Should I have explant and lift in 1 procedure or 2? (Photos)

Based on the information provided it is advisable to have the implants and capsules removed at the same time and return for a lift once healing is complete. The risk of doing the lift at the same time is that the risk of wound complications is higher.  The implant and capsule removal could be tricky in your case, especially if there is leakage of the implants.  So in order to lower the risk of issues and increase your chances of optimal results, it is safer to have the procedures performed in two stages.

Good day! Generally after explantation, the shape and size of the breast will be unpredictable. Result varies between patients and it will largely depend upon their age, duration and size of the implant, or previous state of their breasts like existing anatomy, deformity, previous surgeries, underlying personal and family medical conditions, nicotine use, pregnancy and other factors. That's why it is suggested to wait for explantation results to show before deciding for a lift, but yes, you may also do the lift with the explantation to save time and money. Do not hesitate to contact your surgeon about this and discuss realistic goals and expectations. Best of luck! #RealSelf100

Usually removing breast implants and performing the lift at the same time makes the most sense as some patients clearly need a lift.  Because you have Meme implants which have been taken off the market, removal followed by a waiting period is more reasonable.  If you decide to replace your breast implants, I recommend that you replace them with either Allergan, Mentor, or Sientra that typically carry a lifetime warranty for mechanical disruption or rupture. But don’t confuse the warranty time-frame, with the life of your implants.  Find a board certified plastic surgeon who is an expert at all aspects of breast surgery.

Explant
alone results in the highest patient dissatisfaction and most patients require
a 2nd operation.  It is easier
to do both at the same time and I recommend explantation using The Bellesoma
Method.  The implants are removed, your
breast tissue is reshaped created upper pole fullness, elevated higher on the
chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation
and the ability to breast feed are maintained, if not injured during your
previous surgery.  The capsules can be
removed if there are indications such as infection or calcification but often they
are left in place to preserve breast volume and minimize complications.  Best Wishes,Gary Horndeski, M.D.

Dear Southshore12,some plastic surgeons may want to split this into two operations depending on the time needed. Its best to see a board-certified plastic surgeon to determine your options and whether it would take too long, more than 4 hours, to do all.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 a surgery, I would suggest you to 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