In complex situations with multiple options it is usually best to keep it simple and solve the primary problem first. It sounds like a simple explant with perhaps minor capsule removal or adjustment to allow even settling would be the thing to do first. Removing implants does not make breasts sag and putting them in does not truly lift them. This effect is an illusion of volume fill. The need for a mastopexy has to do with where the nipple-areola sits in relation to the inframammary crease and would complicate things to do at the time of an implant removal. Once things have settled, the breasts can be assessed for the possible need for a lift or different implant.
It's acceptable, but why not place your new implants at the same time. Everything will be opened up and available to adjust. Get your questions answered and choose the surgeon you have the best connection/most confidence in. There is no one best answer to this kind of case.
Thank you for asking about your breast implant removal and mastopexy.
- It is perfectly acceptable to have the implant and capsule removed and a mastopexy -
- Especially if you aren't sure you will need an implant.
- But if your breasts are soft, you want a smaller implant and breast lift, it is reasonable to do at one time. .
- There isn't a right or a wrong approach - but what you are most comfortable doing.
- , Always see a Board Certified Plastic Surgeon. Best wishes - Elizabeth Morgan MD PHD FAC
Every surgeon is different and when it comes to revision breast surgery, there is not always one clear cut answer. Your case seems complicated and not so straightforward. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with and who is a board-certified Plastic Surgeon certified by the American Board of Plastic Surgery.
Harvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon
If a patient wants new implants, I prefer to do it at the same time. On the other hand. if a patient does not have a lot of natural breast tissue, a lift after removing an implant may be very difficult to do without allowing the tissues to settle down first.
Without an examination, no one over the Internet can tell you if you are a candidate for a lift at the same time as removal. If you have minimal tissue, especially around your nipples, the lift may not be safe to do at the same time. Most will replace the implants at the same time of removal if you desire. I would suggest going back to the surgeon you were most impressed with, and discuss your options. You may become more confused with doctor shopping.