Breast Implant Removal

Breast implant removal is a surgery to take out silicone or saline implants. It may be done because you no longer want the implants or due to complications, such as hardened scar tissue causing capsular contracture.

About Breast Implant Removal (Explant)

Overview

Breast implant removal is a surgical procedure aimed at the extraction of breast implants. During this operation, the surgeon may also excise scar tissue or silicone resulting from implant leakage.

Patients may request the removal of their existing implants with the intention of replacing them with new ones, or they may decide to forego implants altogether. In certain instances, individuals may require this surgery due to complications associated with their implants.

Indications for Breast Implant Removal

Breast implants are not designed to last indefinitely. The American Society of Plastic Surgeons advises that individuals with breast implants consider removal or replacement every 10 to 15 years. However, if a patient has not experienced any complications, their plastic surgeon may not recommend removal.

Individuals may choose to undergo breast implant removal for various reasons, particularly if the appearance of their breasts has altered since the initial augmentation. Factors contributing to changes in breast appearance may include:

– Aging
– Breastfeeding
– Pregnancy
– Fluctuations in weight

 

Advantages

Benefits of the removal or replacement of breast implants may be deemed medically necessary. The most prevalent indication for implant removal is the development of capsular contracture, a condition characterized by the hardening of scar tissue surrounding the implants. This condition can result in pain, discomfort, or alterations in the appearance of the breasts.

Additional reasons for considering implant removal may include:

– Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), a rare form of cancer that manifests in the scar tissue surrounding an implant. BIA-ALCL is primarily associated with textured implants; therefore, it is advisable to consult your plastic surgeon to ascertain whether you have previously received textured implants.
– Accumulation of calcium deposits around the implant.
– Leakage of the implant.
– Displacement or shifting of the implant.

Pros

– Mammograms: Implants can obscure breast tissue visualization during X-ray. Removal may enhance clarity of mammogram results.

-Pain Relief: Removal can alleviate discomfort from capsular contracture.

– Risks of Replacement and Rupture: Hardening of scar tissue increases implant rupture risk.

Cons

– Potential risks of breast implant removal include dissatisfaction with aesthetic appearance post-procedure.
– Additional complications may include:
– Hemorrhaging
– Asymmetry
– Seroma (accumulation of bodily fluid in the implant cavity)
– Infection
– Excessive skin laxity
– Numbness or changes in nipple sensation
– Scarring

What to Expect

Prior to the removal of breast implants, your healthcare provider will provide you with specific instructions to facilitate your preparation for the procedure. You may be required to:

– Adjust your current medications or initiate new ones as directed.
– Avoid medications that may increase the risk of bleeding, including anti-inflammatory drugs and certain herbal supplements.
– Cease smoking or using tobacco products.

Typically, breast implant removal is conducted as an outpatient procedure, allowing you to return home on the same day. It is essential to arrange for transportation to ensure your safe return after the operation.

What occurs during the breast implant removal procedure?

At the time of surgery, an anesthesiologist, a physician specialized in pain management, will administer medication to ensure your comfort throughout the procedure. This may involve:

– Intravenous (IV) sedation to promote a state of calm and relaxation.
– General anesthesia to induce a sleep-like state.

During the operation, your surgeon will:

– Make an incision either around the areola (the darker skin surrounding the nipple) or beneath the lower fold of the breasts (inframammary fold).
– Remove the implants along with any associated scar tissue.
– If applicable, place new implants as part of an implant replacement.
– Utilize stitches, adhesive tapes, or skin adhesives to close the incisions.

Recovery

Throughout the recovery period, which may last several weeks, it is advisable to wear a specialized support bra or a compression garment to mitigate swelling.

Additionally, small tubes, referred to as drains, may be inserted beneath the skin. These drains facilitate the removal of excess fluid or blood. Typically, these drains are removed after a few days; however, they may remain in place for up to 10 days or longer if necessary.

It is advisable to restrict strenuous activities and avoid heavy lifting. It is common for individuals to experience tenderness or soreness for a duration of up to six weeks.

Results

Will my breasts experience sagging following implant removal?

The presence of breast implants causes the skin to stretch in order to accommodate the increased volume of the breasts. Consequently, after the removal of the implants, it is possible that the breasts may sag, droop, or appear misshapen.

Many individuals opt to undergo implant removal in conjunction with a breast lift (mastopexy). During this procedure, the surgeon excises excess skin and reshapes the breast tissue. If necessary, the surgeon may also reposition the nipple and areola. The outcome is typically firmer, more elevated breasts.

Safety Profile

When considering anesthesia and surgery, it’s crucial to recognize the potential risks involved. Common risks include adverse reactions to medications, breathing difficulties, and complications such as bleeding, blood clots, or infections.

For those specifically contemplating ex-plant breast surgery, additional risks include challenges with breastfeeding, changes in nipple sensation, and the possibility of scarring, which can vary in visibility and texture. There may also be concerns regarding nipple alignment and breast symmetry. 

Cost

According to the most recent statistics from the American Society of Plastic Surgeons, the average cost of breast implant removal surgery is $3,979. It is important to note that this average cost represents only a portion of the total expenditure, as it does not encompass additional expenses such as anesthesia, operating room facilities, or other related costs.

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