Breast augmentation causes irreversible changes to the native female breast, namely: drooping (ptosis) and involution (atrophy or decrease in size) of the breast gland. Accordingly, if breast implants are removed, these changes will become more obvious. While it is tempting to correct these changes with a lift at the time of implant removal, the more conservative approach is to perform a staged mastopexy (breast lift) in 3-6 months following explantation (removal) if the implants. This does require two separate procedures, with associated costs and anesthetic risk, but it allows for the scarring process in the previous breast pockets to be completed. This permits the nipple areolar complex (NAC) reach a stable position. Trying to place the NAC into an ideal location (with a breast lift) at the time of implant removal is difficult (a moving target, so to speak). Nonetheless, a combined procedure is possible, but requires patience on behalf of both the patient and the surgeon to determine the final result. The breasts should be reassessed over a 3-6 month time frame to determine if the treatment goals were reached.