Should I Get a Breast Lift with Implant Removal or Wait to See the Results?

asked 1 year ago by 1810anon in California
Latest answer by Tom J. Pousti, MD
Question viewed 612 times
Tags: age 25-34, 250-299cc, lift

25 yr old implants coming out. Not much sagging, less than 270 cc in each double lumen implant, skin texture good. breast tissue is dense per mammograms. Will the doctor do a breast lift if he or she thinks it warranted after the implants come out (provided this is discussed prior to surgery)? Or is better to wait some time after implant removal to see if a lift is warranted?

11 answers to Should I Get a Breast Lift with Implant Removal or Wait to See the Results?

Breast augmentation/lifting?

If you are in doubt whether a breast that will be necessary then it is probably in your best interest to wait and see if it is necessary after the implants have been removed and you allow many months to year for skin retraction to occur. 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... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Timing of breast implant removal (explantation) and lift

I generally prefer a two stage apporach with implant removal followed b 6-9 months of observation and decideing on a lift at that point in time. Occasionally if there is a question,abou tthe need for a lift, saline implants can be deflated with a needle to get a rough idea bout the degree of sagging or droop (ptosis)

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Removing breast implants

The way to understand implant removal is thinking the reverse of what happens when an implant is put behind the breast. If the implant was sized reasonably, positioned correctly, and healed in the correct position, it acts like a pillow and does not fundamentally change a normal breast. It does not raise or lower the breast, turn it, lift it, or change the skin, nipple-aroela, or breast tissue. The changes over 25 years are what one would expect to change whether the implant was there... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Breast implant removal

If you do not have much free time, it may be best to combine the procedures. If free time is less of an issue then you have very little to lose by taking out implants and making the decision yourself in the future based on your own asessment of yourself. While additional procedures require additional incision lines and potential scar formation on your breasts, this may be required to make you happy. Your surgeon cannot predict how you will feel after the implant removal. If you had very... more

Deason Dunagan, MD
Huntsville Plastic Surgeon

Lift at the same time risky

I believe is is best to wait especially if the implants where placed on top of the muscle. Removal and a lift under those circumstances can seriously jeopardize the healing especially concerning the nipple area. Have the implants removed and wait 3-6 months to see if there is offensive sagging. Good Luck. Dr. ES

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Wait after implant removal for a breast lift

I would have you wait after implant removal to see what you need and want. Once your implants are removed, the skin will no longer be stretched by the weight of the implants and will gradually shrink.. I would expect 6-12 months to be sure. You will be surprised how little sagging you have.

Randy J. Buckspan, MD
Austin Plastic Surgeon

Breast Lift Option

There is no right answer. You can go either way. In my practice, I would have encouraged you to take them out, wait to see you shape and size, and then decide on new implants if you were not happy. However that really depends on the amount of sagging that you have. You plastic surgeon will guide you as to what your best option is.

Siamak Agha, MD, PhD
Orange County Plastic Surgeon

Breast surgery after implant removal

Even a 270cc implant is about two cup sizes. So, if you had them totally removed, your breasts would definitely sag more than they are now. They were probably put under the muscle and your breasts are probably distorted and misshapen with much fullness above because of the implant under the muscle and your breast tissue below where it has "fallen". I would always recommend an uplift in your situation but also you should consider replacing the implants and... more

Edward J. Domanskis, MD
Orange County Plastic Surgeon

Breast implant removal

The decision is totally yours. What are your expectations, desires, wants and so on. You can have the implants removed, let it heal and decide later if you need a lift, with or without an implant. You have a choice of implants, silicone or saline, and the size.

Samir Shureih, MD
Baltimore Plastic Surgeon

Immediate or possible Delayed Breast Lift after Removal of 25 year old Breast implants

If you are willing to tolerate slightly smaller breasts to see how you would like them, I would advise you wait a few months after the breast implant removal. Doing so will not risk the blood supply to the nipple and a delayed Breast augmentation would minimize implant settling and "star gazing" nipples occasionally seen in combined Breast Augmentation-Lifts especially in revision cases.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Implant removal and a lift?

Difficult to say without examining you. If you have alot of native breast tissue and little to no ptosis, you may just want to have the implants removed and see how they do.