What Is Breast Implant Explantation?

Breast implant explantation refers to the surgical procedure where breast implants are removed from the body. This procedure can be performed for various reasons, including implant complications, health concerns, or simply because a woman no longer wishes to have implants. The surgery typically involves making an incision along the original implant placement scar, removing the implant, and sometimes the surrounding capsule tissue that forms naturally around implants.

The complexity of explantation varies depending on several factors, including the type of implant (saline or silicone), how long the implants have been in place, and whether there are complications such as capsular contracture or rupture. In some cases, additional procedures like capsulectomy (removal of the capsule) or en bloc removal (removing the implant and capsule as one unit) may be necessary. Recovery time varies but generally takes 1-2 weeks before returning to light activities.

Reasons for Breast Implant Removal

Women choose to have their breast implants removed for numerous reasons. Some experience physical complications like capsular contracture, which causes the breast to feel hard and painful as scar tissue tightens around the implant. Others may develop implant rupture or leakage, which can lead to changes in breast shape and potential health concerns, especially with silicone implants.

Many women seek explantation due to symptoms collectively referred to as Breast Implant Illness (BII), including chronic fatigue, joint pain, cognitive issues, and autoimmune-like symptoms. While not officially recognized as a medical diagnosis by all authorities, many women report significant improvement in these symptoms after implant removal. Additional reasons include changes in aesthetic preferences, lifestyle changes, or simply no longer wanting the maintenance and monitoring that comes with having implants.

The Explantation Procedure Process

The explantation procedure typically takes 1-3 hours depending on complexity. Before surgery, patients undergo consultation and medical evaluation to determine the best surgical approach. The surgeon will discuss whether additional procedures like a breast lift might be beneficial to address potential skin laxity after implant removal.

During the procedure, the surgeon makes an incision, often through the original implant placement scar, to minimize additional scarring. After accessing the implant, it is carefully removed, along with partial or complete capsule removal if necessary. Some surgeons specialize in en bloc capsulectomy, where the entire capsule is removed intact with the implant inside, a technique some patients specifically request when concerned about silicone leakage or BII.

Following explantation, drains may be placed temporarily to remove excess fluid, and the incisions are closed with sutures. Patients typically wear a surgical bra or compression garment to reduce swelling and support the healing tissues. The procedure is usually performed under general anesthesia on an outpatient basis, meaning patients can return home the same day.

Provider Comparison for Explantation

When considering breast implant removal, choosing the right surgeon is crucial for optimal results. Below is a comparison of some providers specializing in explantation procedures:

Provider Specialization En Bloc Option Aesthetic Options
American Society of Plastic Surgeons Board-certified surgeons network Varies by surgeon Comprehensive
American Society for Aesthetic Plastic Surgery Aesthetic focus Available Advanced aesthetic solutions
American Board of Plastic Surgery Certification body N/A N/A

When selecting a surgeon for explantation, consider their experience specifically with implant removal, not just implant placement. Surgeons who regularly perform explantations, especially those familiar with en bloc techniques, may be better equipped to handle complicated cases or address BII concerns. Ask potential surgeons about their approach to capsule removal, aesthetic considerations post-explantation, and their experience with managing complications.

Many patients find value in consulting with multiple surgeons before making a decision. During consultations, discuss your goals, concerns, and whether additional procedures might be beneficial. Some surgeons offer virtual consultations for initial screenings, which can be helpful when researching options from different geographic areas.

Recovery and Aesthetic Considerations

Recovery from breast implant removal typically involves several phases. Immediately after surgery, patients experience swelling, bruising, and discomfort that gradually improves over the first week. Most can return to light activities within 1-2 weeks, though strenuous exercise should be avoided for 4-6 weeks. Complete internal healing takes several months, during which time the breast shape continues to settle.

One of the most common concerns with explantation is how the breasts will look afterward. The outcome depends on several factors including skin elasticity, breast tissue volume, implant size, and how long implants were in place. Some women experience significant skin laxity or volume loss following explantation. Breastcancer.org provides resources on post-explantation appearance expectations.

To address aesthetic concerns, some patients opt for fat grafting, where fat is transferred from another body area to the breasts to restore volume. Others choose mastopexy (breast lift) to address sagging. According to the FDA, which monitors breast implant safety, many women report satisfaction with their appearance after explantation, particularly when they've chosen surgeons skilled in preserving aesthetic outcomes. Recovery garments from providers like Marena can support healing tissues and improve comfort during recovery.

Conclusion

Breast implant explantation is a personal decision that requires careful consideration of health, aesthetic goals, and emotional well-being. While the procedure itself is generally straightforward, selecting the right surgeon and understanding what to expect during recovery are crucial steps. Many women report improved physical symptoms after explantation, especially those experiencing BII symptoms, though results vary by individual. Whether you're considering explantation due to complications, health concerns, or simply a change in preference, thorough research and consultation with qualified surgeons can help ensure the best possible outcome. Remember that post-explantation appearance continues to improve over time as tissues heal and adapt.

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This content was written by AI and reviewed by a human for quality and compliance.