What is the procedure if I want new implants? Do you remove them and insert new, or create a pocket to give a lift?

Implants do not lift breasts. The technique I recommend is explantation and lift 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 and nipple sensation (in 95%) is maintained if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

To exchange, the old implants would be removed and new ones inserted. If you have gel implants, the capsules will also be removed. If you have saline implants and the capsules are thin, they can be left in place. Implants do not give much lift. An examination is needed to see if a lift can safely be done at the same time as the exchange. If you have saline implants and you are happy, you don't need to do anything.

Thank-you for your question. When implants are removed and replaced with slightly bigger ones to give more fullness and a lift, there is some reshaping of the existing pocket that is required. If the implants are of the same size there is little need for that. It is impossible to say if you would need a surgical lift as well, at the same time, without seeing your pictures or an examination, however that may also be an option. Please find a Plastic Surgeon in your area experienced in these procedures who can help you with all your concerns. All the best!