Explant with lift at the same time, or better to wait and do the lift later?

I completely disagree with the other physicians that recommend performing a lift at the same time.  When I first began removing implants, it was unclear how much the skin envelope would tighten and how much the breasts would contract.  But as I gained more experience, it quickly became evident that a majority of my patients would not require a lift and so by performing this procedure at the initial operation would expose them to a potentially unnecessary surgery.  As such, I now recommend to all of my patients that they wait for at least 6 months before performing a breast lift.  That way they have the opportunity to see their breasts change and decide if they really want to commit to the associated scarring.  To date, I have performed a total of ZERO breast lifts following implant removal and have a very high patient satisfaction rate.  I hope this helps!#breastimplantremoval #plasticsurgery #plasticsurgerydenver

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

Thank you for the excellent question. Short answer: much will depend on your physical examination ( factors such as degree of breast ptosis, current position of breast implants, number of previous operations, assessment of breast skin quality/elasticity…) and your plastic surgeons' clinical judgment.Longer answer: in person consultation will be necessary to provide you with precise advice. The main issue of concern is adequacy of blood flow given the extensive breast surgery planned. In my opinion, if the degree of breast lifting ( distance of movement of the nipple/areola complexes) is significant, then you may be better off having the procedure performed in 2 stages. If the degree of breast lifting is relatively small ( shorter distance of movement of the nipple/areola complexes) then it is likely that the procedure can be performed in one stage. If in doubt, in my opinion, the two stage approach is safer.I hope this, and the attached link (dedicated to breast implant removal surgery concerns) helps. Best wishes.