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Breast Implant Removal with Breast Lift
Breast implant removal with breast lift combines explantation with mastopexy to correct ptosis in one session. All capsulectomy and lift techniques available. Under TIVA. CQC-regulated Baker Street facility. From £8,000.
Breast Implant Removal with Breast Lift in London
Breast implant removal combined with a breast lift (mastopexy) is a commonly performed procedure for patients who wish to have their implants removed without replacing them, but want to address the skin laxity and breast ptosis that typically result from explantation — particularly after large implants have been in place for many years.
When breast implants are removed, the overlying breast skin — which has stretched and thinned over the duration of implantation — often lacks the elasticity to contract around the reduced breast volume. The result is a deflated, ptotic breast with excess skin, a low nipple position, and potential loss of upper pole projection. In patients who have had large implants for an extended period, this change can be significant.
Combining implant removal with a breast lift in the same operation addresses both concerns simultaneously — the lift removes excess skin, reshapes the breast tissue, and repositions the nipple-areola complex to a higher position, producing a firmer, more projected breast without implants. One anaesthetic, one recovery period, and a more predictable result than staged procedures.
Alternatively, some patients prefer to have implant removal first and assess the result before deciding whether a lift is needed — this two-stage approach is also available. Your surgeon will advise on whether single-stage or staged surgery is more appropriate for your anatomy at consultation.
At Centre for Surgery, this combined procedure is performed by consultant plastic surgeons on the GMC Specialist Register at our CQC-regulated Baker Street facility under TIVA (Total Intravenous Anaesthesia) as a day-case. A two-week cooling-off period applies after consultation.
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What Happens to the Breasts After Implant Removal?
Breast implant removal leaves a cavity within the breast tissue where the implant previously sat. The skin of the breast — which has stretched and adapted to accommodate the implant over years — loses its structural support when the implant is removed. The degree of change depends on several factors:
For patients who had small implants for a short period with good skin quality, the breasts may return reasonably close to their pre-augmentation appearance after removal. For patients who had large implants for many years, significant skin laxity and ptosis are common — a concurrent breast lift produces a substantially better result than removal alone.
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Am I a Good Candidate for Implant Removal with Breast Lift?
The combined procedure is appropriate for patients who want to have their implants removed and also wish to address the skin laxity and ptosis that results from explantation. Specific indications:
Ideal candidates for the combined procedure are non-smokers (or willing to stop for at least 4 weeks before and after surgery) in good general health, at a stable weight, with realistic expectations about what removal with lift can achieve. The best outcomes are typically seen in patients with smaller, drooping breasts following removal of large implants that have stretched the skin envelope.
Some patients prefer to have implant removal first, assess how their breasts look, and then decide whether a lift is needed as a second-stage procedure. This two-stage approach is available and appropriate for patients uncertain about whether a lift will be needed. Your surgeon will advise on which approach best suits your anatomy and goals at consultation.
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What Does the Procedure Involve?
Breast implant removal with breast lift is performed as a day-case at our Baker Street facility under TIVA (Total Intravenous Anaesthesia) — the safest form of general anaesthesia for day-case surgery. The procedure takes 2–3 hours depending on the type of breast lift performed.
The procedure begins with implant removal through the existing inframammary incision from the original augmentation — avoiding new scarring. The capsule is managed according to the clinical indication (left intact, partially or totally removed, or en bloc as required). Once the implants are removed, the surgeon assesses the degree of ptosis and selects the most appropriate lift technique.
The involves two circumferential incisions around the areola, removing the skin between them and closing to a single periareolar scar. Appropriate for mild ptosis and patients wanting the most minimal scar. Less lifting power than lollipop or anchor.
A adds a vertical incision from the areola to the breast crease to the periareolar incision. Appropriate for moderate ptosis — provides more skin removal and tissue reshaping than the doughnut technique.
The adds a horizontal inframammary scar to the lollipop pattern. Appropriate for significant ptosis — the most comprehensive skin removal and tissue reshaping, and typically the most appropriate technique for patients with large implants removed after extended implantation.
All techniques allow nipple-areola complex repositioning to a higher, more forward-facing position and areola reduction where appropriate.
After surgery, you recover in our monitored day suite before discharge with your responsible adult, post-operative medications, written care instructions, and a direct 24/7 clinical support number.
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Recovery After Breast Implant Removal with Breast Lift
Recovery after combined breast implant removal with lift is similar to standalone breast lift recovery — 6 weeks to full activity, with most patients returning to desk work within 7–10 days.
Rest at home. Wear the post-surgical bra continuously — do not remove it. Avoid raising arms above shoulder height or any heavy lifting. Bruising, swelling, and temporary numbness of the breast skin are normal in the first 2 weeks. Discomfort is typically managed with paracetamol by the end of week 1. Wound check with our nursing team at 7–10 days — recommendations on scar management provided.
Return to desk work typically possible by day 7–10. Light lower body exercise from week 3. Continue avoiding upper body exertion. Surgical bra worn throughout.
Surgeon review at 6 weeks. Full exercise including upper body can resume. Transition from surgical bra to supportive sports or underwired bra permitted.
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Risks of Breast Implant Removal with Breast Lift
The combined procedure carries the risks of both its components — explantation and mastopexy. All risks are discussed in full at consultation.
All risks are discussed in full at consultation specific to the planned technique and extent of capsulectomy.
Before & After and Combined Procedure Options
The results of combined breast implant removal and lift depend on the degree of ptosis, the extent of skin removal required, the technique used, and each patient’s anatomy. Most patients with significant ptosis after large implant removal achieve a substantially improved breast shape compared to removal alone — a more elevated breast mound, repositioned nipple-areola complex, and reduced skin laxity.
Final results are visible at 3–6 months as residual swelling resolves and breast shape fully settles. Scars fade from pink to pale over 12 months.
Before and after photographs from relevant cases at Centre for Surgery are available to view at your in-person consultation.
Breast implant removal with lift can be combined with additional procedures where clinically appropriate:
For patients who want modest volume alongside the lift after implant removal, fat transfer can be added in the same session — using fat harvested from the abdomen, flanks, or thighs to restore upper pole fullness without new implants.
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Breast implant removal with lift can be combined with as part of a — one anaesthetic and one recovery for multiple areas.
Areola reduction is performed routinely as part of the breast lift — the areolae are reduced and repositioned as part of the standard incision pattern at no additional step.
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What Happens After Breast Implants Are Removed Without a Lift?
Some patients choose to have breast implants removed without a concurrent lift — either to assess the post-explant result before committing to a lift, or because their anatomy suggests the skin may contract adequately without surgical intervention.
Breast implant removal without a lift typically results in:
Patients who undergo removal without a lift and subsequently find the result unsatisfactory can have a breast lift as a staged second procedure — typically 3–6 months after removal once healing is complete. This two-stage approach avoids committing to a lift if it may not be necessary, at the cost of a second operation and recovery if it is.
Your surgeon will give you an honest assessment of what removal alone is likely to produce for your specific anatomy at consultation — and whether a concurrent lift would significantly improve your result.
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Why Choose Centre for Surgery for Breast Implant Removal with Lift?
All surgery at Centre for Surgery is performed by consultant plastic surgeons on the GMC Specialist Register — members of BAPRAS and ISAPS. The combination of explantation and mastopexy requires specific expertise across both procedures. We do not use cosmetic doctors or non-specialist practitioners for breast surgery.
Simple explantation, partial capsulectomy, total capsulectomy, and en bloc removal — combined with periareolar, lollipop, or anchor lift technique — all performed by the same surgical team at our Baker Street facility.
Surgery takes place at our purpose-built private hospital at 95–97 Baker Street, Marylebone, independently inspected and rated "Good" by the Care Quality Commission.
All procedures use TIVA (Total Intravenous Anaesthesia) — the safest form of general anaesthesia for day-case surgery. Faster recovery, less post-operative nausea, quicker discharge.
A mandatory two-week cooling-off period applies after every consultation before surgery is booked.
24/7 surgeon-led support for the first 48 hours. Wound check at 7–10 days. Surgeon review at 6 weeks. 3-month assessment.
Your initial consultation is £100, redeemable against the cost of your procedure.
FAQs
What To Expect
The consultation is the first part of your patient journey for a breast implant removal with a breast lift. Your surgeon will carefully listen to your needs and preferences and explore why you want to have this procedure. You can have a breast lift combined with breast implant removal in the same procedure or a breast lift as a separate second-stage procedure. You may decide you wish to have your breast implants replaced with either the same size implant or with smaller-sized implants if you prefer.
Your surgeon will take a detailed medical history, including any previous operations you have had. The physical examination will be performed to assess the shape and form of your breasts and whether there are any complications related to your existing breast implants, such as capsular contracture or implant rupture. Your suitability for the procedure will be determined, and it is important to have realistic expectations about what you hope to achieve from the implant removal and breast lift procedure in London.
Once the two-week cooling-off period has passed, our pre-operative assessment team will confirm your medical fitness for surgery. Stop smoking at least 4 weeks before surgery — smoking significantly increases the risk of nipple necrosis, wound breakdown, and poor healing after mastopexy. Continue to avoid smoking for 4 weeks after surgery. Stop aspirin, ibuprofen, and anti-inflammatory medications 2 weeks before. Review all supplements with your surgeon. Avoid alcohol for 48 hours before surgery. Fasting for TIVA: no food for 6 hours before surgery; clear fluids only (water, black tea without milk, black coffee) up to 2 hours before. Your pre-operative nurse will confirm your specific fasting times. Practical preparation: purchase a non-underwired sports bra in your current size — needed immediately after surgery. Prepare loose, front-opening clothing for the day of surgery. Set up your recovery space at home. Arrange childcare and pet care for the first 5–7 days. Arrange a responsible adult to collect you and stay with you for the first 24 hours.
When you arrive at our Baker Street clinic, you will be admitted by our nursing team. Your anaesthetist will review you for fitness for TIVA and prescribe pre-medications. Your surgeon will confirm the operative plan, mark the incision sites and nipple positions, take final photographs, and obtain your written consent. TIVA is administered by your consultant anaesthetist. Once fully asleep, your surgeon removes the existing implants through the existing inframammary incision. The capsule is managed according to the planned approach. Once the implants are removed, the degree of ptosis is assessed and the planned lift technique performed — excess skin removed, breast tissue reshaped and elevated, nipple-areola complex repositioned. All incisions are closed with dissolvable sutures. A post-surgical bra is applied before discharge. Procedure duration: approximately 2–3 hours. You recover in our monitored day suite before discharge with your responsible adult, post-operative medications, written care instructions, and a direct 24/7 clinical support number. You cannot drive on the day of surgery.
24/7 surgeon-led clinical support is available for the first 48 hours. Our nursing team calls regularly during the first two weeks. Week 1: rest at home; wear surgical bra continuously; avoid all upper body exertion and lifting; bruising and swelling normal; wound check at 7–10 days — dissolvable sutures only, no removal needed. Recommendations on scar management provided at wound check. Weeks 2–4: return to desk work by day 7–10; driving resumes when comfortable performing emergency stop; light lower body exercise from week 3; continue avoiding chest activity. Week 6: surgeon review. Full exercise including upper body resumes. Transition from surgical bra to sports or underwired bra permitted. Apply silicone gel or tape to healing scars. 3–6 months: breast shape fully settles as residual swelling resolves. Clinical photography at 3-month assessment. Scars continue to fade over 12 months. Throughout: no smoking for 4 weeks after surgery; no aspirin or anti-inflammatories for 2 weeks; avoid sleeping on your front for 2 weeks; sun protection on healing scars for 3 months.
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Primary Sidebar
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If you're considering plastic or cosmetic surgery in London, Centre for Surgery offers a level of clinical excellence that few clinics can match.
All procedures at Centre for Surgery are performed exclusively by GMC specialist-registered consultant plastic surgeons — the highest qualification available in the UK. Our surgeons hold positions on the GMC Specialist Register and are members of BAPRAS and ISAPS, ensuring you receive care from fully credentialled specialists, not cosmetic doctors.
Our purpose-built private hospital at Baker Street, Marylebone is independently regulated and inspected by the Care Quality Commission (CQC), which awarded us a Good rating — a standard very few cosmetic surgery facilities in the UK achieve. We use TIVA (Total Intravenous Anaesthesia) as standard, the safest and most advanced form of anaesthesia available for day case surgery.
We offer the full range of surgical and non-surgical treatments under one roof, with in-depth consultations directly with your surgeon — never a sales consultant. Flexible 0% APR finance is available through Chrysalis Finance, and our comprehensive aftercare programme includes 24/7 nursing support.
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