Breast Implant Removal (Explant)

Plastic Surgeon Serving Boca Raton, Delray Beach, Fort Lauderdale and Nearby West Palm Beach

Breast augmentation with breast implants is the most popular plastic surgery with hundreds of thousands pursuing a larger bust each year. Unfortunately, some women later choose to have breast implant removal because of physical pain or unhappiness with their results. Dr. David Bogue in Boca Raton is a board-certified plastic surgeon who started as a breast reconstruction surgeon, making him an ideal choice for your breast explant procedure.

If you’re interested in breast implant removal, contact Dr. Bogue today at 561-886-1000 to schedule your initial consultation. Our plastic surgeon has an excellent reputation among patients for delivering stunning results and a thorough consultation experience. We serve patients throughout the Boca Raton, Florida area including Fort Lauderdale, Delray Beach, and West Palm Beach.

It’s important for you to understand the breast implant removal procedure and overall process from your one-on-one consultation to your final follow-up. Some of the questions Dr. Bogue often hears include:

What Is a Breast Explant Procedure?

Young blonde woman in yoga clothes with her hands on her hips smiling and looking downThe 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, including:

  • 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, such as Dr. Bogue in Boca Raton.  

Am I a Good Candidate for Breast Implant Removal?

Most women who wish to remove their breast implants are great candidates. Many of the patients Dr. Bogue sees are women in their forties or older who no longer identify with their original breast augmentations or wish to have a more natural look. Some are emotionally or physically uncomfortable with their breast implants while others are concerned about implant rupture. Overall, you should be in good overall health and understand what your results will look like once you’ve healed.

If you have a medical condition that complicates your health and may increase the risks involved with the explant procedure, you may need to wait to remove your implants until you’re in better health and your body is ready for surgery. You may need to discontinue taking medications or supplements as well, but Dr. Bogue will discuss your candidacy in depth during your consultation and go over your medical history.

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.

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 breast lift or a breast 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. 

What Is En-Bloc Removal?

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 1:3,000 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. 

Can I Combine Breast Implant Removal and a Breast Lift?

The explant procedure is often combined with a breast lift to improve symmetry and positioning after the implant is removed. As breast implant removal can make the breast appear deflated, a breast lift repositions the nipple, reshapes the breast tissue, and tightens the skin to provide perky, aesthetically pleasing results. When a breast lift is added to the explant surgery, it requires breast reconstruction because of the total capsulectomy. That requires the skilled hands of a plastic surgeon with experience in breast reconstruction.

In addition to a breast lift, some women have chosen fat transfer breast augmentation to enhance breast volume without a foreign object (breast implant). The procedure uses fat cells harvested from another part of your body to increase breast size and recontour the breasts. Platelet-Rich Plasma therapy has also been used to provide moderate size increase and address skin texture irregularities of the breasts.

Why Choose Dr. Bogue for Breast Implant Removal?

Not only is David Bogue, MD a plastic surgeon certified by the American Board of Plastic Surgery, he is considered a leader in the plastic surgery industry and medical community overall. He’s known for his dedication to patients and delivering excellent results. Dr. Bogue was the Chief of the Department of Surgery at Boca Raton Regional Hospital and is a published author and researcher in the plastic and reconstructive surgery field.

Dr. Bogue got his start in the field as a breast reconstruction surgeon, making breast explant, particularly combined with breast lift, one of his specialties. With decades of experience and countless satisfied patients, our Boca Raton plastic surgeon is a top choice for women looking for breast implant removal.

A great review for Boca Raton plastic surgeon Dr. David Bogue

Will My Insurance Cover Breast Explant?

Your insurance may or may not cover the cost of breast implant removal. It comes down to the reasoning behind your initial breast augmentation. Did you get breast implants after a single or double mastectomy? Or, to correct uneven breasts or tubular breasts? If your breast augmentation was deemed medically necessary at the time, your provider may cover the explant procedure. However, if your breast implants were purely cosmetic, you’ll likely need to cover the cost of the removal.

Our plastic surgery office in Boca Raton offers financing information to help you decide how to pay for your procedure. While we accept cash, credit, and check, we also understand that some patients may benefit from affordable payment plans, which is why we offer CareCredit™ financial assistance.

Schedule Your Breast Explant Consultation with Dr. Bogue in Boca Raton

During your consultation, 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 561-886-1000 to schedule a complimentary consultation to review your options. Dr. Bogue is a board-certified plastic surgeon serving Boca Raton, Fort Lauderdale, West Palm Beach, and all of the surrounding areas of Florida.

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