Breast implants add volume to the breasts. To accommodate this volume, the skin and breast tissues will stretch out. When an implant is removed, the skin and breast tissues are unlikely to contract to their original shape and size. The breasts may appear deflated. Breast lift after implant removal reshapes the breasts. It eliminates the sagging and deflation that is so common after breast implant removal. Generally, the larger the breast implants, the more dramatic the effects on breast shape after removal. At times fat grafting can be used to help add volume and reshape the breast. These secondary procedures such as a breast lift and fat grafting can be done immediately after explant or in a delayed fashion. This is up to the patient. Many patients want to avoid secondary procedures and prefer to have everything done at once to limit a return to the operating room.