Understanding Breast Implant Removal
Breast implants remove is a surgical procedure an increasing number of women are choosing. Whether for discomfort, health concerns, or a personal change, understanding the procedure is the first step toward an informed decision.
Quick Answer: Top Reasons for Breast Implant Removal
- Capsular contracture – Hardening of scar tissue around the implant causing pain or distortion
- Implant complications – Rupture, leaking, or shifting of implants
- Health concerns – Breast Implant Illness (BII) symptoms or BIA-ALCL diagnosis
- Lifestyle changes – No longer wanting implants or desiring a different size
- Implant age – Implants typically need removal or replacement every 10-15 years
While breast augmentation is popular, implants aren’t permanent. The American Society of Plastic Surgeons recommends removal or replacement every 10 to 15 years. Some women face complications sooner, while others find their implants no longer suit their lifestyle.
Explant surgery can be done alone or with a breast lift or fat grafting. The surgeon removes the implants and often the surrounding scar tissue capsule that forms naturally around any implant.
Recovery takes two to six weeks, varying with the surgical complexity. Many women report relief from symptoms they hadn’t linked to their implants.
The decision to remove breast implants is deeply personal. Whether for medical reasons or a desire to return to your natural size, understanding the process helps you move forward with confidence.
Why Consider Breast Implant Removal?
While many women enjoy their augmented breasts for years, the decision to remove them is common. This can be due to the natural aging of the implants, personal preferences, or health concerns. Breast implants are not lifelong devices; the American Society of Plastic Surgeons (ASPS) recommends removal or exchange every 10 to 15 years as they can wear out, rupture, or cause other issues. Beyond their lifespan, various complications or health-related concerns can prompt a woman to seek breast implants remove surgery.
Main Reasons to Have Breast Implants Remove
Here are the primary reasons why someone might choose to undergo breast implants remove surgery:
- Capsular Contracture: The most common complication, where the natural scar tissue capsule around the implant hardens and tightens. This can cause pain, distortion, and a firm, unnatural feeling.
- Implant Rupture or Leak: Implants can be damaged. A saline rupture causes obvious deflation, while a silicone rupture may be “silent” and require an MRI to detect. Symptoms include changes in breast size or shape, pain, or firmness. Removal is crucial to address the leak.
- Implant Shifting or Displacement: Over time, an implant might move from its original position, leading to asymmetry or an unnatural appearance.
- Pain or Discomfort: Some women experience chronic breast pain or tenderness, even without a clear complication, which can significantly impact their quality of life.
- Dissatisfaction with Size or Shape: Aesthetic preferences change. A woman may feel her implants are too large or no longer fit her body image or lifestyle.
- Lifestyle Changes: Major life events or a desire for a more natural look can lead women to decide implants no longer suit them.
- Aesthetic Flat Closure: Following a mastectomy and reconstruction, some women may later prefer a smooth, flat chest contour after implant removal.
For those considering a change, exploring options like breast revision can be a valuable step. More information can be found on our page dedicated to Breast Revision.
Health Concerns: BII and BIA-ALCL
Significant health concerns can also necessitate breast implants remove surgery. Two of the most discussed are Breast Implant Illness (BII) and Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL).
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Breast Implant Illness (BII): This term describes a wide range of systemic symptoms reported by some women with either silicone or saline implants. While a diagnostic test for BII does not currently exist, many patients report significant symptom improvement after implant removal.
Common BII Symptoms include:
- Chronic fatigue and low energy
- Joint and muscle pain
- Brain fog or difficulty concentrating
- Skin rashes or hair loss
- Anxiety or depression
- Sleep disturbances
- Headaches
- Breathing or gastrointestinal issues
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Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL): This is a rare immune system cancer (T-cell lymphoma) that develops in the scar tissue around an implant. It has been primarily linked to textured breast implants, many of which have been recalled. The U.S. Food and Drug Administration (FDA) has issued safety warnings about this condition. It’s crucial to consult a plastic surgeon if you have textured implants. You can find more information from the FDA at their communication on Reports of Squamous Cell Carcinoma and Various Lymphomas in Capsule Around Implants.
It’s important to differentiate BIA-ALCL from breast cancer. BIA-ALCL is a lymphoma affecting the immune system cells around the implant, not the breast tissue itself.
Considering these reasons, it’s clear why breast implants remove surgery is a procedure many women in Scottsdale, Phoenix, and across Arizona consider.
The Breast Implants Remove Procedure: What to Expect
Understanding the breast implants remove procedure is key to a smooth experience. The surgery involves several stages, from consultation to recovery, and we prioritize your safety and comfort using advanced, personalized techniques.
Types of Explant Procedures and Capsulectomy
When performing breast implants remove surgery, we also address the scar tissue capsule that forms around them. The approach to this capsule defines the type of explant procedure:
- Implant Removal Only: This is less common and only an option if the capsule is thin and healthy. Just the implant is removed.
- Capsulectomy: This is the surgical removal of the scar tissue capsule. There are two primary types:
- Total Capsulectomy: The surgeon removes the implant first, then carefully removes the entire scar tissue capsule.
- En Bloc Capsulectomy: Considered the most comprehensive method, especially for ruptured silicone implants or BIA-ALCL concerns. The implant and capsule are removed together as a single, intact unit. This minimizes contamination but isn’t always feasible if the capsule is adhered to the chest wall.
The most appropriate technique for your situation will be discussed during your consultation.
| Feature | Total Capsulectomy | En Bloc Capsulectomy |
|---|---|---|
| Removal Method | Implant removed first, then capsule in pieces | Implant and capsule removed together as one intact unit |
| Primary Goal | Remove all scar tissue | Remove implant and capsule without breaching the capsule |
| Indication | General capsule removal, less complex cases | Ruptured silicone, suspected BIA-ALCL, biofilm concerns |
| Feasibility | Generally highly feasible | May not be possible if capsule is very thin or adhered |
| Contamination | Risk of spillage if implant ruptured before removal | Minimizes risk of spillage from ruptured implant/biofilm |
| Recovery | Similar to en bloc, depends on extent of dissection | Similar to total, depends on extent of dissection |
For those considering comprehensive options after implant removal, you can learn more on our Breast Reconstruction page.
The Surgical Process Step-by-Step
Here’s a general overview of what happens on the day of your breast implants remove surgery:
- Pre-operative Preparation: You’ll receive detailed pre-op instructions, including medication adjustments, stopping smoking, and arranging for transportation home. Prescriptions should be filled in advance.
- Anesthesia Administration: General anesthesia is typically used, administered by a board-certified anesthesiologist. The surgery takes one to three hours, during which you are asleep and continuously monitored for safety.
- Incision Placement: Incisions are made in inconspicuous locations, such as the breast fold (inframammary) or around the areola, to minimize scarring. Your surgeon will discuss the best option for you.
- Implant and Capsule Extraction: The surgeon removes the implant and scar tissue capsule using the chosen capsulectomy technique. The area is cleaned of any leaked material, and muscle repair may be performed if needed.
- Use of Surgical Drains: Temporary surgical drains may be placed to remove excess fluid, reduce swelling, and aid healing. They are typically removed within a week.
- Closing the Incisions: Incisions are closed with sutures or surgical adhesives to create the neatest possible scar.
- Immediate Post-op: You will be monitored in a recovery room post-surgery. A support bra will be applied to reduce swelling. Once stable, you’ll be discharged with detailed care instructions.
We are committed to providing a safe and comfortable experience for all our patients in Scottsdale, Phoenix, and the wider Arizona area.
Recovery and Aesthetic Outcomes
Recovery after breast implants remove surgery is a crucial phase for healing. It’s important to have realistic expectations about the aesthetic changes to your breasts.
What are the cosmetic outcomes when you have breast implants remove?
The appearance of your breasts after implant removal depends on implant size, time in place, and your skin elasticity. Common outcomes include:
- Volume Loss and Sagging (Ptosis): Removing implants results in lost volume. The skin, having been stretched, may not fully retract, leading to a “deflated” or sagging appearance. This is more pronounced with larger implants or poor skin elasticity.
- Asymmetry and Nipple Position: Some degree of asymmetry is normal. Sagging can also cause the nipples to point downwards or sit lower on the breast.
- Improvement Over Time: The final result is not immediate. Swelling will decrease and tissues will settle over several months, leading to a more natural shape.
We will review before-and-after photos during your consultation to help you visualize potential outcomes.
Recovery Timeline
Recovery from breast implants remove surgery can last from two to six weeks, depending on the extent of the surgery.
- First Few Days: Expect tenderness, swelling, and manageable pain. Rest is essential, and you will need assistance at home. A support bra is required.
- Weeks 1-2: Avoid strenuous activity, heavy lifting, and driving. Drains, if used, are typically removed during a follow-up appointment.
- Weeks 3-6: Pain should subside, and you can gradually resume light activities. Some soreness may persist.
- Months 3+: Scars will continue to fade and soften. Your breasts will settle into their final shape. Follow all scar care instructions.
Options After Explant: Lifts, Fat Grafting, and More
To address sagging and volume loss after breast implants remove surgery, several aesthetic options are available for our patients in Scottsdale, Phoenix, and Arizona:
- Breast Lift (Mastopexy): Often performed with implant removal, a Breast Lift corrects sagging by removing excess skin and repositioning breast tissue and the nipple for a more youthful contour. You can explore the Benefits of a Breast Reduction & Lift Surgery on our blog.
- Fat Grafting to Breast: To restore some volume naturally, fat can be taken from another part of your body via liposuction and injected into the breasts. This improves shape and fills out deflated areas.
- Going Flat (Aesthetic Flat Closure): Some women opt for a smooth, flat chest contour after implant removal. This is a specialized procedure known as aesthetic flat closure.
- Replacing with New Implants: Some patients choose to replace old implants with new ones of a different size or type as part of a breast revision surgery.
We will work with you to understand your goals and recommend the best approach for a satisfying result.
Key Considerations: Risks, Costs, and Finding a Surgeon
Starting on breast implants remove surgery requires considering the risks, costs, and choice of surgeon. We provide transparent information to help patients in Scottsdale, Phoenix, and Arizona make informed decisions for their health.
Potential Risks and Complications
Like any surgery, breast implants remove has potential risks. While we take every precaution, it’s important to be aware of them:
- General Surgical Risks: These include adverse reactions to anesthesia, bleeding (hematoma), fluid collection (seroma), and infection.
- Aesthetic and Sensory Risks: Potential complications include scarring, changes in nipple or breast sensation, breast asymmetry, and loose or sagging skin.
- Dissatisfaction and Revision: There is a risk of dissatisfaction with the cosmetic outcome, which may necessitate a future revision surgery. Scientific research highlights the importance of proper technique to prevent complications.
We will discuss all potential risks in detail during your personalized consultation.
What is the average cost of breast implant removal surgery, and does insurance typically cover it?
The cost of breast implants remove surgery varies based on the procedure’s complexity (e.g., including a capsulectomy or lift), surgeon’s fees, and facility costs. The American Society of Plastic Surgeons (ASPS) notes the average surgeon’s fee is around $2,641, but this excludes anesthesia, facility fees, and other expenses. The total breast implant removal cost can range from approximately $6,400 to over $21,900.
Insurance coverage depends on medical necessity. Coverage is more likely for documented implant rupture, severe capsular contracture (causing pain or distortion), or a BIA-ALCL diagnosis. Removal for purely cosmetic reasons is typically not covered. The Women’s Health and Cancer Rights Act (WHCRA) may also apply to patients who had reconstruction after a mastectomy. We will provide a detailed cost breakdown during your consultation.
Choosing a Qualified Plastic Surgeon
Selecting the right plastic surgeon for your breast implants remove surgery is the most critical decision you will make. Here’s what to look for in Scottsdale, Phoenix, or anywhere in Arizona:
- Board Certification: Ensure your surgeon is board-certified by the American Board of Plastic Surgery, which signifies rigorous training and high standards. You can find a board-certified plastic surgeon through the ASPS directory.
- Experience in Explant Surgery: Ask about their specific experience with explant surgery, including total and en bloc capsulectomy techniques.
- Before-and-After Photos: Look at their portfolio of explant surgery before-and-after photos to see their aesthetic results.
- Patient Reviews: Read patient reviews to gauge patient care and satisfaction.
- Comprehensive Consultation: A quality consultation should be thorough, with the surgeon listening to your goals, explaining the procedure in detail, and being transparent about risks and costs.
- Personal Connection: Choose a surgeon you trust and with whom you feel comfortable communicating openly.
Dr. Marc Malek provides plastic surgery in Scottsdale with a personal, artistic approach focused on patient comfort and beautiful, natural outcomes. Choosing our team for your breast implants remove procedure means choosing a dedication to your safety and satisfaction.
Conclusion: Your Path Forward
Deciding on breast implants remove surgery is a significant personal choice. Whether for medical reasons, comfort, or a desire for change, understanding the process is paramount.
This guide has covered the reasons for removal—from complications like capsular contracture to health concerns like BII and BIA-ALCL. We’ve detailed the surgical process, recovery, aesthetic outcomes, risks, costs, and how to select a qualified surgeon.
The journey to breast implants remove is personal, and realistic expectations are key. A consultation with a skilled plastic surgeon is the most crucial step for creating a personalized plan and discussing your goals.
At Marc Malek MD, we are committed to providing exceptional care for women in Scottsdale, Phoenix, and throughout Arizona considering breast implants remove surgery. Dr. Marc Malek combines his artistic eye with meticulous surgical technique to help you achieve results that promote your overall well-being.
If you’re ready to explore your options, we invite you to connect with us. Let us guide you through this important decision with compassion and expertise.
Schedule your breast revision consultation today and start on your path forward with confidence.