I have had implants for 4 years, now I would like to get them removed. Is it necessary to do a lift or fat grafting? (Photo)

Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thanks for your question and the photos you provided. Your breasts with implants look natural and appropriate for your frame. That being said, if you remove the implants your breast will look similar to your pre-surgery chest. Now however, your skin on the breast is stretched and may need some skin tightening modalities. Take your recovery day by day and allow yourself to heal. After 3 months you can decide if you want fat grafting -/+ a lift. Good luck!

Whether or not it is "necessary" is completely up to you. You might consider just removing the implants and see how much breast tissue you have and how much sag. You might be pleasantly surprised.