Breast revision or removal and lift? (Photo)

The smaller the implant and the less the amount of time it has been since placement, the greater the chance the breasts will return to their preoperative state. It is very difficult to predict breast size following explant b/c breast implants and weight fluctuations over time tend to thin tissues, cause a decrease in size, and create more droop.  
Usually removing them and performing the lift at the same time makes the most sense as some patients clearly need a lift and only want to go through one surgery.  If you are borderline, it is not unreasonable to remove the implants and then observe a waiting period of six months before the determination for breast lift is made. This will give your breasts time to bounce back and your PS time to determine what type of lift, if any, or a breast fat transfer is necessary for you to reach your goals.

Thank you for your question and submitting your photo. From what you describe, and the size of your implants, I think a Mastopexy and a breast lift may give you what you need. Unfortunately, it is hard to say without an exam. We would need to assess the amount of breast tissue you have and then base the outcome on whether or not you would also need a smaller implant. Depending on what kind of look you are trying to obtain will help us decide if a smaller implant is recommended. I hope this helps. I wish you the best of luck.Sincerely,Stephanie Teotia, MD