En bloc - Do I need to do a breast lift & if so, what height should I put the nipples?

Determining the need for a breast lift following implant removal depends on numerous factors including your age, years of having implants, bra size, weight and size/type of implants. Based upon the photo and the number you provided, your nipples are in a good position and raising them may not be the appropriate option. With implant removal, there are different types of breast lifts that can be performed. Lastly, know that a breast lift can always be performed at a different procedure following the implant removal if you are unhappy with the results. Discuss your reasons for implant removal as well as the need for a breast lift with a board certified plastic surgeon who specializes in breast surgery. They will help with the decision process.

Dr. Eric J. Wright

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, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.

Hello @emmie.lee thank you for your question and showing your picture. Every specialist has different and follow diverse protocols. For me explant or remove breast implants definitely involves a reconstruction of the mammary tissue, in order to achieve the best aesthetic result. Due to the experience of so many explantation surgeries practiced in these 21 years I consider that the L-shaped incision is the minimum and smallest scar possible in this surgery. For more information and recommendations, it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Dear emmie.lee,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering surgery, I would suggest you 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

First, en bloc surgery is for cancer surgery only and not for removing the capsules around implants. Second, the nipple should be placed midway between the top of the breast and the bottom. In your first photos, your large implants are sagging and pulling your lower breast pole downward, which is not your true base bottom. Your surgeon will examine and measure you to see where the nipples should be placed. You just might need your lower pockets lifted and tightened, and your nipples may be in a good position.

Sternal notch to nipple is only one of the distances we take into account. We also have to measure inframammary fold to areola, in your case it seem a bit elongated, it is usually 5-6cm.
Hope this helps
Sincerely, Dr. Galaz

From your photos it appears a breast lift would be recommended for you when the implants are removed. This will take up the excess distance from the bottom of the areola to the fold of the breast. Begin by visiting with a board certified plastic surgeon near you for a consultation to learn more.