Women with breast implants are increasing in numbers with concerns ranging from possible implant rupture to local breast discomfort secondary to symptomatic capsular contracture and possible association with systemic illness. In cases where implants are removed, breast may result in unfavorable appearances. Mastopexy without reinsertion of implant can be an option in these patients. Ten patients were reviewed, all of them had undergone cosmetic breast augmentation and had the implants removed accompanied by mastopexy. Preoperative and postoperative photographs of all patients were randomly mixed and rated by two surgeons. Also, satisfaction of patient was rated by the patient themselves in five-point scoring method. The patients showed favorable result scores. In many of these cases, the post-removal appearance in conjunction with mastopexy actually results in high satisfaction. This present study allows the authors to offer patients an optimistic view of postoperative results following breast implant removal. The authors have begun to advise selected patients that implant removal accompanied by mastopexy provides a more pleasing aesthetic outcome than implant removal alone.