Will My Breasts Be Saggy After Implant Removal? I've Had Them For 8 Years. (photo)

I've had my implants for approximately 8 years. They are saline under the muscle and I don't remember how many cc's. I would like to have my implants removed because the have gotten so big and it make me feel fat and I can't wear regular button up shirts. I do not want a lift because I already have a tummy tuck, lipo and fat graft scars and I don't want more from a lift. I have included photos because I would like to know if I am going to have too much sagging once the implant is removed.

Doctor Answers 6

Appearance of Breasts after Breast Implant Removal?

Thank you for the question.

Based on your pictures, there will obviously be a loss of “fullness” and some degree of sagging associated with breast implant removal surgery.

Exactly what your breasts will look like after explantation  depends on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back),  the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation). 

Life experience since your breast augmentation procedure, such as pregnancy or weight gain weight loss, will  potentially influence the factors discussed above. If you take these factors into consideration and apply them  to your specific circumstances you may get a good idea of what to expect after the implants are removed.

Consulting with a well experienced board-certified plastic surgeon in person may be helpful.

Best wishes.

Lift Will Likely Be Required

Plastic surgeons occasionally see women who request removal of their breast implants. They may want their implants removed for a variety of medical, surgical, and aesthetic issues. It’s not unusual for these women to be concerned about the development of breast sag following removal.

Your picture suggests that you would probably require a breast lift if your implants were removed. The presence of a nipple areola complex that sets below the inframammary fold, poor skin tone, and a high ratio of implant volume to native breast tissue volume all suggest that breast sag is likely.

Breast sag following explantation is more likely in patient’s who have had multiple pregnancies, have breast fed, have had weight fluctuations, and have had implants for longer periods of time.If the implants are large and placed on top of the muscle, the incidence of breast sag with implant removal is higher as well.

If 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 breast sag following implant removal.

Sagging breasts after implant removal

An analogy would be pregnancy...some women have skin that retracts well after pregnancy and some need to have loose skin tightened and removed...you could remove your implants and your skin might retract well and have an acceptable result...however, you already have some sagging and you said you have had a tummy tuck which suggests that your skin may not retract well.  I would suggest you do the implant removal first and evaluate the need for a lift as a trade for more scars after you have healed.

Leonard T. Yu, MD
Maui Plastic Surgeon
4.0 out of 5 stars 23 reviews

Breast Implant Removal

Yes. More than likely, your breasts will sag to some degree after implant removal.  However, I have also seen great retraction of the breasts after implant removal in some of my patients.  See link below for photos.

Will my breasts sag without the implants?

By the images you have provided, you would have benefited from a breast lift at the time of your augmentation unless there has been significant change since that time. There is no question that you will have some residual sagginess after removing implants, you just need to decide if it will bother you. Even if you don't have a lift after implant removal, it does not mean you couldn't do it at a later date. I hope this helps.

Dr Edwards

Breast lift after implant removal?

From your photos, it looks like your breasts are a bit low to begin with. Removing more volume may make them sag more after implant removal.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 22 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.