Breast augmentation is a plastic surgery procedure to enhance the size and shape of the breasts. Women who have petite or flatter breasts use the surgery to add volume and projection to their breasts. Others use it to fix aesthetic imperfections of the breasts induced by pregnancy and breastfeeding. Others use it to correct asymmetrical breasts. If you are considering the use of silicone implants to augment your breasts, you should be prepared for future revision surgery for the correction of any aesthetically undesirable outcomes and complications that might arise. In some cases, implant removal may be necessary. One of the common questions asked by breast augmentation patients is: “Will my breasts sag if I decide to explant?” Reasons for getting an explant Patients come in after several months or years to have their breast implants removed. Some patients complain of the large implants have left them with saggy breasts. Other reasons include breast implant rippling, capsular contracture, and in rare cases, infection. Most patients are curious whether their breasts will become loose and saggy after an explant. The answer is yes. Patients who have had implants for several years will experience more breast sagging than patients who have had them for only a few months or years. There are many patients who wrongly think that removing and not replacing the implants will get their breasts back into their original shape and size. This is completely false. You can enhance your breasts after implant removal by undergoing a breast lift surgery afterwards. Your body has completely accommodated the breast implants and has gotten used to them, which means that your glandular tissues, ligaments, breast skin and muscles have been stretched, fashioned, and shaped according to the size and shape of the implants. Over time, your natural aging process and gravity exert pressure on the breasts, so they gradually lose elasticity and become saggy. This condition can be severe in patients who have very large breast implants. If your decision is grounded in the fact that you simply want to get rid of the implant and have no further surgeries, you should rethink your decision. The explant can leave your breasts in very bad shape. A breast lift surgery is recommended to fix the condition. On the other hand, if you are removing the implant as a result of associated health complications like implant rupture or capsular contracture, you should go for a revision surgery to fix the condition. It will cost less and your old implants will be replaced with newer ones in order for the aesthetic appearance of your breasts to be retained. Complications associated with breast implant removal Breast implant removal surgery should be carried out only when all other options have been exhausted. It is a full surgical procedure that involves a number of potential complications like excessive blood loss, infection, swelling, blood clotting, etc. You should take all the risks, side effects, and potential complications into account before deciding to get your implants removed. The likelihood of breast sagging is higher for patients who have had the implants for a longer period. The size of the implants and the elasticity of your skin will also determine the extent of the sagging after the explant procedure. If you want to enhance the appearance of your breasts after the implant removal surgery, you should combine the explant surgery with a breast lift surgery. This will ensure that your breasts are perky and raised. However, the procedure will leave scars on your breasts. The explant surgery process An explant surgery is the opposite of a breast augmentation procedure. The doctor will use the incisions placed during the first augmentation surgery to remove the implants. The surgeon will then perform a cleaning of the implant pocket, particularly if a capsular contracture has occurred. The incisions will then be closed and sutured. If you decide to combine the explant surgery with a breast lift, your surgeon will first take out the implant through the original incision. Next, the surgeon will remove the excess skin, mammary tissue, and extra fat from the breasts in order to contour them and make them firmer and tauter. Lastly, the incisions will be closed. However, it is important to understand that after the revision surgery, your breasts will never retain the same aesthetic appearance. If you had the implants for only a few months, you will not be required to undergo a breast lift to correct any sagging. Also, if your implants are not very large and your skin has retained its elasticity, you can simply get your implants removed without worrying about sagging. Your skin will naturally restore to its original shape. However, there is no guarantee that your breasts will appear the same as before the augmentation surgery even after the explant procedure. Conclusion Your breasts will start to sag and become loose after the removal of breast implants. This is highly likely if you have had your implants for years or if your implants are very large and your skin has lost its elasticity. In most cases, patients are advised to have a breast lift surgery during or after the explant procedure. A breast lift will help fix the sagging after implant removal to a good degree. However, it will not provide you with the same breasts you had prior to the original breast augmentation procedure.