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Will Breasts Sag if I Decide to Explant?

What if you decided to explant? Will your breasts sag?

Asked 43 months ago by xklorx in WI
Sort 59 expert answers by:
+5

The answer to your question depends on the amount of...

The answer to your question depends on the amount of native breast tissue you have relative to the volume of your breast implants. The present position of your nipple will likely change. Obviously, the volume of your breast will change after implant removal. They key to managing the inevitible 'sagginess' after explantation is an evaluation by a plastic surgeon for a breast lift (mastopexy). The procedure will reposition your nipple, redistribute some breast volume into an... more
Scott Sattler, MD
Bellevue Plastic Surgeon
+4

Out But Not Down

Women may choose to explant or remove breast implants for a variety of reasons. They may be experiencing problems related to the implants, such as leakage or deflation, capsular contracture or excessive firmness of the breasts, the implants may cause the breasts to appear asymmetric, or the implants may not be in the proper position relative to the breast tissue. In some cases, the breasts may have enlarged as a result of pregnancy and breast feeding, or through aging and weight gain, and... more
Athleo Louis Cambre, MD
Los Angeles Plastic Surgeon
+3

Sagging after implant removal

The extent of sagging will depend on how much breast tissue you have, how big the implants are, how much time has passed, if your weight has changed and if you have had children.  If you went from a B to a C three months ago and have changed your mind, you will likely look pretty similar to your preoperative state.  If you went from an A to a D fifteen  years ago and have nursed 4 children, you should  expect some significant sagging. 
Lisa L. Sowder, MD
Seattle Plastic Surgeon
+3

Breast implant removal

If you have breast implants and would like them removed, it's possible you may need a breast lift (mastopexy). This depends on several factors such as the size of the implants, the position of your nipple and the amount of breast tissue you had before the implants were inserted. This is difficult to answer without seeing photos or examining someone. The safest way to approach this issue is to remove the implants then wait about six months to allow for skin shrinkage and contraction to see... more
William Bruno, MD
Beverly Hills Plastic Surgeon
+2

Breasts May Sag After Explantation

Sagging is possible, not definite, after removing implants. The important considerations include: the degree of sagging you had before implantation the degree of sagging you have before explantation the size of your implants how your skin has changed with aging your skin elasticity the ability of your skin to maintain tone after the implants are removed Sometimes the answer is obvious to the plastic surgeon; other times,... more
Paul C. Zwiebel, MD
Denver Plastic Surgeon
+2

Breast sag after breast implant removal

Removal of large breast implants will definitely cause sagging of breast. if your breast implants are very small as compared to the size of your native breast then there might not be any significant sagging.
S. Sean Younai, MD
Beverly Hills Plastic Surgeon
+2

Will breasts sag after implant removal

Great question.  The answer depends on your anatomy, the quality of your skin,  and the size of your implants.  In most cases, I would predict that there will be sagging after implant removal.  The breast tissue/skin has likely been stretched by your implant.  In these cases, if the patient no longer wants implants, perhaps a breast lift would be in order.   You will need to be evaluated by a board certified plastic surgeon to review your options. more
C. Bob Basu, MD
Houston Plastic Surgeon
+2

Avoiding breast droop after implant removal

Typically if the augmented breast does not have any significant droop, them removing the implant will not create a droopy breast.  The technique that I perform for this involves selective removal of scar tissue, and some quilting sutures to fix the breast in higher position.
Boris M. Ackerman, MD
Newport Beach Plastic Surgeon
+2

Breasts Sagging after Explant

Whether your breasts "sag" after explantation depends on many factors: the size of the implants, how long they've been in place, whether you've gain or lost weight, etc. Any breast augmentation will cause some stretching of the breast skin. When you remove this volume, the skin will contract to certain degree. For smaller implants in younger patients, this may very well lead to breasts that are similar to pre-augmentation. The larger the implant (for a given breast... more
David Bogue, MD
Boca Raton Plastic Surgeon
+2

Breast appearance after implant removal

Breast implants add volume and a little bit of lift, so taking them out means your breasts will be smaller (or "deflated" appearing) and sit slightly lower, but if you have a good amount of remaining breast tissue, no sagging now or before your implants, and excellent skin quality, it may not result in sagging to a degree that you want a breast lift. Important factors include: 1. Did your breasts sag before your implants were placed? 2. Do your breasts sag right now with the... more
Anita Patel, MD
Beverly Hills Plastic Surgeon
+2

Breasts will mostly will look more natural after implant removal

In many cases, they will not sag. They could look less perky and more natural. If your implant is very large the chance of sagging is much higher. A proper exam is necessary to give you different options.
Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
+2

Will breasts sag after implant removal?

Implants can, to some extent, camaflouge existing sagging of the breast. When the impant is removed, this sagging of the native breast is "unmasked". Removing the impant does not create sagging, it "deflates" the breast volume. You have to be prepared psychologically for this loss of volume. The next question is, does the breast need to be modified after removal of the implant? It would need to be modified if is has significant, pre-existing sagging or excess skin. So... more
Tracy Pfeifer, MD
Manhattan Plastic Surgeon
+1

Breast Ptosis After Explantation

If you have a degree of breast ptosis pre-operatively and the implants placed are large then if you remove the implants without replacement there is a much higher chance of deflation and/or breast ptosis. However, this depends individually upon the patient’s age and breast tissue elasticity. That is certainly something that needs to be considered if one is removing implants and not replacing them.
Rod J. Rohrich, MD
Dallas Plastic Surgeon
+1

Sagging after explantation

Briefly, everyone is different. Critical factors would involve the laxity of your skin, the degree to which you were augmented (I would expect a patient with 800 cc implants to sag considerably more than one with 275 cc implants), your age, the length of time that the implants have been in place, or weight gain/loss, etc. If your breasts sag after explantation, a breast lift can certainly be performed.
Robert L. Kraft, MD
New York Plastic Surgeon
+1

Breast implant sagging after explant of implant

The answer is usually a simple one depending on the location of your nipple relative to the location of your infra mammary fold. If your nipple is located level or above the fold, you will not sag.
Gary H. Manchester, MD
San Diego Plastic Surgeon
+1

Breast Implant Removal

Occasionally, I see patients who just want the implants removed because they don't want the implants "to be a part of them" anymore. Make sure you think about this and that this is the right thing for you. It's difficult to say if you need a lift after removal -- no one will know exactly what your breasts will look like after the implants are removed until it is done. Talk to your surgeon and get good advice.
Tom J. Pousti, MD
San Diego Plastic Surgeon
+1

Will breasts sag if implants removed?

The answer to this question varies greatly. But, in an effort to keep things simple, here it goes. Breasts usually return to their original state before implantation except with one or more of the following: Implants in place for a long time (>1yr) Large size of implants Advanced age Implants are sub glandular (not behind muscle) I hope this helps you and others in similar situations. If you do decide to remove implants ( and they are... more
Gary M. Horndeski, MD
Houston Plastic Surgeon
+1

Implant removal

A breast implant and the breast tissue both combine to give the overall volume of your breast. Depending upon the proportions of each ( i.e. 50% breast 50% implant etc.), the loss of the implant may have little to a huge effect on the breast volume once removed. The breast is like a bucket handle. It hinges upwards with more volume and sinks flat when deflated. The nipple may not change position or it might significantly. The volume may not change much or it may change significantly. This is... more
Timothy Fee, MD
Jacksonville Plastic Surgeon
+1

Sagging may occur

Sagging will occur based on the following: - the size of the implants relative to your normal breast size - if you have lost weight - if you had children - amount of breast tissue you have - skin elasticity - and aging You may want to consider breast lift (mastopexy ) if breast do turnout saggy after removal of implants. Please consult your plastic surgeon.
Chen Lee, MD
Montreal Plastic Surgeon
+1

Will breasts sag after explantation?

This really depends on a number of factors.  Foremost is how stretched out your breast envelope was by the implants.  If you had small implants and have good skin elasticity your breasts should not sag very much.  If you had large implants and have poor skin quality your breasts will droop after implant removal.
Sanjiv  Kayastha, MD
Albany Plastic Surgeon
+1

BREASTS WILL SAG POST EXPLANT IF YOU HAVE LARGE BREASTS ON TOP OF LARGE IMPLANTS

Breast sagging or ptosis will depend on several factors: amount of breast tissue size of breast implants skin quality amount of time the implants have been in place if they sag now before the explant Consult a plastic surgeon to see whether you are at risk of developing ptosis after explant. Dr. Carlos Cordoba MDCM, CSPQ, FRCS, FACS Plastic & Esthetic Surgeon 4055 Ste-Catherine O. Suite 100 Montreal, QC. Canada H3Z... more
Carlos Cordoba, MD
Montreal Plastic Surgeon
+1

Implant removal

There are many variable to this questions. Your breasts will be different. A well trained board certified plastic surgeon will be able to examine you and assist you. Best wishes!
Christine Sullivan, MD
Columbus Plastic Surgeon
+1

Breast Implant Removal

It depends on your current breast shape, size, and sagging.  If your implants are small and you do not have any sagging prior to explantation, then your breasts may contract well without a need for a breast lift.  If you do have breast sagging prior to explantation or a relatively large implant, then more than likely, you will need a breast lift.  See example below.
Siamak Agha, MD, PhD
Orange County Plastic Surgeon
+1

Breasts will likely appear droopy after explantation

In the vast majority of cases, breasts will tend to droop, sag, or appear deflated after the removal of breast implants.  The extent will be determined by the elasticity of the skin, the amount of breast atrophy that has occurred, and the length of time the implants have been in place.  I try to inform patients that it is likely they will be dissatisfied with the appearance of their breasts once their implants have been removed.  However, in many cases, a breast lift can... more
Kelly Gallego, MD
Sioux City Plastic Surgeon
+1

Just say "No" to implant removal without replacement.

Yes, your breasts will sag and look worse than before you had them placed. However, I do realize that there are numerous reasons for wanting to have your implants removed, particularly if you have pain or capsular contracture causing hardness or unnatural appearance. Most women who request implant removal are hopeful that their breasts will look like they did before hey had their implants (though of course, there may have been intervening children, breast feeding, or weight gain/loss). ... more
Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
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