Should I wait after explant to get a lift and areola reduction, or in the same procedure? Should I get the lift? (photos)

Hi and welcome to our forum!
I expect some collapse
of the breast following explantation. The presence of an implant effaces
or stretches out the overlying breast tissue, soft tissue and skin. Following
removal, the empty space will collapse upon itself. However, over time, at
least partial correction is achieved naturally as the skin and soft tissues
readjust over 3 months or so. As shape is important to you, you should consider
a secondary breast lift as well if the shape proves unsatisfactory. We separate the procedures by at least 3 months.  
The need for secondary lift following explantation relates
to the size of the implant, its duration of implantation, and overlying
skin quality.Visit a board certified plastic surgeon for in-person evaluation and discussion.
Best
wishes...

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.  The areolas can be reduced to the size desired.  At the same time or later, fat transfers can be performed if additional volume is desired.Best Wishes,Gary Horndeski, M.D.