Interested in breast implant removal, from 32D to AA. What are my options? Will I need a lift? (photos)

Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon

The aesthetic result of removing breast implants leaves each woman with a slightly different aesthetic result. In many cases, fat is used to replace the implant volume with some natural volume. In general, the larger your implants are and the lower your nipple position is, the more likely you may want to consider a lift after your implants are removed.

You don't have much breast tissue to support fat, so implants would be the better choice. I would suggest going down in size, like 250-300 cc's, and profile to something that you are more comfortable with and like. You did not like your breasts before surgery and may not like them once the implants are removed.