require breast lift
surgery. The need for breast lift
surgery under these circumstances varies from patient to patient and depends on
a variety of factors.
any particular case it’s virtually impossible to know if a breast lift will be
necessary following explantation without pictures or a physical
examination. The presence of a
nipple areola complex that sets below the infra-mammary fold, poor skin tone
and a high ratio of implant volume to native breast tissue volume often
suggests the need for breast lift surgery.
sag following explantation is more likely in patients who have had multiple
pregnancies, have breast fed, have had weight fluctuations and have had implants
for a longer period of time. When
implants are large and placed on top of the muscle the incidence of breast sag
following implant removal is higher as well.
you’re considering removal of your breast implants, consultation with a board
certified plastic surgeon is appropriate.
This surgeon should be able to determine the likelihood of a breast lift
following implant removal based on your physical examination.