What Would Happen if 20 Year Old Breast Implants Were Removed?

Hi, there are a number of options you can choose from if you want your implants to be removed. In our office, there is regular breast lift, natural breast augmentation, or California Lift. The last two is almost the same in the sense that they both uses fat transfer.Procedure will involve rinsing of fat removed with sterile saline solution and then packaged into syringes and prepared for transfer. Approximately 20% of fat removed is suitable and available for fat grafting. The prepared fat is injected in small amounts at a time and widely distributed within the layers of the breast so that these living fat cells can pick up a healthy new blood supply. Find a  board-certified plastic surgeon that has extensive experience with your case and discuss realistic goals and expectations. Best of luck! #RealSelf100

If the implants are removed with the capsules, the skin may retract enough to give you an acceptable outcome.  It depends on the anatomic factors.

When removing 20-year-old breast implants, several factors influence the outcome. Many women may experience sagging or deflation of the breasts due to the lack of volume and support once the implants are removed, especially if the skin has lost elasticity over time. The extent of this depends on the size and position of the implants, as well as the natural breast tissue and skin quality.
A breast lift (mastopexy) is often recommended to restore the shape and position of the breasts, especially if there is noticeable sagging. For those who are not interested in replacing the implants, a lift can be performed on its own to enhance the appearance of the breasts.
It’s important to consult with an experienced plastic surgeon who can assess your specific situation and recommend the best course of action, whether it involves an implant removal with or without lift. The surgeon will consider factors like the skin's elasticity, the degree of sagging, and your personal goals.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Thank you for your question. The questions you ask depend on a variety of factors.  How large are your implants?  What is your skin like?  Do you have ptosis?  This will help determine if you need a lift or not.  As far as finding a Board Certified Plastic Surgeon, a good place to look is the website for ASPS or ASAPS.  Discuss with them your goals.  Together you will come up with a plan.

Yes, you may need a mastopexy if the implants are removed. You can determine this preoperatively, as your surgeon should have experience with this type of procedure .