Episode 36: Do Breast Explant Surgery Patients Also Need a Lift

Breast explant surgery, the removal of previously implanted breast implants, often leads to considerations about whether a breast lift is necessary afterward. The decision is highly individualized, depending on the patient’s goals, body characteristics, and the condition of the skin and tissue. A recent case highlights that a lift is not always required; some patients opt for explantation without additional procedures, especially when minimal excess skin is present. Techniques such as circular or doughnut lifts and lollipop lifts are commonly used to achieve skin tightening when desired, while avoiding more invasive options like anchor or crescent lifts to preserve future options like fat transfer. The surgeon emphasizes that each patient’s journey is unique. Factors such as implant size, placement approach, and personal aesthetic goals influence whether a lift is recommended. For example, in cases where the implant removal involves capsule and scar tissue, alternative approaches—like under-the-breast or donut lifts—may be discussed to minimize visible scarring and excess skin. Overall, personalized care and thorough communication are crucial to achieving optimal results. The surgeon advocates for a tailored approach, considering individual needs and preferences, rather than a one-size-fits-all solution. Since 2016, the surgeon has prioritized minimizing scarring and maximizing patient satisfaction through careful surgical planning and technique selection. Patients are encouraged to consult with their provider to determine the best course of action based on their specific circumstances.