Will I Need a Lift with Explant?

I had a breast lift 3 yrs ago. I then added HP mentor 350cc implants a year later. I now feel as my breasts are too big (32DD) and want to explant. I am 50 and want to know if I will need another lift when I explant?

Doctor Answers 17

Will you need a lift after breast implant removal

The best approach to your breasts would be to remove the implants then wait about six months to allow for skin shrinkage and contraction.  Then, if you need a lift, it can be done at a separate stage. You should not attempt to remove the implants and do a lift at the same time because you and your surgeon will not know for sure how your skin will shrink. Hopefully the skin shrinks sufficiently and you can avoid a lift.

If your implants are saline, they could be deflated in the office by your plastic surgeon and this will also allow you to see how your breasts will look before the implant removal.

Consult with a board certified plastic surgeon for a more comprehensive exam and review of your options.

Best wishes,

Dr. Bruno

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 377 reviews

You may not need a lift after explantation

You may not need a lift (or even want one) after removal of you breast implants.  Once the weight of the implants is off the skin, there will be some degree of recoil and later retraction that will gradually reduce the skin excess.  The final appearance depends on many things such as skin elasticity, stretch marks, and amount of natural breast tissue.  I usually recommend waiting at least 6 months after explantation to decide what needs to be done. 

Randy J. Buckspan, MD
Austin Plastic Surgeon
4.6 out of 5 stars 9 reviews

When to lift after breast implant removal

The need for breast lift most often depends on the position of the nipple relative the fold under the breast. If the breast does not fall or droop over the surface of the implant, you may consider removing the implants and waiting to see what results and complete the lift later.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

Lift After Explant

For most patients, your breasts will return to their pre-augmented condition. I will often wait to address droop until 3-6 after explant as the tissues often contract nicely. However each patient is unique.

Brian K. Reedy, MD
Reading Plastic Surgeon
4.9 out of 5 stars 144 reviews

Revision Breast Lift with Explant

It is difficult to assess your need for a breast lift based on the photo.   Having had a breast lift previously, you are at a higher risk of sensation change and nipple blood supply issues with a revision lift.

For this reason, I may recommend that you stage your procedure by removing the implants now and waiting 6 months.  The tissues may recoil enough to make you happy.    If not, then it will be much safer to perform a lift at this stage.

I wish you a safe recovery.

Dr. Gill

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 86 reviews

Breast lifts after implant removal

You have very bottom heavy breasts and I would for sure say you will need a full lift when the implants come out IF you want the beast shape and projection you can get.  

IF you care more about not having scars than about getting the best shape, then heal without the lift and see what you think.  You can always do the lift later.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Breast lift after implant removal

If your implants are removed, it is reasonable to wait a few months to see how things look before considering a breast lift. If you have saline implants, your surgeon can puncture them in the office with a needle to deflate them. Then, wait a few months to see what your breasts will look like before considering a second lift.

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 68 reviews

Breast lift with explantation

In my experience with 350cc implants, an internal lift is needed in order to decrease the base of the breast and prevent deformities once the implant and capsule are removed.  If your nipple areolar complex is low, it can be raised with a donut mastopexy and if the lower pole of your breast is too full, it can be reduced with an ellipse of skin resection with the scar hidden in the fold (usually if you already have a scar in this location).

Susan Kolb, MD
Atlanta Plastic Surgeon
4.2 out of 5 stars 28 reviews

A Breast Lift Can be Needed Following Implant Removal

                  In some cases, it can be difficult to determine if breast lift surgery will be necessary following breast implant removal.  When this situation arises it may be appropriate to remove the implants and allow tissue remodeling to take place.  After 3-6 months wound healing should be complete and a decision can then be made about breast lift surgery.

                  Although your pictures are helpful, it’s virtually impossible to make a specific recommendation without a physical examination.  This situation is further complicated by your previous breast lift.  In cases where the nipple areola complex sets below the inframammary fold, there’s poor skin tone and the ratio of implant volume to native breast tissue volume is high, patients are more likely to require breast lift surgery.

                  Under these circumstances it’s appropriate to consult a board certified plastic surgeon.  This surgeon should be able to formulate a treatment plan that will address your concerns.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Need lift after explant

Your nipples may still be in a good position when the implants are removed, but you still may need some skin removed.  The lift can be done as a later procedure if needed.  I would suggest seeing a board certified plastic surgeon with experience in explantation and lifting, and discuss the procedure with him/her.

Connie Hiers, MD
San Antonio Plastic Surgeon
4.6 out of 5 stars 13 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.