15 year old implants that have shifted and possibly a leak. Can an explant and lift be done at same time?

I have implants (under muscle) that I am looking to remove. Can a lift be done at the same time.? I was a36A and went to 36C. 

Doctor Answers 12

From Chapin Aesthetics

An explant and lift can be performed at the same time provided you are a candidate for a lift procedure.  Many patients can achieve their goals with an implant exchange or exchange with lift, or lift alone.

Philadelphia Plastic Surgeon
4.8 out of 5 stars 21 reviews

Implant removal

I appreciate your question.

I perform the implant removal and internal tightening combined with external RF to lift the breast which can remove the need for scars in the right patient.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.


Best of luck!


Dr. Schwartz

Board Certified Plastic Surgeon



Jaime S. Schwartz, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 91 reviews

Explant and lifts are routinely done at the same time

and if under the muscle as yours are, make sure your surgeon repairs the muscle so your breasts won't move in funky ways as it did following your augmentation.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Breast implant removal with breast lift

Yes, a breast lift can be performed simultaneously. You are welcome to visit my before and after gallery to see what can be achieved using The Horndeski Method lift with no implants and minimal scars. Attached is an example of a lift without implants and without the vertical component of most standard lifts. I hope this helps. 

Best wishes,

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 223 reviews

Explantation and Breast Lift

Hi jdbarnwell79,

Yes, your old implants can be removed. Oftentimes if they are old silicone implants and leaking, the shell that the body creates around the implant, the capsule, should also be removed. Of course you need enough native breast tissue so that a lift can restore breast shape and size, otherwise a new implant might be needed. A well trained plastic surgeon will know immediately.

Good Luck!

Alfonso Oliva, MD, FACS
Spokane Plastic Surgeon
4.9 out of 5 stars 36 reviews

Explantation, lift, capsuletomy

Typically all the procedures are done at once.  Make sure your surgeon removes the old capsules as well so that the circulation will be better after the surgery and so that no pockets are left behind.  This makes any subsequent surgeries easier.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 177 reviews

Breast lift with simultaneous explant? Yes!

Yes, it is possible to have a lift at the same time as your breast implant removal. There are a few caveats:

If your implant has ruptured, or has a significant amount of capsule around it that needs to be excised, then the additional surgery required to remove the affected breast tissue may make a simultaneous lift too risky.

If you are a smoker, or have other significant risk factors, you may want to perform a 2-stage procedure.

As with all cases, look for a board-eligible or board-certified plastic surgeon who has significant experience with breast surgery. Be sure to review their work. Make sure you are comfortable with your choice of surgeon. And be sure to have your surgery at a certified center with all required patient safety equipment.

Jon Ver Halen, MD
Southlake Plastic Surgeon
5.0 out of 5 stars 20 reviews

Breast Implant Removal and Breast Lift

Yes it is generally possible to remove your breast implants and to undergo a breast lift.  The exception would be if you have no remaining overlying breast tissue.   Ideally you will seek out a board certified plastic surgeon who has some experience in breast reconstruction.  

Carlin Vickery, MD (retired)
New York Plastic Surgeon
5.0 out of 5 stars 21 reviews


A lift at the same time as an explant is done commonly. You need to get a preoperative evaluation to see if you have enough tissue so that you can have enough fullness in your breasts post surgery.

Barry M. Schwartz, MD
Weston Plastic Surgeon
4.0 out of 5 stars 4 reviews

Can an explant and lift be done at same time?

Yes that can be done, but I personally discourage patients from that combination and suggest they waiat at least 6 weeks after the explant surgery. Breast tissue that have been stretched over an implant change dramatically in the 6 weeks after implant removal and in my experience 50% of patients find they neither need nor want a lift after that time. And even if they need a lift it is impossible for the surgeon to know ahead of time how much the tissues will contract on their own and so it is difficult to make an exact determination on how much to lift. 

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 27 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.