Should I get a lollipop lift with explant? (Photo)

Great question!  The answer to your question all depends on your ultimate goal.  Also how important is scarring to you.  Most patient do not like excess scars so they op for explanation and seeing how the tissue retract.  The tissues will retract to a certain point, just like after pregnancy, but to what degree will be difficult to tell.  You would then wait about 6-12 months for the tissues to stabilize.  If you are happy then nothing else needs to be done, if you feel they are still saggy then you can have a breast lift done.  Doing it this way could potentially save you on scars, but it is a long waiting game.  The other option is to do it all together.  This way you wouldn't have saggy breasts, but you will have scars on your breasts for life.  Only with a consultation and an examination, as well as reviewing your goals, can the right recommendation be provided for you.Best of luck and hope this information helps!- Dr. Roger Tsai  @DrRogerTsaiBoard Certified Plastic Surgeon

Good morning!
My approach in almost all cases is the following:
1) en bloc capsulectomy/explant
2) drain for five days
3) tight compression bra for 12 weeks
With this approach I almost never have to go back and perform a lift
because the skin has such an amazing ability to "shrink back down" to
your preop size and shape.

Based on your goals, a lift is probably recommended.  One option is to remove the implants and allow the breasts to heal.  If you are unhappy with the result you can return for a lift.  If you are wanting everything in one stage then you should probably proceed with a lift.  Be sure that you are seeing a board certified plastic surgeon and that you are comfortable and confident in your surgical plan.

To properly answer this question would require a physical examination. Photographs alone are not adequate in this situation. Since your surgeon has already performed the examination it is probable that a lift would not be necessary. You also always have the option of deferring the lift now and returning for the procedure if you are unhappy with the appearance. 

Dear msl7366,
it is hard to tell for sure without an examination. You can get implant removal, wait some time to see the reuslts of your surgery and later get a breast lift if there is a need. Or you can get both procedures at the same time. 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