Explant with Breast Lift (Mastopexy) in Miami
Restoring Shape, Comfort, and Confidence After Breast Implant Removal
Why Consider a Breast Lift After Explant?
After implants are removed, the breast skin and soft tissue may appear looser, flatter, or deflated—especially if implants were large or in place for many years. A breast lift is designed to:
- Restore breast shape and contour
- Improve nipple position
- Remove excess skin
- Enhance symmetry
- Create a more natural, proportionate appearance
For many patients, a lift is the key to feeling confident and comfortable after explant surgery.
Who Is a Good Candidate?
You may be a strong candidate for explant with breast lift if you:
- Have stretched or lax breast skin after implants
- Notice sagging or downward‑pointing nipples
- Want improved shape without replacing implants
- Prefer a natural look and feel
- Have realistic expectations regarding scars and outcomes
Candidacy is determined during consultation based on anatomy, skin quality, implant history, and individual goals.
Dr. Dev Vibhakar, DO, FACS
Double Board-Certified Plastic & Reconstructive Surgeon
What the Procedure Involves
Explant with breast lift is typically performed in a single operation and may include:
- Implant removal
- Capsule management, when indicated
- Removal of excess skin
- Reshaping of breast tissue
- Repositioning of the nipple–areola complex, including areola resizing when appropriate
- Auto‑augmentation (repositioning your own breast tissue to restore fullness and projection), when suitable
- Repair and restoration of the pectoralis major muscle, when clinically indicated
The goal is to achieve a natural, supported breast shape while prioritizing tissue health, function, and patient safety.
Our Miami Surgical Experience
ENSŌ Plastic Surgery is discreetly located in the Four Seasons Millennium Tower on Brickell Avenue, offering a private and refined environment for advanced aesthetic surgery. Our practice combines surgical precision with a thoughtful, patient‑centered approach—ensuring care that feels as personal as it is elevated.
Auto‑Augmentation (Using Your Own Tissue)
In select patients, breast shape and fullness can be enhanced using your own breast tissue, a technique often referred to as auto‑augmentation. During the lift, existing tissue is reshaped and repositioned to improve projection and upper‑pole fullness without implants.
Auto‑augmentation may be appropriate when:
- There is adequate natural breast tissue
- The goal is a natural look and feel
- Tissue can be safely repositioned for long‑term shape
Scars and Incisions
All breast lifts involve incisions. The pattern depends on your anatomy and the amount of lift required. Dr. Dev’s approach emphasizes thoughtful scar placement, preservation of blood supply, and long‑term scar quality. Detailed scar‑care guidance is provided as part of your recovery plan.
Types of Breast Lifts and Scar Patterns
The technique is selected to achieve the best balance of shape, longevity, and scar placement.
Doughnut Lift (Periareolar Lift)
- Incision: Around the border of the areola
- Best for: Mild sagging and minor reshaping
- Scar pattern: Circle around the areola
Horizontal Lift
- Incision: Along the inframammary fold (breast crease) only
- Best for: Selected patients needing reshaping without significant nipple elevation
- Scar pattern: Thin line hidden in the breast crease
Lollipop Lift (Vertical Lift)
- Incision: Around the areola plus a vertical incision to the breast crease
- Best for: Moderate sagging requiring nipple elevation and contour improvement
- Scar pattern: Areola circle plus vertical line
Anchor Pattern Lift (Wise Pattern)
- Incision: Around the areola, vertical down to the fold, plus a horizontal crease incision
- Best for: Significant sagging and excess skin
- Scar pattern: Areola circle, vertical line, and crease line
The ENSŌ Breast Lift (Signature Technique)
- Incision: Around the areola and horizontally within the breast crease
- Key distinction: No vertical scar
- Best for: Selected patients seeking reshaping while avoiding a vertical incision
Extended Breast Lift
- Incision: Around the areola and along the breast crease, extending laterally toward the chest wall
- Best for: Significant laxity or excess tissue along the outer breast or bra‑line area
- Benefit: Enhanced contour of the breast and lateral chest wall
Recovery After Explant with Lift
Recovery is similar to explant surgery alone, with added attention to incision support and tissue healing:
- Compression garments as directed
- Activity restrictions to protect shape and healing
- Swelling and tightness are common early and improve gradually
- Many patients return to desk work within 7–10 days
Detailed postoperative instructions are provided for every patient.
Frequently Asked Questions
Schedule Your Consultation
If you are considering breast implant removal and want to explore whether a breast lift, auto‑augmentation, or extended lift may improve your result, a consultation with Dr. Dev Vibhakar will provide clear, individualized recommendations.
Request your private consultation here, or call our Miami office at (305) 918-1750 to speak with a member of our clinical team.
