Considering breast implant removal with a lift and fat transfer to replace the implants? (Photo)

Thank you for your question. The best course of action in your case would be to do an SIEF operation. You could have the implants removed and Fat replaced. Once everything settled down, you could consider adjusting the position of the nipples.

If you take the capsule out at the time of the implant removal, it is not possible to safely fat graft, because the fat will migrate into the pocket and you will have fat necrosis. in other words, when a SIEF is done, the capsule must be left intact. Hope this helps!

Thank you for sharing your photos and for your question. I would need to examine you in-person to best answer your question. In general, however, it is possible to remove your implants and perform a capsulectomy, fat transfer, and lift at the same time. However, it may not be possible to achieve the same size you are now with fat alone. There is a limit to how much fat can be safely transferred in one operation, especially if done at the same time as an implant removal/capsulectomy, and you may need to have more than one fat transfer procedure. From your photos, you appear to have some asymmetry of your nipples and this could be improved with the lift, as well. This can be performed as an outpatient surgery. I recommend you meet with a fully-trained plastic surgeon to fully discuss your goals and the best treatment approach. Good luck!