What is a Breast Explant

A breast explant, also known as breast implant removal or explant surgery, is a procedure that involves the removal of breast implants from a woman's body. This surgical procedure is typically performed for various reasons, including dissatisfaction with the results of a breast augmentation, health concerns related to the implants, or a desire to return to one's natural body.

Reasons for Breast Explant

There are several reasons why a woman may choose to undergo a breast explant procedure:

Dissatisfaction with Breast Augmentation Results

Some women may opt for a breast explant due to dissatisfaction with their previous breast augmentation surgery. This could be due to the size, shape, or overall appearance of the breasts. It is important for women considering this procedure to have realistic expectations and to communicate their desires clearly with their surgeon.

Additionally, some women may experience complications with their breast implants, such as capsular contracture (the formation of scar tissue around the implant) or implant rupture. These issues may cause discomfort, pain, or asymmetry, leading them to seek explantation.

Health Concerns

Another reason for breast implant removal is health-related concerns. Some women may develop symptoms such as breast pain, swelling, or inflammation due to an immune system response to the implants, which is commonly referred to as breast implant illness (BII). In such cases, explantation may provide relief from these symptoms.

Furthermore, there is a growing concern about the potential association between breast implants and anaplastic large cell lymphoma (ALCL), a rare type of cancer. Although this cancer is extremely rare, some women may decide to remove their implants as a precautionary measure.

Desire to Return to Natural Body

Some women may choose to have their breast implants removed simply because they no longer desire the augmented appearance and wish to return to their natural body. This decision may be influenced by personal or lifestyle changes or a desire for a different aesthetic.

The Breast Explant Procedure

The breast explant procedure typically involves several steps:

Consultation

Before the surgery, a consultation with a board-certified plastic surgeon is essential to discuss the patient's expectations, concerns, and overall health. The surgeon will perform a physical examination to assess the implants, the surrounding breast tissue, and any potential complications.

Surgical Approach

There are two main techniques used for breast explantation: en bloc capsulectomy and total capsulectomy. In an en bloc capsulectomy, the surgeon removes both the implant and the surrounding scar tissue capsule as one unit. In a total capsulectomy, the implant and the capsule are removed separately.

The choice of technique depends on various factors, such as the condition of the implants, the presence of capsule contracture, and the preference of the surgeon and patient.

Recovery

Following the explant procedure, the patient will need to follow the surgeon's post-operative instructions for a successful recovery. This typically involves wearing a compression garment, taking prescribed medications, and avoiding strenuous activities for a specific period.

Healing time varies from person to person, but most women are able to resume their daily activities within a few weeks.

FAQs about Breast Explant

1. Can I get a breast lift at the same time as my breast explant surgery?

Yes, it is common for women to combine a breast lift with their breast explant procedure to address any changes in breast shape or sagging that may have occurred. This can help achieve a more aesthetically pleasing result.

2. Will my breasts look the same as before I had implants?

Every woman's body is unique, and the outcome of a breast explant procedure can vary. Some women may experience a complete return to their pre-implant appearance, while others may notice slight changes in breast shape or volume. It is important to have realistic expectations and discuss desired outcomes with your surgeon.

3. Is a breast explant surgery painful?

During the procedure, patients are put under general anesthesia, so they will not feel any pain. However, some discomfort and soreness are expected during the recovery phase. Pain medication is usually prescribed to manage any discomfort, and it typically subsides over time.

Expert Opinions

"Breast explant surgery has gained popularity in recent years. It is important for women to understand their motivations for explantation and to communicate openly with their surgeon to achieve the best results." - Dr. Andrea Wilson, Board-Certified Plastic Surgeon

"While breast implants can provide significant self-confidence and satisfaction for many women, it is crucial to address any concerns or complications promptly. Breast explant surgery can be a safe and effective solution in cases of dissatisfaction or health-related issues." - Dr. Jennifer Lee, Cosmetic Surgeon