Breast Implant Removal

What Is Breast Implant Removal?

Breast implant removal is a surgical procedure to extract previously placed breast implants for medical or personal reasons.

As specialized physicians in treating skin and related conditions, dermatologists are crucial in addressing and treating individuals considering breast implant removal.

The most common reasons for breast implant removal include

• Implant leakage or rupture
• Skin complications due to infections or abnormal scar tissue around the implant
• Pain or discomfort
• Implant hardening
• A change in aesthetic preferences, including a desire for a smaller size or a return to natural breasts.
• Pregnancy and breastfeeding
• Concerns about long-term health and wellness effects

Things to Consider Before You Remove Breast Implants

Before undergoing breast implant removal, there are several key factors to consider, including

• Reason for removal
• Personal health and wellness goals
• Current health and medical history
• Implant condition
• Alternative treatment options
• Risks and complications
• Recovery and downtime requirements
• Cost and Insurance coverage
• Emotional and psychological Impact

If you’re on the fence about whether you should get a breast explant, we can help. Our team of skilled cosmetic dermatologists is here to discuss your concerns, assess your implant’s conditions, and explore the best options for you.

The Breast Implant Removal Procedure

The breast implant removal process is a carefully planned surgical procedure that begins with a consultation with a qualified plastic surgeon or breast specialist.

The surgical method of breast implant removal involves two standard techniques

1. En bloc removal involves the removal of the implant and the surrounding scar tissue capsule as a single unit. This technique is typically used when there is concern about implant rupture or if the patient desires complete removal, especially in textured implants.
2. Capsulectomy involves the removal of the implant along with the surrounding capsule, but it allows for separate removal of the capsule and implant. This technique may be employed when the capsule needs to be examined separately or if it is necessary to address complications like capsular contracture.

Breast implant removal can be performed through various surgical approaches, including

• inframammary incision (under the breast)
• periareolar incision (around the areola)
• transaxillary incision (in the armpit)

The choice of approach depends on the patient’s anatomy and surgical goals.

Once the type of procedure and incision placement are determined, your surgery will be scheduled.

On the day of the procedure, you’ll be placed under general anesthesia to ensure your comfort throughout the surgery. The surgeon will make an incision and carefully remove the breast implants. The incisions are meticulously closed after removing the implant and capsule to minimize scarring.

Post-operatively, you’ll receive instructions for managing pain and promoting healing, and follow-up appointments will be scheduled to monitor your progress.

Breast Explant Recovery and Aftercare

The expected recovery process after breast implant removal varies from person to person but generally follows a common timeline.

Immediately following surgery, a hospital stay is required to promote rest and monitoring to ensure a safe awakening from anesthesia. Pain, swelling, and bruising are the most common symptoms after surgery.

During the first week following surgery, discomfort is managed with prescribed pain medications. Patients should avoid strenuous activities and follow their surgeon’s activity restrictions.

Swelling begins to subside, and discomfort decreases after two to four weeks. Most patients must continue to avoid heavy lifting and vigorous exercise.

Most postoperative symptoms resolve after six weeks. At this point, patients can gradually resume normal activities as guided by your surgeon and team of doctors.

Following your surgeon’s or dermatologist’s instructions for incision care is crucial throughout your recovery process. Keep the incisions clean and dry, and avoid exposing them to direct sunlight during the early healing stages.

It is essential to maintain optimal skin health to promote fast and effective healing.

Some of the best ways to take care of your skin during and after healing include

• Using a mild, fragrance-free cleanser to keep the incision areas clean and avoiding harsh or scented soaps that can irritate the skin.
• Applying a hypoallergenic, non-comedogenic moisturizer to keep the skin hydrated. This helps prevent dryness and itching.
• Protecting your incisions from direct sunlight by applying sunscreen or covering them with clothing when going outside. UV exposure can darken scars.
• Avoiding products that contain alcohol, fragrances, or harsh chemicals on or around the incision sites, as they can irritate the skin.
• Maintaining a balanced diet and staying hydrated to support overall skin health and optimal healing.

Potential Complications and Risks After Breast Implant Removal

Breast implant removal, like any surgical procedure, carries potential risks and complications. It’s important to be aware of these possibilities before and after your procedure.

The most common risks include

• Infection
• Excessive bleeding or the formation of a hematoma
• Seroma formation (accumulation of fluid)
• Scarring
• Changes in skin texture, such as roughness or irregularities
• Skin color changes
• Delayed wound healing

Dermatologists are essential in monitoring and managing skin-related complications following breast implant removal. They can offer expertise in diagnosing and treating skin issues, providing guidance on scar management, addressing skin texture or color changes, and recommending skincare routines and products to optimize skin health during recovery.

Breast Explant Rejuvenation Options

After breast implant removal, many individuals may seek non-surgical skin rejuvenation options to enhance the appearance of the chest area.

Several treatments can help improve skin texture, tone, and overall appearance, including

• Non-Surgical Skin Tightening procedures use various technologies, such as radiofrequency (RF) or ultrasound, to stimulate collagen production and tighten loose skin.
• Dermal Fillers can address volume loss and fine lines in the chest area. Hyaluronic acid-based fillers like Juvederm or Restylane can add subtle volume and smooth out wrinkles, creating a rejuvenated look. Fillers can also improve the appearance of décolletage lines.
• Laser Treatments, such as intense pulsed light (IPL), can target skin irregularities like sun damage, age spots, and uneven skin tone. These procedures stimulate collagen production and promote skin renewal.
• Chemical Peels involve the application of a chemical solution to exfoliate the outer layer of the skin. They can improve skin texture, reduce the appearance of fine lines and wrinkles, and enhance overall skin tone. Light to medium-depth peels are often used on the chest area.
• Microdermabrasion is a minimally invasive procedure that exfoliates the skin’s surface, helping to remove dead skin cells and stimulate collagen production. It can improve skin texture and reduce the appearance of sun damage and scarring.
• Platelet-Rich Plasma (PRP) Therapy involves using the patient’s platelet-rich plasma to stimulate collagen production and rejuvenate the skin. It can be applied to the chest area to improve skin texture and tone.
• Topical, Medical-Grade Skincare Products containing ingredients like retinoids, antioxidants, and growth factors may be recommended to promote skin health and rejuvenation.

Before starting or changing your skin care regimen, it is essential to consult with one of our board-certified dermatologists or skincare specialists to discuss which non-surgical rejuvenation options are best for your specific skin post-surgery.

Frequently Asked Questions About Breast Implant Removal

Need Guidance on a Breast Explant? Schedule an Appointment

If you’re considering breast implant removal, our dermatologists offer valuable insights and innovative services to maintain skin health and appearance post-explant, providing expertise in skincare routines and treatments tailored to each patient’s unique needs.

Collaborating with plastic surgeons and breast health specialists, our dermatologists contribute to a comprehensive and personalized approach to breast implant removal, focusing on skin health and aesthetics to achieve the best possible patient outcomes.