Breast implants are designed to be long-lasting, but certain complications may occur. This can include capsular contracture or implant rupture, for example. In addition, some patients simply are no longer happy with the appearance of their breast implants, and wish to exchange them for a smaller size or no longer have breast implants at all. Whatever the reasons, Dr. Ourian, one of the best breast explant surgeons Los Angeles has to offer, can safely and effectively perform your breast explant surgery.

What is a Breast Implant Removal? What is en bloc capsulectomy?

Breast implant removal, or breast explant surgery, is a procedure to remove unwanted or damaged breast implants. In addition to the breast implant itself, Dr. Ourian may need to remove silicone material which has leaked out of the implant shell if it was previously ruptured. A “capsule” is normal scar tissue that forms around the breast implant after the initial breast augmentation. This is the body’s normal response to the presence of an implant.  In addition to breast implant removal, some patients may wish to have an en bloc capsulectomy, also called total capsulectomy, en bloc explant or en bloc surgery. During this procedure, the previously placed implant, as well as the entire capsule that surrounds the implant is removed.  Regardless of where you received your initial breast augmentation, Dr. Ourian can perform your breast implant removal.

Breast Implant Removal

At A Glance

Average Cost: Call Us

Surgery Length: 1-3 Hours

Recovery Time: 3 - 5 Days

Anesthesia: General

Who is a Good Candidate for Breast Implant Removal?

So long as you are generally healthy, most patients who have breast implants are suitable candidates for breast implant removal. There are several reasons why patients require or choose to have their breast implants removed.

Rupture

Although breast implants are designed to be long lasting, some may rupture and cause symptoms. If the implants are filled with silicone, any silicone that leaks will remain within the breast capsule and will need to be removed. Saline, however, will be safely absorbed by the body, meaning only the outer shell of the implant will be removed.

Capsular contracture

Capsular contracture is another complication which may require breast implant removal. Capsular contracture is a condition in which the scar tissue around the breast implant hardens, which can cause pain, as well as distortion of the breast. If this occurs, the implant and capsule will each be removed.

Aesthetics

Some patients become dissatisfied with the appearance of their implants due to changing cosmetic preference, a lifestyle change, or other factors. If this is the case, implants can be removed. You may also choose to replace the old implants with a smaller or larger size after the removal, for a Los Angeles implant exchange procedure.

Breast implant illness

Breast implant illness is a constellation of symptoms that patients may experience, and feel may be related to the presence of their previously placed implants.  Although not an official medical diagnosis, these symptoms may include fatigue, headaches, depression, anxiety, muscle and joint pain, “brain fog”, hair loss, chronic pain, sleep disturbance, neurological issues and hormonal disturbances. As such, some patients may prefer to have their implants and capsules removed entirely.

How is a Breast Explant Surgery Performed?

Breast implant removal is performed under general anesthesia. First, Dr. Ourian will make an incision either along your previous incision, or hidden in the breast crease (known as the inframammary fold). Through these incisions, Dr. Ourian will then remove the breast implants as well as any leaked silicone using advanced surgical techniques. Then, depending on your reason for having your procedure, the capsule can also be removed though an en bloc explant approach. You can also have implants replaced to a different size at that time.

As removal of implants can cause a significant change in breast volume, this can result in aesthetic changes to the breasts.  There are options to restore youthful breast appearance after the removal of your implant:

 

Explant Surgery with Lift

Often times, after removal of breast implants, the breast will not only look deflated, but the nipple will appear “droopy.”  Breast explant with lift is a procedure designed to lift and restore the position of “drooping” nipples to a more youthful position. This may be accomplished through a number of incisions, including around the areola (donut), around the areola and down the middle of the breast (lollipop), or around the areola, down the middle and into the crease of the breast (anchor). During a thorough consultation at his Beverly Hills office, Dr. Ourian will be able to determine which lift procedure will be necessary for you.

Explant with Fat Transfer

Fat transfer after explant surgery is an option for enhancing breast volume without an implant. To do this, liposuction is performed in areas of unwanted fat, such as the love handles, bra rolls, abdomen or inner thighs. This is accomplished through small 5-millimeter incisions. The fat is then specially prepared for injection into the breasts. Depending on your desired volume, more than one round of fat transfer may be required.

 

What Is Explant Surgery Recovery Like?

Often times, after removal of breast implants, the breast will not only look deflated, but the nipple will appear “droopy.”  Breast explant with lift is a procedure designed to lift and restore the position of “drooping” nipples to a more youthful position. This may be accomplished through a number of incisions, including around the areola (donut), around the areola and down the middle of the breast (lollipop), or around the areola, down the middle and into the crease of the breast (anchor). During a thorough consultation at his Beverly Hills office, Dr. Ourian will be able to determine which lift procedure will be necessary for you. 

What Procedures Can I Combine with a Breast Implant Removal?

Beverly Hills breast implant removal may be combined with other procedures to achieve your goal results. Some patients choose breast implant removal as part of their mommy makeover, which is a combination of procedures designed to address the areas of the body that change due to pregnancy and breast feeding. This may include a tummy tuck or labiaplasty, for example, in addition to breast procedures.

It is also common for patient to choose to replace their implants with larger or smaller ones, resulting in a Beverly Hills breast implant exchange. Dr. Ourian can help you determine which size, shape, and type of new breast implants best suit your cosmetic goals.

Finally, some patients may combine their explant and lift their breasts at the same time. In this procedure, the natural breast tissue is reshaped and repositioned for a more youthful, lifted appearance.

How Much Does Breast Implant Removal in Los Angeles Cost?

The final cost of your Beverly Hills explant surgery will vary depending on the extent of the surgery, whether you are replacing your old implants with new ones, and other factors. In addition, the expertise of the surgeon and the geographic location where you have your breast implant removal plays a role in the final cost of the procedure. Thus, the cost of en bloc capsulectomy in Los Angeles can vary considerably. Dr. Ourian’s patient concierge can give you a more specific cost estimate during your thorough consultation.

FAQS:

Frequently asked questions

How would I know if my implants are ruptured?
Ruptured saline implants are easily detected, as the size of the breast is noticeably smaller as the body safely resorbs the leaking saline fluid. Ruptured silicone implants can be more difficult to detect, and may require an MRI.
How long do breast implants last?
Breast implants are designed to last for decades. If you are not experiencing complications or an implant rupture, you may not need to have your breast implants removed or replaced. Be sure to have regular breast exams to keep up with the health of your breasts.
Do you have to replace breast implants after removal?
It is not necessary to replace breast implants after having them removed. You may choose to no longer have breast implants at all if you prefer. This may require an additional procedure, such as a breast lift, or other considerations. Dr. Ourian will help you make an informed decision and discuss all of your options during a consultation.
Are breast implants safe?
Breast implants are considered safe, and numerous studies have proven their safety. Many patients enjoy their implants for many years without any complications. However, certain types of textured breast implants, including Allergan BIOCELL implants, have been recalled by their manufacturer due to health concerns. This represents only a small fraction of the breast implants in use, and it is unlikely that you will experience health concerns regardless. However, if you have Allergan BIOCELL textured breast implants, you can have them removed and replaced if you desire.
Is it possible to have breast implant removal without drains?
Depending on the size of your implants and the extent of your surgery, you may require the placement of surgical drains after your procedure. These will remain in place until the amount of drainage has decreased and deemed safe for removal.
Will insurance cover my breast implant removal?
Most, if not all, insurance companies exclude coverage of cosmetic procedures. However, if you are experiencing pain from capsular contracture (grade IV) or a proven silicone breast implant rupture, some insurance companies may cover the cost of your explant surgery.