Should I consider a lift after explanting my 350cc under muscle implants? (photo)

Question

Lift or no lift after explant? Measurement with my implants currently are: ,- sternal notch to nipple. R- 23, L -24 - nipple to inframmery fold. R-7.5, L-6.5 -bade diameter. R-14.5, L-15 Should i just let my body " bounce" back with those numbers? Will it look fairly descent being a 56 year old? Or should i do the lift?

Robert M. Wald, Jr., MD · Answer

My advice is to not to do lift at the time of removal. You do not have significant ptosis (droopiness) and your skin should retract well following removal. A lift requires scars and at worst, you can do a lift after a year if you felt it was necessary.

Shaher W. Khan, MD · Answer

Hello, thank you for your question. The decision to have a breast lift (mastopexy) after explant surgery largely depends on your goals, the current state of your breast tissue, and how you expect your body to change after the implants are removed. Since you're 56 and have had implants for several years, the natural aging process and the presence of the implants may impact how your breasts look after removal. I have attached a video that discusses your question in detail.It's important to have a detailed consultation with a board-certified plastic surgeon who can evaluate your breast tissue, skin quality, and personal goals. They can help you understand what to expect after explant, and whether a lift is necessary for the result you’re looking for.
Ultimately, it’s about how comfortable and happy you’ll be with your breasts post-surgery, and a surgeon can help guide you to the best decision based on your current anatomy and goals.

Alan Gonzalez, MD, FACS · Answer

Hello @Exquisite687809, thank you for your question. Performing a total capsulectomy is important if you are considering an explant. The most optimal and aesthetically adequate option would be immediate reconstruction with the BRALAN technique (Breast Reconstruction Anatomical Lift Augmentation) and a lift. I link a video that sheds more light on the matter. Best wishes! Alan Gonzalez MD, FACS.  American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Daniel Barrett, MD · Answer

Dear Exquisite687809,
it is hard to tell for sure without an examination. You can get implant removal and wait to see the final results. Later you can get breast lift if your breasts become saggy. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Sean T. Lille, MD · Answer

Dear Exquisite, 
It doesn't appear to me that you need a breast lift. Give your body time to adjust but a breast lift is only indicated if your nipple is lower than the fold under your breast. Your nipples appear to be above that crease. Best wishes!

Connie Hiers, MD, FACS · Answer

You need an examination to see if a lift can even be done safely. If not, you could consider minimally invasive radiofrequency skin tightening like Renuvion be added at the time of the removal.

Shana Kalaria, MD · Answer

Your implants are too high as they are. Although you will have significant deflation after removal, you will likely look fine with no lift. A lift can always be done at a later time. In some cases implant removal can even be done under local anesthesia in the office. Please visit with a board-certified plastic surgeon. Good luck!

Camille Cash, MD · Answer

It doesn't appear that a lift is indicated from the submitted photo.  Once you have healed from your procedure if you are unhappy you can return for a lift at a later time.

Should I consider a lift after explanting my 350cc under muscle implants? (photo)

Answers (8)

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