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

Removal of the implants will lead to a deflated loose droopy breast envelope! Although removal of the implants will make the breasts smaller in volume, a simultaneous uplift will help give a good contour to the breasts and smaller neater areolae.  For optimal outcome, please consult a fully qualified plastic surgeon, who has specialist qualification in plastic surgery 'FRCS Plast' after having being trained adequately in the field of plastic surgery, is registered on the 'Specialist register for Plastic surgery' with the General Medical Council and has been considered competent enough to be a member of the 'BAPRAS' (British Association of Plastic Reconstructive and Aesthetic Surgeons) and 'BAAPS' (British Association of Aesthetic Plastic Surgeons) at the least.

 

Hello and thank you for your question and sharing your photo. Generally
speaking, after removal of breast implants, breasts will look smaller and
deflated. Breast lift, if needed, is often performed at the time of removal. You can also consider fat transfer to your breasts for a natural volume enhancement. I would seek consultation with a board-certified plastic surgeon
for a full evaluation and advice.
Best wishes and good luck,
Pejman Aflaki, M.D.
Johns
Hopkins-trained double board-certified plastic surgeon

Thank you for your question and photo! I suggest having your implants removed and a breast lift at the same time.  I suggest you seek a board certified plastic surgeon and discuss your concerns.  Best of luck!Dhaval Patel
Double Board Certfied
Plastic Surgeon
Chicago
Hoffman Estates
Oakbrook
Orland Park

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.

Dear Nina1705,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question.
Explantation and lift can be done together or the lift can be done as a second stage procedure. I usually do the lift and areola reduction at the same time as explantation. I also prefer a vertical scar in a situation like yours. You should find an experienced Board Certified Plastic Surgeon near you who can help you with making a decision. All The Best !

The areolar reduction can be incorporated into a circumareolar lift or full breast lift,  which can be sorted out with a quick physical exam by a board certified plastic surgeon.

It is common to perform a mastopexy at the same time as implant removal.  However there are advantages to waiting. Upon removal of implants there is shrinkage of the breast tissue.  As the breast shrinks and relaxes and the pocket contracts, the vascular supply improves.  This provides an added margin of safety.  A stable breast mound also facilitates more precise evaluation, marking, and execution of the revision.  There are many accepted ways of performing surgery, but we are always in search a better way.   

Once removed, I would suggest doing the lift at the same time unless your remaining breast tissue is very thin. an examination can tell if the lift can be done at the same time, or if you should wait.