Can I get an explant without a lift? (Photo)

Yes, you can certainly remove the implants without a lift. The breasts often perk back up after a few months. If you decide to leave the implants out, you would have the option of fat transfer with a breast lift, fat transfer only, or breast lift only. If you choose to replace the implants they can be put back in the submuscular plane.

The smaller the implant and the less the amount of time it has been since placement, the greater the chance the breasts will return to their preoperative state. It is very difficult to predict breast size following explant b/c breast implants and weight fluctuations over time tend to thin tissues, cause a decrease in size, and create more droop.
If there is any doubt, explant with capsulectomy using the original incision, followed by a period of several months of observation. After 6 months or so a decision for a breast lift with or without fat transfer or breast implant can be made.

Good evening!
Yes indeed that is a very reasonable plan, and I have had two patients subsequently come back and re-augment under the muscle in this scenario. The first time around we would perform a capsulectomy/explant, place a drain in the pockets for five days, and have you wear a good compression bra 24/7 for the first 12 weeks to get the skin to "shrink back down." Then we see if your symptoms disappear, or not, and choose our next steps accordingly!

Dear Kathy101,
it is hard to tell for sure without an examination. Generally speaking, you can get implant removal and wait some time to see the final results. 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

If you have had your 450cc implants in for 9 years it is likely that you will need a lifting procedure in order to improve shape. You can have new implants placed in the future if you wish. You can also opt to simply remove the implants and opt for a lift in 6 months as you mentioned, just understand that you will lose the volume that the implants supply and that your breasts may look deflated.

Yes, you can have your implants and the capsules removed and see if your symptoms improve. If you have not been checked for food allergies, please do so. Autoimmune diseases are strongly related to food allergies.

You have many choices available to you, too numerous to delineate here, but here are some options:

-deflate implants
-remove implants
-deflate implants, wait 6 weeks and remove implant bags
-deflate, wait 6 weeks, remove bags, remove capsules
-deflate, wait 6 weeks, remove bags and capsule, breast lift
-deflate, 6 weeks, remove bags & capsule, breast lift, add silicone implant
-deflate, 6 weeks, remove bags & capsule, lift, fat grafts to breast
-remove and replace saline with silicone implants
-remove and replace with capsulectomies and add silicone implants
-any of the above choices with implants under or above the muscle

And many more choices. Please see a Board Certified Plastic Surgeon with experience in breast implant revision surgery to assure the best possible result.

Good Luck!