Many patients are fully satisfied with the results of breast augmentation surgery for a long time. However, some are initially unhappy with their results. Other patients find that, over time, their breast implants no longer provide the breast appearance they desire.
Breast implant removal (explant surgery) is suitable for patients who have undergone a breast augmentation procedure and wish to restore their natural breasts.
Breast explant surgery is a type of breast revision surgery that involves the complete removal of your breast implants. As opposed to breast revision to replace your implants, this surgical procedure takes out your implants and does not replace them with new implants.
Patients may undergo this plastic surgery procedure if they feel that their augmented breasts are too large, they desire aesthetic changes, or their breast implants have been damaged.
During breast implant removal surgery, your surgeon will access the breast implant using the same incisions from your first procedure, if possible. If not, the most common breast revision incision location is along the inframammary fold along the bottom crease of the breast.
Your surgeon will then remove your implants. A capsulectomy technique may also be used to remove the scar tissue capsule from around the implants.
There are three capsulectomy options for breast explant surgery: partial, total, and en bloc.
This involves removing the implant and some of the scar tissue around the implant. It will leave some scar tissue behind to be reabsorbed by your body. Breast implant removal leaving part of the tissue capsule in place is the simplest and safest option.
A total capsulectomy involves removing all of the scar tissue within the breast along with the implant. The scar tissue is extracted in sections. This is necessary in cases where the scar tissue has hardened, become infected, or been coated with silicone.
This technique involves removing the implant and all the scar tissue around it as a single mass. This is a more difficult and complex operation, and it is rarely necessary.
Implant removal surgery is often combined with a breast lift to ensure your breasts are restored to a more natural, youthful appearance. Breast implant removal with breast lift techniques can minimize the issue of breast sagging.
This combination is especially beneficial for patients who had large implants or implants that were in place for many years. Large implants stretch the skin and may leave behind a sagging, deflated look. The longer the implants were in place, the less likely the breasts will naturally return to a youthful, perky shape.
Breast explant surgery causes minimal discomfort due to the use of general anesthesia during surgery. We will supply you with tips and instructions on keeping yourself comfortable and safe during your recovery.
You will require some TLC at home and a few follow-up appointments with your surgeon to monitor your healing and any breast implant removal side effects.
Most patients can return to their normal daily activities in about one week. They may resume full activity, including exercise, in three to six weeks.
Patients will usually have drains placed to reduce fluid buildup as they heal. These are generally removed a few to several weeks after surgery.
However, every patient’s breast implant removal recovery time is different depending on the extent of their surgery. Your Advanced Aesthetics surgeon will discuss what to expect from your breast implant removal recovery in more detail as you prepare for your procedure.
Most patients will see immediate results after their implants are removed. However, swelling will occur for two to four weeks, which may conceal the new breast contours. Around the six-week mark, most patients’ breast tissue will settle into their new contours.