Explant: with or without a lift?

I'm a 53 yr old wanting to remove my 17yr old implants. I've consulted a surgeon who has given the option of draining my implants first to see what size I would actually be and then determine whether or not I want to get a lift with the removal. Given my age, current size, current weight I'm almost certain I would look better with a lift. But I'm not sure about he draining ahead of time.

Doctor Answers 6

Deflation first( aspiration of the saline) then possible lift

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Your surgeon is correct with his plan and the deflation would give time to make better decision about the lift and possible size of the implant. The deflation and aspiration can be done safely under local.

New Orleans Plastic Surgeon
4.8 out of 5 stars 154 reviews

Breast implant removal

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If you are confident that you will need a lift, it is ok to do it at the same time as the removal.  However you must be aware that your surgeon may not be able to accurately predict how you will look after surgery as the breast tissues will have changed over the 17 years.  If you choose to have the implants drained first you will have a better feel for the amount and quality of breast tissue that is present.

Camille Cash, MD
Houston Plastic Surgeon
4.9 out of 5 stars 36 reviews

Draining of saline implants

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I would recommend against this as I have seen significant chest wall infections if there is contaminated saline (bacteria or mold) in the saline implants.  It is safer to remove them intact along with the entire capsules.  We use drains for about a week, along with antifungals if needed.  An internal lift is usually needed and sometimes skin excision from the lower pole or around the NA complex if it is present.  If you have small implants that are not laterally displaces, sometimes a llift is not needed.

Susan Kolb, MD
Atlanta Plastic Surgeon
4.0 out of 5 stars 31 reviews

Implant removal

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If they are saline, then it might be reasonable to do so especially if they were asymmetric to begin with, and you did not start off with a lot of breast tissue.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Draining saline implants

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The decision on whether or not to get a lift can have financial repercussions that must be taken into consideration prior to surgery. Draining the implants will give you a preview of what to expect if you don't get a lift. That way you can make a more informed decision. Hope this helps, good luck!

Marcel Daniels, MD
Long Beach Plastic Surgeon

To lift or not to lift

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Thank you for your question. Without pictures, measurements and other important information it is almost impossible to give any recommendations. However, if you have saline implants, the option the surgeon has given you is a very reasonable thing to do. Usually after evaluating a patient one should be able to tell if a lift is needed after explant, but sometimes its not so cut n dry. In that case I think draining the implant and seeing how you feel about your breasts and determining later on that a lift is or isn't needed is not a bad option. Draining the implant should be a VERY quick procedure with very minimal discomfort. Of note, if your breasts are at a point where you think they need to be lifted then after explant they almost surely will need to be lifted. I hope this helps...sorry cant be more helpful without more information. Hopefully you are being evaluated by a board certified plastic surgeon!

Ankur Mehta MD

Ankur Mehta, MD
Sugar Land Plastic Surgeon
5.0 out of 5 stars 25 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.