Should you get a lift at the time of explant or wait 6 months then lift?

I prefer to do a lift at the time of explant as this results in 1 operation and is less expensive. The technique I recommend is explant and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Whether to undergo a breast lift (mastopexy) at the time of explantation or wait for a period before getting a lift depends on various factors, including the condition of your breasts, your aesthetic goals, and your plastic surgeon's recommendations. Here are some considerations:
1. Breast Condition: If your breasts have significant sagging (ptosis) or loss of elasticity, getting a breast lift at the time of explantation may be beneficial. Combining the procedures allows your plastic surgeon to address both the removal of implants and the correction of breast ptosis simultaneously, resulting in a more comprehensive outcome.
2. Aesthetic Goals: Consider your desired breast shape and appearance after explantation. If you wish to restore a more lifted and youthful breast contour, having a lift at the time of explantation may be preferable. This approach can provide immediate improvement in breast shape and symmetry.
3. Recovery Considerations: Combining explantation with a breast lift may result in a longer initial recovery period compared to explantation alone. However, it eliminates the need for an additional surgery and recovery period later on.
4. Surgeon's Recommendation: Your plastic surgeon's expertise and assessment of your individual circumstances play a significant role in determining the best approach. They will evaluate factors such as the degree of ptosis, breast tissue quality, and skin elasticity to recommend the most suitable timing for the lift.
5. Personal Preference: Ultimately, the decision to undergo a breast lift at the time of explantation or delay the lift is a personal one. Some individuals may prefer to address one aspect of their breast appearance at a time, while others may prioritize achieving their desired results in a single surgery.
It's essential to discuss your goals, concerns, and options with your plastic surgeon during the consultation process. They can provide recommendations based on your unique anatomy and aesthetic preferences. Whether you choose to have a lift at the time of explantation or delay the procedure, ensure that you fully understand the potential benefits, risks, and outcomes associated with each approach.

I would suggest choosing the surgeon who made the most sense and with whom you felt the most confident. Personally, I choose to do the lift with the removal unless the blood supply to the nipple might be jeopardized with the lift. In ladies with minimal breast tissue, it is safer to do the lift at a separate surgery once healed.