You can have Explantation without a lift. A doughnut mastopexy will not add much to your outcome other than a scar. Best wishes.
Thank you for posting your question and photos. It does not appear from your photo that you would need a lift after implant removal. I would suggest that you have your implants & the capsule out. Re-evaluate after 6-12 months the need for a breast lift after the skin has retracted. Best wishes.
I have 10-15 patients see me each year for implant removal, and the vast majority of the do so without needing a lift. I remove the capsule and the implants, place a drain for five days, and have you wear a compression bra 24/7 for 12 weeks. After that only about 1 in 20 patients will need a real breast lift.
Hope this helps!
I am sorry to hear about the difficulties you have experienced. At this point, I would suggest that you have the breast implants removed; I would not recommend any type of breast lifting, based on your photographs. Have the breast implants removed and wait six months to one year to see how the breasts "bounce back". It is most likely, in my opinion, that breast lifting will not be necessary long-term. You may find the attached link, dedicated to breast implant removal surgery concerns, helpful to you as you consider options. Best wishes for an outcome that you will be very pleased with.
You were not flat chested before surgery. I would proceed with implant removal and see what the breasts look like at 6 months. You should avoid the scars of the lift is possible. I would predict that you would not need a lift.
It's hard to say for sure but possibly not.
Even with an in person consultation it can be difficult to predict exactly what someone will look like after implant removal. However, based on the position of your nipples, I would say it's hopeful and, at any rate, you have little to lose by waiting for some time (6 months or so) after the implant removal. That gives your body a chance to heal on its own, and for the tissues to contract. You can then decide what you want to do: nothing, a lift, wait longer, reinsert implants, fat transfers, etc.
I added the last two because although I see irregularities in the cleavage area and I am sympathetic to your wanting the implants out - it's a big change. And it's very difficult to get back to the way you look with implants, in case you change your mind. You are used to having a certain size now; that affects your clothes, proportions, etc.
It is of course your call completely.
I hope that this helps and good luck,
Dr. Alan Engler
Member of #RealSelf100
Whether or not you will need a lift after having your implants removed is highly variable. Your skin, breast tissue and muscle have been stretched out with the implants. When the implants are removed your tissue will tighten to some extent over time. I would wait at least 6-12 months to see what your body is able to accomplish on it's own. If you are not happy with the appearance after waiting you could have a mastopexy performed at that time. I would guess you have a good chance of not needing a lift. Visit with a few board certified plastic surgeons in your area for an in-person evaluation. Best of luck!
You can have the implants removed and give your body time to heal and then decide if you want a lift. There is a good chance you will be happy without one.
Thanks for the question. Based on your pictures, your nipple position is still very appropriate and most likely you will not need a lift after implant removal. You obviously would need to be examined to determine how much extra skin you might be left with before a final plan is made.
Hi There in Kiwi-land
Thank you for your question, and you bring up an important tissue that deserves a careful answer. I think that the traction wrinkles on the right are very noticeable and I support your implant removal plans. I am confident that simple removal (and nothing else) will result a return to the pre surgical state. I have done a lot of removals over the years (during the silicone ban years in the US) and I have been delighted on how well this goes! Do not do the pexy--You don't need it and it can always be added later (you won't) Please let us know how it turns out.