I Have Nipples Rings, Can I Get Implants and Keep Them? Should I Lose Weight Before or After Surgery? (photo)

      When the weight loss is significant as in your case, the weight loss should occur prior to the surgery.  The breasts will shrink with the weight loss and this may affect your implant choice.  The nipple piercings can be removed prior to surgery.

The nipple rings do not need to be permanently removed to have breast augmentation, but should be replaced with a plastic spacer during the procedure. If you are planning on losing more than 20lbs, I would recommend losing that weight before you have the procedure. 

You do not have to have you piercings removed permanently.  They can simply be removed before surgery and replaced after surgery.  I would recommend weight loss and stability prior to augmentation.

Dr. ES