Patients who decide to have breast augmentation surgery rarely expect they will be removing their breast implants down the road. However, approximately 40,000 women choose to do just that every year.
The reasons for these removals vary and include: unacceptable aesthetic result, capsular contracture, implant shifting, rupture, deflation, rippling, or asymmetry.
Whatever the reason, double board-certified plastic surgeon, Jonathan C. Weinrach, MD FACS offers breast implant removal to resolve these issues and improve breast and overall body contour.
Preparing for Breast Implant Removal Surgery
During your consultation, Dr. Weinrach will carefully listen to your concerns, review your medical and surgical history, examine you, and then formulate the best possible plan to achieve your goals.
What Should You Expect with a Breast Implant Removal?
A straightforward breast implant removal surgery lasts approximately one hour using general anesthesia. Dr. Weinrach can almost always use the same incisions as the initial breast augmentation procedure to remove the implants. Other procedures may be done as well after breast implant removal.
Capsular contracture, if present, can be removed with a capsulectomy. The capsule can be removed in one of two ways: either after removal of the implant or together with the implant (En-Bloc). An En-Bloc capsulectomy requires much longer operating room time and incisions resulting in longer scars compared to a standard implant removal and capsulectomy. Simple breast implant removals in women with soft breasts and normal capsules do not need capsulectomies.
Dr. Weinrach is dedicated to helping patients achieve their aesthetic goals through an individualized approach to patient care and commitment to safety. His extensive experience and unique skill set produces long-lasting, natural looking results.
Breast Implant Removal Recovery
Recovery varies based on the extent of the procedure done to treat the problem. A straighforward breast implant replacement, is a relatively short and easy procedure with minimal downtime; the addition of procedures such as capsulectomy or breast lift may add a bit more to the recovery, although rarely is more than a few days off of work ever needed. Dr. Weinrach will provide you with all activity and medication recommendations needed to make you recovery proceed as smoothly as possible.
Breast Implant Removal Benefits
Visible improvement is immediate and results continue to evolve over time. A supportive bra is worn during healing and after to maintain the best possible breast contour.
With the passage of time, preferences change. Implants chosen years if not decades in the past may not be suitable with current body image. Breast implant removal or replacement may be the perfect solution to create a breast appearance more in tune with current lifestyles.
Most women are incredibly relieved to replace rippled, firm, and overly large or small implants with smooth, soft, natural-feeling implants of more appropriate size. For those women who have decided they no longer wish to have breast implants, breast implant removal is the perfect solution.
breast implant removal faqs
Recovery time varies somewhat depending on the person as well as the extent of the procedure performed. Recovery time can be very minimal after a straightforward breast implant removal with a return to normal activity in a day. Capsulectomy can increase recovery time depending if it is done on one side or both, and if a new pocket location is created for placement of a new implant, recovery time can also lengthen. For cases of bilateral implant removal and replacement with bilateral capsulectomy and creation of a new submuscular pocket for placement of new breast implants, it is recommended to keep activity light for 3 weeks and no weight bearing exercise for 6 weeks.
Yes, this is commonly done.
It is not possible to show you or predict exactly what your breast will look like after implant removal. Removing the breast implant will obviously decrease the volume of your breast by the exact amount of volume in the implant. The question is how will the skin respond. This is unpredictable and differs based on genetics and the quality of the existing skin. Younger patients with good genetics and thick elastic skin without stretch marks may have skin that simply reverts back to the pre-breast augmentation state. Older patients with unfavorable genetics and thin, stretched out inelastic skin with stretch marks may have a very deflated appearance with folds of excess skin.
Usually drains are not used after breast implant removal. Drains may be used if a capsulectomy is also done.
It is uncommon for any kind of muscle repair to be necessary during a breast implant removal.
In the situation of a capsulectomy for a routine capsular contracture when there is no suspicion of a malignancy (cancer), the decision is usually left to the patient whether or not to send the capsule for pathologic examination. Although it is ideal to have any tissue removed examined by a pathologist, this does involve added expense and some patients would rather not incur this expense.
If there is any suspicion or concern for a malignancy (cancer) then the capsule is sent for examination by a pathologist.