Would 2 separate procedures be best to remove my implants?

Good day! Generally after explantation, the shape and size of the breast will be unpredictable. Yes, it will be smaller and possibly sag. Result varies between patients and it will largely depend upon their age, duration and size of the implant, or previous state of their breasts like existing anatomy, deformity, previous surgeries, underlying personal and family medical conditions, nicotine use, pregnancy and other factors. That's why it is suggested to wait for explantation results to show before deciding for a lift, but yes, you may also do the lift with the explantation to save time and money. Do not hesitate to contact your surgeon about this and discuss realistic goals and expectations. Best of luck! #RealSelf100

If you want both the capsule and implants removed, I would recommend having them at the same time.  Recovery for the en bloc is typically a week.  It does depend on whether your implants are placed in the submuscular position.  This can be a little more uncomfortable during the initial recovery.  As well, it depends if any muscle is sutured at the time of the en bloc.  All of these questions can be addressed during your consultation with a plastic surgeon.  Good luck with your surgery.Dr. E Wright

I would remove implants and capsules at the same time. Recovery should not be bad, and no sense in doing it twice.good luck,Greg Sexton, M.D.Columbia, S.C.

If
you are having neck and back pain and concerned about ALCL, the implants should
be removed.  Whether the capsules need to
be removed or not is determined by the surgeon at surgery.  Removing the capsules creates more bleeding
and damage to the remaining tissue.  The
majority of patients who undergo explant only are dissatisfied with the
appearance and require a lift later.  However,
a lift can be done at the same time, if desired.  The technique I recommend is explantation
using The Bellesoma Method.  The implants
are removed, your breast tissue is reshaped creating upper pole fullness, elevated
higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation
and the ability to breast feed are maintained, if not injured during your
previous surgery.  At the same time or
later, fat transfers can be performed if additional volume is desired.  Best Wishes,Gary Horndeski, M.D.

Dear vinyasabutterfly,recovery process is not that much different after implants removal and implants + capsules removal. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery