Everything You Need to Know

Explant surgery, also known as breast implant removal, involves the surgical removal of breast implants and any surrounding scar tissue. This procedure may be performed for various reasons, including health concerns, dissatisfaction with implant size or shape, or a desire for a more natural breast appearance.

What Is Explant Surgery?

Explant surgery is designed to safely remove breast implants from the body. Depending on the individual case, the surgeon may also remove any capsule tissue that has formed around the implant, known as a capsule contracture. The procedure can be done under general or local anesthesia and typically takes about one to two hours.

Reasons for Explant Surgery

Women may choose explant surgery for several reasons, including:

• Health Concerns: Some individuals may experience health issues related to breast implants, such as silicone leakage, capsular contracture, or autoimmune symptoms.
• Dissatisfaction: Changes in personal preferences or lifestyle may lead to dissatisfaction with the size, shape, or look of the implants.
• Aging or Weight Changes: Natural aging, weight fluctuations, or childbirth can affect breast appearance, prompting the need for removal.
• Breastfeeding: Some women may choose to remove implants after breastfeeding due to changes in breast tissue or volume.
• Desire for a Natural Look: Many women opt for explant surgery as they seek a more natural breast appearance without implants.

Benefits of Explant Surgery

Explant surgery can provide several advantages, including:

• Relief from Discomfort: Many women report reduced discomfort, pain, or tightness in the chest area after removal.
• Improved Aesthetic Results: Explanting old implants may enhance breast appearance, especially if the original implants have shifted or if the individual’s body has changed over time.
• Health Improvement: For women experiencing adverse effects from their implants, removing them may alleviate these symptoms and promote overall well-being.
• Increased Confidence: Transitioning to a natural breast appearance can improve self-esteem and body image.

Who Is a Candidate for Explant Surgery?

Candidates for explant surgery generally include individuals who:

• Have breast implants that are causing discomfort, health issues, or dissatisfaction.
• Are seeking a change in breast size or a return to a natural breast shape.
• Are experiencing complications such as capsular contracture or leakage.
• Have realistic expectations about the outcomes of the surgery.

Consulting with a qualified plastic surgeon is essential to determine if explant surgery is right for you.

The Explant Surgery Process: What to Expect

1. Consultation

During your initial consultation, your surgeon will evaluate your medical history, discuss your reasons for wanting the implants removed, and perform a physical examination. They will explain the explant procedure, recovery expectations, and potential outcomes.

2. Surgery

Explant surgery is performed in a surgical facility and usually takes one to two hours. The steps include:

• Anesthesia: Depending on the complexity of the case, either general or local anesthesia with sedation will be administered.
• Incision: The surgeon will use the original incision site (typically under the breast, around the areola, or in the armpit) to minimize scarring.
• Implant Removal: The implants are carefully removed, along with any capsule tissue if necessary.
• Closing Incisions: The incisions are closed with sutures, and dressings are applied to promote healing.

3. Recovery

Recovery from explant surgery typically involves the following:

• Post-Operative Care: Expect some swelling, bruising, and discomfort. Pain medications may be prescribed to manage discomfort.
• Activity Restrictions: Avoid strenuous activities, heavy lifting, or vigorous exercise for several weeks post-surgery to ensure proper healing.
• Follow-Up Appointments: Your surgeon will schedule follow-up visits to monitor your recovery progress and address any concerns.

4. Results

The results of explant surgery will become more apparent as swelling subsides over the weeks following the procedure. While some scarring may occur, the incisions will fade over time. Many patients report feeling relieved and satisfied with their decision to remove their implants.

Risks and Complications

As with any surgical procedure, explant surgery carries potential risks, including:

• Scarring: Scarring is inevitable, but skilled surgeons work to minimize its appearance.
• Infection: Following post-operative care instructions can help reduce the risk of infection.
• Changes in Sensation: Some patients may experience temporary or permanent changes in breast or nipple sensation.
• Fluid Accumulation: Seromas (fluid collections) may develop under the skin, requiring drainage.

Alternatives to Explant Surgery

In some cases, individuals may consider alternatives to explant surgery, such as:

• Implant Replacement: If you’re dissatisfied with your current implants, you may opt for new implants of a different size or type instead of removal.
• Non-Surgical Options: Non-surgical breast enhancement methods, such as fat transfer, may be considered for those seeking a different breast appearance without surgery.