Can I have a breast lift after explant? (photos)

Question

I had an explant with full capsule removal 25 days ago. I'm 38 years old and had textured allergan drop shaped silicon for almost 15 years. I breastfeed 1 child. I was told I was not a candidate for breast lift before surgery. Is it possible to do a lift for a more perky youthfull look? I don't want another implant or fat transfer. I just wonder if it is possible to acomplish the look with lift only.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Yes a breast lift alone is possible. Removing of the excess skin and slightly higher placement of your areolas. I would hold off on the surgery if you are planning to have more children. Keep in mind in exchange for tighter slightly perkier breast you will have scars around that area. I would speak to you plastic surgeon about your outcomes and expectations especially over time.

Finny George, MD · Answer

Hi, thank you for sharing your question. Based on these photos, I don’t believe that you are a good candidate for a breast lift. Your nipple position is good. While your upper pole volume may be lacking, a lift will not address this effectively.

Leila Kasrai, MD, FRCSC · Answer

Your nipples are above your breast fold, however you have some loose skin. It is possible that a donut lift can help reduce some of this loose skin. However, you may want to wait about 4-6 months after your explant surgery as your skin may retract a bit on its own.

Anna Steve, MD · Answer

Yes, breast lift after explant is a good option in women who are satisfied with their breast size after the implants are removed but want to change the shape, tighten skin, or improve nipple position. In women who already have good nipple position, the primary benefits would be tightening the skin and reshaping the breast.

Irena Karanetz, MD · Answer

Hello,
Thank you for the question and photos. 
Breast lipofilling using fat grafting would be the best option for you in order to achieve a more perky, youthful and uplifted breast appearance, rather than breast lift.
Breast lift is typically performed to raise the nipple and in your situation the nipple is in adequate position.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon in order to discuss your goals and concerns for the best cosmetic results. 
I hope this helps.
Best regards, 
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Ted Eisenberg, DO, FACOS, FAACS · Answer

It takes 3 to 6 months for breasts to return to their normal size and shape after explantation. You might not need anything when all is completely healed.  Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Warren Schutte, MD · Answer

Hello, It is very common to undergo breast lift after an implant removal. A great deal of skin contraction and positive skin changes will occur the first 6-8 weeks following a breast implant removal. Your breast aesthetics are in great shape right now, just 25 days ago. Even at this point, your nipples are at the most projecting point on the breast and your aesthetics are in great shape. I am optimistic that you will not need any other surgical efforts.

Scott W. Vann, MD, FACS · Answer

Yes you are a candidate for a breast lift. Personally I would have offered to do the lift at the same time as the explant and capsulectomy. A lift will give you a perkier more youthful look. Good luck.

Ugur Horoz, MD · Answer

hello , you had operation just about 1 month ago. it is better to plan about 6 months later with new photos which procedure what can be acceptable related with your expectation.

Daniel Barrett, MD · Answer

Dear Poppy38,
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

Can I have a breast lift after explant? (photos)

Answers (13)

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