While breast augmentation is a popular procedure, there are times when removal may be medically necessary. Breast implant removal or explant surgery in Nashville involves surgical extraction of saline or silicone implants. Sometimes this procedure is performed as part of an implant exchange for different implants or before a breast lift or to make changes to further enhance the breasts.
In certain situations, an experienced breast surgeon may recommend the removal of breast implants. If a breast implant is causing you pain and discomfort, removal with capsulectomy (en bloc, total, subtotal/partial) could provide a benefit and improve your symptoms. Implant removal with capsulectomy is essential when encapsulation or capsular contracture has occurred.
Whether you need a routine replacement, wish to make alterations to your implant shape or size, or are experiencing serious physical side-effects from your implants, contact our compassionate and skilled surgeon, Dr. Olivia MaDan, at Plastic Surgery Affiliates to discuss your options and determine what procedure is best for you.
Why Breast Implant Removal May Be Necessary
The American Society of Plastic Surgeons recommends implant replacement every 10-15 years. Any and every breast implant has a lifespan, and none are considered lifetime devices.
Complications (hardness, pain, discomfort, visible changes) can be the primary reason for breast implant removal surgery. Additionally, hardened scar tissue around the implants can change the appearance of the breasts and cause further discomfort or pain. Breast implant extraction may be indicated if:
- The implant is leaking or ruptured
- Cancer develops around the scar tissue
- Calcium buildup around the implant
- Implant malposition
Some patients wish to undergo an implant removal procedure when they notice breast tissue changes due to the effects of gravity and aging. While there are various reasons for changes in breast shape and size, the most common are weight changes, pregnancy, breastfeeding, and aging.
Benefits of Breast Implant Removal in Nashville
Our previous breast implant removal patients in Nashville have noted some of the most frequent reasons for undergoing this surgery including:
- Complications such as capsular contracture are painful, and implant removal provides relief
- Saline and silicone implants can interfere with mammogram tests. Removing the implant may improve surveillance of breast tissue
- Reduced likelihood of BIA-ALCL, a rare type of lymphoma that is specific to textured surface implants
- No additional surgeries or maintenance due to implants
- No risk of rupture when implants are not present
What to Expect Prior to Your Implant Removal Procedure
A consultation with our highly-trained plastic surgeon, Dr. MaDan, is the first step. During this meeting, you will discuss the reasons for the breast explant and your desired results. Dr. MaDan will examine your breasts and give her expert advice and opinions based on your cosmetic goals. When you return for your pre-operative appointment 2 weeks before surgery, Dr. MaDan will provide you with specific instructions regarding supplements, medications and post-operative care.
What Happens During the Breast Implant Extraction Operation?
Before the surgery, your anesthesia team administers intravenous sedation or general anesthesia to put you in a sleep-like state.
Dr. MaDan will use the old implant scars or place new ones in the breast crease. This gives her access to the implant and capsule to address your case-specific concerns.
Depending on your specific surgical plan, additional procedures (breast lift, implant replacement) can be performed after the old implant and capsule are removed. Dr. MaDan then closes the incisions in layered fashion with absorbable sutures. A protective covering is applied to the incisions and a surgical bra is used to provide support to the breasts.
Post-Operation and Recovery Process
After a successful implant removal in Nashville, you will receive specific instructions to support your unique recovery. The instructions vary but often include:
- Activities to avoid
- Care for the incisions
- Follow-up visits
You may require a compression garment or a special bra for a few weeks to control swelling. Dr. MaDan may place small tubes (drains) under the skin to drain excess blood and fluid. The drains usually come off a couple of days after the procedure.
Recovery from breast explant surgery can take several weeks. Discomfort, pain, and swelling immediately after surgery are common, and basic movements of the upper body and hands may be difficult. Following the post-op instructions and getting lots of rest is recommended for a quick recovery and best results.
Contact Us to Schedule Your Breast Implant Removal in Nashville
Breast implant replacement in Nashville is usually necessary after 10-15 years due to the implant lifespan. Complications such as tissue scarring, encapsulation, and discomfort can be other reasons to consider breast explant surgery.
If you are thinking about replacement or removal, give us a call today to schedule a consultation with our qualified plastic surgeon, Dr. Olivia MaDan.