Breast Implant Removal

Introduction to Breast Implant Removal

Breast implant removal is a surgical procedure that involves the removal of breast implants for various reasons. These reasons may include personal preference, medical complications, or the need to remove them due to a failed reconstruction. Breast implant removal can be a complex procedure that requires an experienced surgeon to ensure that the patient is left with minimal scarring and a natural-looking result. In this article, we will discuss the various reasons for breast implant removal, the different types of surgery, and what patients should expect before and after the procedure.

Reasons for Breast Implant Removal

There are several reasons why a patient may choose to undergo breast implant removal surgery. Some of the most common reasons include:

1. Personal Preference: Some women may wish to have their breast implants removed simply because they no longer desire to have them.
2. Medical Complications: Breast implants can sometimes cause medical complications such as infections, rupture, or capsular contracture (a condition where the body forms scar tissue around the implant, causing pain and deformation).
3. Failed Reconstruction: Breast implants may be removed as part of breast reconstruction when the original implant surgery was unsuccessful or complications arose.
4. Aging: Aging can cause the breast tissue to change, leading some women to want their implants removed or replaced.

It is important to discuss the reasons for breast implant removal with a skilled surgeon who can help patients make an informed decision about their options.

Types of Breast Implant Removal Surgery

There are a few different types of breast implant removal surgery that may be recommended depending on the patient’s individual needs:

• En Bloc Capsulectomy: This surgery involves removing both the implant and the capsule of scar tissue that has grown around it in one piece. This procedure is typically recommended for patients who have experienced complications with their implants, such as rupture or capsular contracture.
• Explantation: Explantation involves removing the breast implants without removing the capsule of scar tissue around them. This is often done in cases where the implant is intact and there are no complications, but the patient wishes to have the implant removed.
• Partial Capsulectomy: This procedure involves removing part of the capsule of scar tissue around the implant. This may be recommended for patients who have developed capsular contracture, but do not require a complete en bloc capsulectomy.
• Implant Replacement: Some patients may choose to have their implants removed and replaced with new ones. This may be recommended for patients who are experiencing complications with their current implants, or for those who wish to change the size or type of implant.

The type of breast implant removal surgery recommended will depend on the patient’s individual needs and the reason for removal.

Preparing for Breast Implant Removal Surgery

Prior to breast implant removal surgery, patients will need to prepare themselves both physically and mentally. Here are some steps patients should take before undergoing breast implant removal surgery:

1. Consultation: Patients should consult with a skilled board-certified plastic surgeon who has experience performing breast implant removal surgery to discuss the risks, benefits, and various options available.
2. Medical Evaluation: Patients should undergo a thorough medical evaluation to ensure they are healthy enough to undergo surgery.
3. Medications: Patients should inform their surgeon of any medications or supplements they are taking, as some may need to be temporarily stopped prior to surgery.
4. Smoking: Patients should stop smoking several weeks before surgery, as it can increase the risk of complications during and after the procedure.
5. Preparation: Patients should arrange for someone to drive them home from the procedure and assist them during the first few days of recovery.
6. Follow-Up Appointments: Patients should schedule follow-up appointments with their surgeon to monitor their progress after surgery.

By taking these steps, patients can help ensure that they are well-prepared for breast implant removal surgery and achieve the best possible results.

Breast Implant Removal Surgery Procedure

Breast implant removal is typically performed under general anesthesia and can take anywhere from one to three hours or more, depending on the complexity of the surgery. Here is what patients can expect during the procedure:

• Incision: The surgeon will make an incision, typically along the same incision site as the original implant surgery. However, in some cases, a new incision may be necessary.
• Implant Removal: The surgeon will carefully remove the implants, as well as any scar tissue or capsules that may have formed around them. They will check the integrity of the implants to ensure they are intact and not leaking.
• Closure: The surgeon will close the incisions with sutures, adhesive strips, or surgical tape, depending on the technique used.
• Dressing: The surgical site will be dressed with bandages and a compression garment may be placed to minimize swelling and bruising.

After the procedure is complete, patients will be moved to a recovery room and monitored for a short period before being released. In most cases, patients can go home on the same day as the procedure with the assistance of a caregiver.

Recovery after Breast Implant Removal Surgery

After breast implant removal surgery, patients will need to take some time to recover. Here are some things patients can expect during the recovery period:

1. Pain Management: Patients may experience some discomfort or pain after surgery, which can be managed with pain medication prescribed by the surgeon.
2. Activity Restrictions: Patients should avoid any strenuous activity, lifting, or bending for several weeks after surgery to allow for proper healing.
3. Dressings and Garment: Patients will need to wear a compression garment to help reduce swelling and bruising, and dressings may need to be changed periodically.
4. Follow-Up Appointments: Patients should attend all follow-up appointments with their surgeon to monitor their healing and ensure there are no complications.
5. Scarring: Scarring will occur, but the surgeon will make every effort to minimize the appearance of scars.
6. Final Results: The final results of the breast implant removal surgery may not be apparent for several weeks or months after the procedure, as the body needs time to heal and adjust.

Patients should carefully follow their surgeon’s instructions for post-operative care and contact their surgeon immediately if they experience any complications or concerns.

Possible Risks and Complications of Breast Implant Removal Surgery

Breast implant removal surgery is generally safe, but like any surgery, it comes with risks and potential complications. Some of the most common risks and complications include:

• Infection: Infection can occur as a result of the surgery and may require antibiotics or additional medical treatment.
• Bleeding or Hematoma: Patients may experience bleeding or hematoma, which is a collection of blood around the surgical site.
• Scarring: Scarring is inevitable with any surgical procedure, but the surgeon will take great care to minimize the appearance of scars.
• Changes in Breast Shape or Size: After breast implant removal surgery, patients may experience changes in breast shape or size due to the removal of the implant.
• Numbness: Numbness in the breast or surrounding areas is common after surgery but usually goes away with time.
• Capsular Contracture: There is a small risk that capsular contracture may reoccur after the implant is removed.
• Anesthesia Risks: General anesthesia carries a small risk of complications such as allergic reaction, respiratory problems, and heart attack.

Patients should discuss any concerns they have about the procedure with their surgeon prior to the surgery.

Cost of Breast Implant Removal Surgery

The cost of breast implant removal surgery can vary depending on several factors, including the surgeon’s fees, the type of anesthesia used, the complexity of the surgery, and the location of the surgery center.

According to the American Society of Plastic Surgeons, the average cost of breast implant removal surgery in the United States in 2020 was $2,357. This does not include the cost of anesthesia, operating room facilities, or other related expenses.

However, the final cost of breast implant removal surgery can vary greatly depending on the individual case, and patients should discuss the cost and payment options with their surgeon prior to the procedure.

In some cases, breast implant removal surgery may be covered by insurance if it is medically necessary. Patients should check with their insurance provider to determine if their plan covers the procedure.

Lifestyle Changes After Breast Implant Removal Surgery

After breast implant removal surgery, patients may need to make some lifestyle changes. Here are a few things patients should consider:

1. Exercise: Patients should avoid any vigorous activity for several weeks after surgery to allow for proper healing.
2. Clothing: Patients may need to change their wardrobe after breast implant removal surgery as their breast size and shape may change.
3. Sleep Position: Patients should avoid sleeping on their stomach for the first few weeks after surgery to avoid putting pressure on the surgical site.
4. Bra Support: Patients are encouraged to wear a soft, supportive bra to help reduce swelling and provide added support during the healing process.
5. Weight Gain or Loss: Weight gain or loss can affect the appearance of the breasts, so patients should strive to maintain a healthy weight to ensure the best possible outcomes.
6. Emotional Support: Breast implant removal surgery can be an emotional experience, so patients should seek emotional support from loved ones or a mental health professional as needed.

By following these guidelines, patients can help ensure the best possible results after breast implant removal surgery.

Conclusion

Breast implant removal is a surgical procedure that involves the removal of breast implants for various reasons. Patients may choose to undergo the procedure for personal preference, medical complications, failed reconstruction or due to aging. The surgery involves removal of the implants and scar tissue that may have formed around the implants. Recovery may take several weeks, and patients may experience some discomfort, swelling, and scarring. The cost of the procedure varies, and some insurance plans may cover it if it’s medically necessary. Overall, breast implant removal surgery can help patients feel more comfortable in their own bodies and improve their quality of life. Patients should consult with a skilled board-certified plastic surgeon to determine if breast implant removal surgery is right for them.

References:

1. American Society of Plastic Surgeons. (2021). Breast Implant Removal Cost. Retrieved from https://www.plasticsurgery.org/cost/breast-implant-removal.
2. American Society of Plastic Surgeons. (2021). Breast Implant Removal Surgery. Retrieved from https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal.
3. Mayo Clinic. (2020). Breast Implant Removal. Retrieved from https://www.mayoclinic.org/tests-procedures/breast-implant-removal/about/pac-20387314.
4. Breastcancer.org. (2021). Breast Implant Removal Surgery. Retrieved from https://www.breastcancer.org/treatment/surgery/implants/removal.
5. American Society of Plastic Surgeons. (2021). Breast Implant Removal: What Patients Need to Know. Retrieved from https://www.plasticsurgery.org/news/blog/breast-implant-removal-what-patients-need-to-know.”