60 Years Old, Wanting to Replace 23 Year Old Breast Implants, Options? (photo)

Thank you for the question and pictures.

You will find that you have many options to consider.

1.Removal of implants/capsulectomy.

2.Removal of implants/ capsulectomy and breast lifting.

3.Removal of implants/capsulectomy/ breast lifting and breast  reaugmentation.

What you choose to do will depend on your goals.  The more surgery you have done the greater the risks  associated with the surgery and the greater potential that you will have complications.

My personal preference for patients like yourself is to remove the implants/breast implant capsules and perform breast lifting during one operation.  If the patient wishes to have implants replaced I would do so 3 to 6 months after the first operation.

I hope this helps.

Thanks for your question and  the attached photo. As you note, he had marked capsular contractures and marked ptosis, or sagging.

If indeed you are not concerned about the ptosis, then addressing only the implant seems completely reasonable. he would be best served by replacing these with somewhat smaller implants and moving them below the muscle.

After that surgery he may  no longer agree with your preoperative assessment about the sagging in which case he could do a breast lift. many surgeons would favor doing the procedure in two separate stages anyway  .Best wishes.

I do not think it is a good idea to just exchange the implants. You need a lift with the implant exchange.  They certainly can be made smaller.