B cup to DD cup - would you recommend a breast lift when I remove my implants? (Photos)

From your photos it appears your nipples are in good position currently. When the implants are removed you will lose the volume that they provided so they may appear deflated to you. The implants have stretched the skin over the years in order to accommodate the implants but the skin will retract to some degree. If you are unhappy after you have fully healed you can return at a later date for a lift or perhaps a smaller implant.

Hi, thanks for your question. Based on your photos, you would not necessarily require an uplift at the same time as implant removal. Your skin looks of good quality and you will get some tightening of the skin naturally over time following removal of your implants as you heal. If you did not like the appearance of your breasts once the implants have been removed, you could always consider an uplift at a later date if required.

Hello,
And thank you for the question and the photos.
Following removal of breast implants without replacement, a patient may choose one of two options: do nothing and see how much the skin retracts and then decide about fat grafting or breast lift at a later point, or undergo a breast lift and fat grafting at the same time.
Since you had small cup size breasts prior to undergoing breast augmentation, the breast volume and size will be similar after removing the breast implants, and the breasts may look more droopy (due to thinning of the tissues from the weight of implants).
If the breast capsules are soft without any issues or evidence of capsular contracture, it is safe to just remove the implants without performing capsulectomy.
Full mastopexy (breast lift) which will put your nipples into the correct position, make the areola smaller and allow excess skin to be taken away, giving you a more youthful and lifted breast appearance. Some people are a little apprehensive to the full breast lift due to the scars (lollipop or anchor), but typically they do very well and scars fade over time.
But it's difficult to tell without in person examination.
Fat grafting can also add additional volume to the breasts, sometimes more than 1 session is necessary.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.Best, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon