This is a common question and a personalized decision that Dr. Moon and Dr. Scurci will discuss with you in detail prior to creating an operative plan.  A combination of factors including the size of the implant removed, the volume of residual breast tissue, and the degree of ptosis (breast sagging) will help determine how to proceed.  If you and your surgeon determine that Implant Removal with a Breast Lift will best meet your aesthetic goals, the two surgeries will be performed concomitantly.  Your surgeon will plan incisions in a way that facilitates the removal of the breast implants through the same incisions used for the Breast Lift.