The removal of breast implants is known as an explant procedure. Women choose to have their implants removed for a variety of reasons - both for cosmetic concerns and for health concerns.
- Discomfort with the implants - pain, firmness, or feeling the edges of the implants
- The breasts have enlarged over the years and now are too big with the implants
- Rupture of the implants
- Difficulty finding clothes that conceal the breasts or properly fit
- Health concerns regarding breast implants (Breast Implant Illness) and whether the implants are playing a role.
Regardless of reason, implant removal is a common procedure performed by Dr. Bogue. Included in every implant removal is a complete removal and pathologic examination of the breast implant capsule (known as a total capsulectomy). In recent years there has been an increased concern among some patients regarding possible autoimmune issues related to their implants.
This is commonly referred to as Breast Implant Illness and includes symptoms such as fatigue, muscle pains, cognitive disorders, and weakness. Many of these patients are seeking plastic surgeons with experience performing en-bloc resections and implant removal.
What will my breasts look like after removal?
This is the most common concern when women are deciding on implant removal. Removing an implant is an immediate deflation of the breast. How the breast responds depends upon many factors: the size of the implant, the size of the breasts, and the tone/position of the breasts. Removal of a small implant in a larger breast that is sitting in good position on the chest may only lose some fullness in the upper breast.
While removal of a large implant under a thin or small breast can leave a distorted breast which can be difficult to correct. In many cases a lift or even a reduction is performed to improve the shape and position of the breast. Dr. Bogue will provide a detailed explanation of the various techniques available to help restore the breasts to a natural appearance.
En-Bloc removal - what is it and why?
En-Bloc removal is a term that indicates removal of the entire capsule without opening that capsule to remove the implant first. This is a more challenging operation to perform and is usually not necessary in routine explant procedures. It does require a significantly larger incision to perform.
Dr. Bogue does offer this procedure and has extensive experience performing this operation. However, it is important to note that when performing an explant without replacement, Dr. Bogue always removes the entire capsule for pathologic examination. To ensure proper healing drains are placed which are typically removed one week later.
Textured Breast Implant Removals
In recent years, more information has come to light regarding the impact of textured implants on the breast implant capsule. Textured implants have a surface that essentially "sticks" to the implant scar capsule. This is used to lower capsular contracture rates, improve implant positioning, and limit long term movement of the implant.
Over the years, a very rare tumor has become associated with these implants. Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) is a lymphoma of the breast implant capsule which can occur years after textured implant placement. The incidence of this tumor is 1:3000 to 1:30,000. It typically presents with a fluid collection in the breast. When examined, this fluid contains lymphoma cells.
The treatment is complete removal of the breast implant capsule and the implant. Currently, the FDA does NOT recommend automatic removal of these implants. However, we have many patients with textured implants who would prefer to remove these implants rather than observe their breasts for possible fluid collections.
Dr. Bogue has over 10 years of experience removing breast implants and their associated capsules.
During your consulation, Dr. Bogue will review the procedure in detail, whether en-bloc removal is necessary, whether additional procedures may improve your results, and what to expect in the recovery period. If you are considering removal of your implants, call Dr. Bogue today at 561-886-1002 to schedule a complimentary consultation to review your options.