Breast Implant Removal Surgery (Explant Surgery)

Did you know that breast implants have a lifespan? Breast implants typically last between 15 and 20 years (some may last longer), meaning old silicone or saline implants must be removed and replaced eventually. There are a variety of reasons that you may decide to remove your breast implants. Many women undergo breast implant removal due to medical complications, aesthetic concerns, or the desire for a more natural appearance, making this a common and relevant procedure.

Breast implant removal can address medical issues, old implants, and changes in breast appearance. Women decide to remove their implants for personal, aesthetic, or health reasons, including dissatisfaction with the results or simply no longer wanting breast implants. Your breasts can also change over time due to aging, breastfeeding, pregnancy, and weight changes.

It is essential to know the process of breast implant removal before pursuing breast augmentation operations. Consultation with a board-certified surgeon, like Dr. Richardson, is essential to determine whether a breast implant removal or capsular contracture treatment is right for you.

What is the Breast Implant Removal Procedure?

Breast implant removal is a surgical procedure that removes breast implants. During the operation, the implants will be removed as well as necessary scar tissue capsule and any leaked silicone (if there was a ruptured implant). Surgery to remove breast implants is typically an outpatient procedure, and general anesthesia is usually used for patient comfort and safety.

There are different types of capsulectomy procedures that may be performed during breast implant removal. A total capsulectomy removes both the implant and the entire scar capsule, often in one piece, especially when there are concerns about implant rupture or disease. A partial capsulectomy removes only some of the scar tissue surrounding the breast implant. A breast implant removal can also be combined with a breast lift to ensure you achieve the youthful breast appearance you desire. Both procedures can be performed in the same surgery, which may help tighten the stretched tissues left behind and potentially shorten recovery time.

Understanding Breast Implants

Breast implants are specialized medical devices designed to enhance or restore the size and shape of the breasts. They are most commonly used in breast augmentation, a cosmetic surgery procedure that increases breast size, or in breast reconstruction following mastectomy or injury. Breast implants are typically filled with either silicone gel or saline solution, each offering different benefits in terms of feel and appearance. The outer shell of the implant can be smooth or textured, and the choice between these types can affect both the look and the longevity of the results.

Understanding the characteristics of your breast implants is important, especially if you are considering breast implant removal surgery. Factors such as the type of implant, its placement within the breast tissue, and the length of time since your original surgery can all influence your surgical plan and recovery. Whether your goal is to remove breast implants for health reasons, to address complications, or simply to change your appearance, knowing the details of your original breast augmentation or breast reconstruction procedure will help you and your surgeon make informed decisions about implant removal surgery.

Who Should Consider Breast Implant Removal?

The most common issue that prompts breast implant removal is when capsular contracture occurs, causing pain and discomfort, though breast implant rupture also occurs. Contracturing is when scar tissue hardens around the implants, causing discomfort and pain. Other potential complications that may prompt removal include implant rupture, capsular contracture, and animation deformity. Animation deformity is a complication where the implant moves unnaturally or shifts during muscle movement, resulting in an undesirable appearance or physical distortion. Some women experience back or neck pain that may lead them to choose breast implant removal. Some individuals may develop breast implant illness, which can cause symptoms such as fatigue, joint pain, and cognitive issues, prompting removal of the implants.

What Happens During Breast Implant Removal?

First, your anesthesiologist will administer both IV sedation and general anesthetics to keep you relaxed and put you to sleep. During the procedure, Dr. Richardson will make an incision around the areola or under the lower fold of your breast. He will then remove the implants and scar tissue, including the surrounding tissues, if a capsulectomy is performed. If your implant was placed beneath the chest muscle, your surgeon may need to reposition or repair the chest muscle and surgically reattach it to the chest wall using dissolvable stitches.

After the procedure, Dr. Richardson will use stitches to close the incisions. The breast may be wrapped in gauze, or you may be given a support garment to wear. Surgical drains may be placed to drain excess fluid and help prevent complications. Recovery time can last from two to six weeks, depending on your individual situation.

What Results Can I Expect After Breast Implant Removal Recovery?

We will give you instructions after surgery, including how to clean incisions, how active you can be, when to take medications, and when to call your surgeon. During recovery, you will be instructed to wear a support bra or compression garment to help support your breasts and decrease swelling. Recovery time can last from two to six weeks or longer, depending on the individual.

Some patients may have drains placed underneath the skin. These tubes are used to drain excess fluid and blood from the body, helping to prevent complications such as seroma. Your doctor should take the drains out within a week after surgery.

If you are considering a breast implant revision or breast reconstruction and would like to ask questions, contact our office to schedule a consultation with one of our doctors.