Understanding Breast Explant Surgery by Dr. Tim Neavin in Beverly Hills

For some, breast implants are removed for purely cosmetic reasons. Many women who have had large breasts decide they are a point in their life where they would like to be smaller chested. For others, particularly women with silicone breast implants illness is attributed to the device. This is often referred to breast implant disease (BII). Symptoms of breast implant disease can range from fatigue to pain and mimic automimmune or inflammatory related symptoms.

Breast Implant Illness

Breast implant illness (BII) describes a wide range of symptoms that can be related to breast implants that were placed either for cosmetic or reconstructive purposes.   Some doctors and patients also refer to it as autoimmune/inflammatory syndrome (ASIA).  The list of symptoms can include:

  • Fatigue and headaches
  • Hair loss or rashes
  • Muscle or joint pains
  • Depression or anxiety
  • Memory and concentration problems or “brain fog”

It is not entirely clear what causes BII as the illness is not that well understood.  Symptoms can occur shortly after surgery to years later.  They can occur with silicone or saline breast implants in all different sizes.  Symptoms often resolve after explantation.  Of note, the FDA continues to monitor medical device reports including breast implants and BII.

Breast Implant Removal Surgery: What to Expect

Saline and silicone breast implants can sometimes be removed under local anesthesia in the office. But internal scar tissue (capsule) cannot be removed while the patient is awake. For implant removal and capsulectomy general anesthesia is required.

When capsulectomy is performed along with explantation the surgery may take two hours or longer. Temporary drains are placed and the chest is wrapped. The drains are generally removed (painlessly) in the office in a week or less. The tissue will quickly start to tighten over the span of 3-6 months.

If a breast lift is performed along with the explantation, there may be additional incisions that need to heal and recovery time may be longer.

Anticipated Outcomes

Understanding the potential results vital for informed decision-making. Here are some common outcomes:

Outcome Description
Enhanced Comfort Many individuals report a significant reduction in discomfort and physical strain after the removal of implants.
Changes in Breast Appearance The breasts may appear different post-removal, and some individuals may choose to undergo additional procedures for enhancement.
Emotional Well-Being For some, the decision to remove implants can lead to improved self-esteem and emotional relief.

Expert Insights

Dr. Tim Neavin, a board-certified plastic surgeon, emphasizes, “It’s crucial for patients to have realistic expectations regarding the outcomes of implant removal. Each individual’s body responds uniquely, and a comprehensive consultation can help set appropriate goals.”

In summary, the choice to remove breast implants is deeply personal and should be made with careful consideration and professional guidance. By understanding the reasons, process, and potential outcomes, individuals can empower themselves to make informed decisions that align with their health and aesthetic aspirations.

Pros and Cons of Breast Implant Removal

Before making a decision, it’s essential to weigh the advantages and disadvantages of removing breast implants. Here’s a breakdown:

Pros Cons
Improved Comfort: Many individuals experience relief from discomfort or pain associated with implants. Recovery Time: The removal process requires downtime, and recovery can take several weeks.
Enhanced Self-Image: Some individuals report increased confidence and satisfaction with their natural appearance. Changes in Breast Shape: The breasts may appear different after removal, which may require additional procedures for desired aesthetics.
Health Benefits: Addressing complications such as capsular contracture can lead to better overall health. Emotional Impact: The decision to remove implants can be emotionally challenging for some individuals.

Key Considerations Before Removal

Here are some critical points to consider:

  • Consultation with a Specialist: Dr. Tim Neavin is one of the top experts in breast explant surgery.  As a qualified plastic surgeon who specializes in breast procedures, you can schedule a consultation at his Beverly Hills office if you are interested in acquiring more information before moving forward with removing your implants.
  • Understanding Risks: Be aware of potential risks and complications associated with the removal process.
  • Post-Removal Options: After removing your implants, there are going to be certain option that will be availabe. You can replace the implants, undergo a breast list or leave your breasts the way they are. Dr. Neavin will go over all of your options and provide his expert guidance during your initial consultation. 

Statistics on Breast Implant Removal

Understanding the prevalence and outcomes of breast implant removal can provide additional context:

Statistic Value
Percentage of Women Who Consider Removal Approximately 20% of women with implants consider removal within 10 years.
Common Reasons for Removal Health issues (30%), aesthetic dissatisfaction (25%), and lifestyle changes (20%).
Average Recovery Time 4 to 6 weeks for most individuals, depending on the complexity of the procedure.

Reasons for Breast Implant Removal

Breast implant removal is a personal choice influenced by aesthetic goals or medical reasons. Some women feel their implants no longer align with their body image, while others experience complications that make removal necessary.

Cosmetic Reasons 

Over time, beauty trends and personal preferences shift. Many women choose removal to achieve a more natural breast appearance, adjust implant size, or address changes from aging, pregnancy, or weight loss. Issues like rippling, asymmetry, or outdated implant styles can also lead to removal. Additionally, those with active lifestyles may find implants uncomfortable during exercise.

Most Common Cosmetic Reasons:

  • Preference for a more natural look
  • Breast implant size dissatisfaction (too large or too small)
  • Body changes from aging, pregnancy, or weight fluctuations
  • Rippling, wrinkling, or visible implant edges
  • Asymmetry due to implant shifting
  • Discomfort during exercise or daily activities

Medical Reasons

For some, implants cause health issues or complications that require removal. Capsular contracture (scar tissue hardening), ruptured or leaking implants, and chronic pain are common concerns.

Most Common Health Reasons:

  • Capsular contracture (scar tissue hardening causing pain or distortion)
  • Breast implant rupture or leakage (saline or silicone)
  • Breast Implant Illness (BII) symptoms (fatigue, joint pain, brain fog)
  • Chronic pain or discomfort from implants
  • BIA-ALCL (rare cancer linked to textured implants)
  • Infection or implant movement/shifting

For those considering breast implant removal, consulting with a board-certified plastic surgeon can help determine the best course of action based on aesthetic goals and health concerns.

Ideal Candidates

Breast implant removal is a personal decision, but certain factors make someone an ideal candidate for the procedure. You may be a good candidate if you:

  • Experience discomfort or pain from your implants, including capsular contracture or nerve irritation.
  • Have health concerns such as BII or implant-related complications.
  • Suspect a rupture or leakage in your saline or silicone implants.
  • Want a more natural look and no longer feel implants align with your body image.
  • Notice implant shifting, sagging, or asymmetry that affects breast appearance.
  • Have lifestyle changes that make implants feel unnecessary or uncomfortable, such as weight loss, pregnancy, or increased physical activity.
  • Are concerned about long-term maintenance and the possibility of future surgeries for implant replacement.
  • Are in good overall health and have realistic expectations about the results of implant removal.

A consultation with Dr. Neavin can help determine if breast implant removal is the right option for you.

FAQs

What Happens if my Breast Implants are Removed but not Replaced?

Breast implants are generally removed from the same incision where they were placed. An exception is implant removal from the transumbilical approach (TUBA) since the scar with this surgery is within the belly button. Sometimes the scar needs to be slightly enlarged if extensive internal scar needs to be removed. But most of the time, there are no new scars placed on the breast unless a breast lift is performed with the explantation. If breast implants are removed and not replaced, the skin will tighten to a certain degree dependent on implant size and tissue properties of the individual. In many patient’s the breast after removal look perfectly fine and natural. In others, a lift may be required to restore a more pleasing shape.

Are my Breasts Going to Sag After Breast Implant Removal?

A common question that patients ask is, “Will my breasts sag after the breast implants are removed?’. The answer is sometimes yes and sometimes no. As a general rule, if the breasts were saggy with the implant they will likely sag after the breast implant is removed. If the breasts are not saggy during the time of breast implant removal then they probably won’t sag after surgery. It all really depends on the tissue and implant size.

Will Insurance Cover Breast Explant Surgery

Insurance companies sometimes will cover some or all of the costs of breast implant removal. It depends on the reasons behind the removal as well as the insurance plan. For purely cosmetic reasons, it is unlikely that explanation surgery will be covered. An exception may be implants that were placed for reconstructive reasons.

Final Thoughts

Deciding to remove breast implants is a personal journey that requires careful consideration of various factors. By understanding the reasons for removal, the procedure itself, and the potential outcomes, individuals can make informed choices that align with their health and aesthetic goals. Always consult with a qualified professional to discuss your options and ensure that you are making the best decision for your unique situation.

For those considering this procedure, remember that you are not alone. Many individuals have successfully navigated the journey of breast implant removal and have found renewed confidence and comfort in their bodies.

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