Breast Explant Surgery at our Miami Office
Dr. Tal T. Roudner is dedicated to helping women feel their best. If you have breast implants and are considering removal, you have options and you do not have to live with implants that make you unhappy or uncomfortable. You may be concerned about how your breasts will look after the implants are removed. Dr. Tal Roudner is an experienced board certified plastic surgeon and will take extra steps to ensure a natural look and a safe removal.
Dr. Tal Roudner offers breast implant removal, also known as an explant procedure, including en bloc removal and removal with muscle reattachment. Dr. Tal Roudner also performs breast implant revision procedures for women seeking a new look. There are varying reasons that women decide to get breast implants removed.
Why Get Breast Implants Removed
- Aesthetics – As trends change, some women are no longer pleased with the look of their breast implants and they seek removal for a more streamlined silhouette.
- Comfort – Bodies and lifestyles change as we age. Natural breast tissue can grow larger in a way that changes the position of breast implants. Some women find that their day to day lives are drastically different than when they initially underwent breast augmentation and for varied reasons they wish to return to their natural breast size.
- Maintenance – Breast implants may need to be replaced over time, but some women opt for removal rather than revision or replacement.
- Capsular Contracture – Capsular contraction occurs when the body’s natural scar tissue becomes too tight or rigid around the implant. This condition is not harmful to your health, but it can cause pain and discomfort as well as hard or asymmetrical breasts that may appear unpleasing aesthetically . Learn more about capsular contraction.
- Rupture – Breast implant complications are rare, especially with the current advances in technology.1 However, implant rupture can occur, especially with older model implants. It is important that women have regular physical examinations to check for implant rupture.
- General Health Concerns – Extensive studies conducted in the past and currently taking place by the FDA show that breast implants are safe.2 A growing number of women with breast implants believe that a disorder called breast implant illness may be causing them fatigue, joint pain, brain fog and other symptoms related to autoimmune disorders, and they are seeking breast implant removal surgery to help alleviate their symptoms. Although studies conducted by the FDA do not recognize breast implant illness, post breast implant approval studies should continue and possibly expand to explore the risk of genetic susceptibility to these symptoms. Dr. Tal Roudner is committed to women’s health and well being and performs en bloc breast implant explant surgery for women seeking to have their implants and the capsule surrounding those implants removed. The benefits, risks and complications of these procedures will be discussed at the time of the office consultation.
Your Breast Implant Removal Consultation
If you are considering an explant procedure to remove breast implants the first step is a consultation with Dr. Tal Roudner. During your initial visit Dr. Tal Roudner will discuss your options for the procedure, explain how it works and talk with you about your reasons and goals for breast implant removal. If your implants were placed by another doctor then we may ask for access to those medical records. Your surgery will be scheduled once Dr. Tal Roudner has answered all your questions, you have been medically cleared and you are ready to proceed.
Once your procedure is scheduled, it is critically important to follow all pre-surgical instructions and attend all scheduled appointments. An appointment at our Miami office will be scheduled a few weeks prior to surgery and is necessary to medically clear you for your procedure (all medical clearances and needed studies will be due at that time). Your safety and well being is our utmost concern. Our detailed pre-surgical plan is to ensure your safety and minimize the risk of complications.
Some General Pre-Surgical Guidelines:
- Avoid strenuous activity the day before surgery
- Abstain from eating or drinking anything, including water, after midnight before surgery
- Shower the night before and do not wear any lotions, fragrances or deodorant the day of surgery
- You will need to arrange for a friend or family member to drive you to and from surgery and remain with you for the first 24 hours of recovery
What to Expect With a Breast Implant Removal Surgery
The breast implant removal procedure will typically take place at our Miami clinic or the surgery day center. If Dr. Tal Roudner determines that certain medical conditions necessitate that the procedure take place in a hospital, this will be discussed prior to scheduling your procedure. Patients will be placed under general anesthesia. Dr. Tal Roudner generally uses an inframammary incision to access the breast implant. The entire explant procedure typically takes between 2 and 3 hours.
Capsulectomy and En Bloc Removal
When breasts are augmented with implants, the body responds within weeks of the breast implant surgery by surrounding the implant pocket with scar tissue. This scar tissue is called the capsule and ideally it is a soft sheet of scar tissue that helps hold the implants in place. Removal of the breast implant as well as the capsule is called a capsulectomy. Whenever possible, Dr. Rounder will perform the breast implant removal as an “en bloc” capsulectomy which means that the entire capsule is removed intact with the implant inside, as opposed to incising the capsule to remove the implant separately. In some cases the capsule may have become malformed, repositioned or adhered to the chest wall in a way that makes it impossible or unsafe to perform an en bloc removal. In those cases, any remaining capsule tissue will be cauterized, but whenever it is safe to do so Dr. Tal Roudner will remove the entire capsule.
Dr. Tal Roudner uses his extensive experience and expertise to provide the best results possible for each patient. One extra step that he recommends for many explant patients that have had their implants placed under the muscle is surgical reattachment of the pectoralis major muscles to the chest wall. After breast implants are removed, there is potential for animation deformity in which the detached muscle is visible through the skin. Dr. Tal Roudner reattaches the muscle to minimize the risk of this deformity. Reattachment of the muscle may also improve blood flow for improved recovery and healthier breast tissue.
Breast Lift (Mastopexy) or Fat Grafting
It is normal to be concerned about how your body will look after implants are removed. There are a number of factors, including the size and condition of the implants, and how long they were in place, as well as the age and body type of the patient, that will determine the end result. Some patients inquire about breast lift surgery or fat grafting procedures in conjunction with the explant surgery. Dr. Tal Roudner believes that, in most cases, proper surgical technique during removal will result in a favorable aesthetic result without further surgical intervention. The addition of a lift procedure to the removal surgery may increase the risk of complications. In cases with severe sagging or breast deformation after implant removal surgery, Dr. Tal Roudner strongly advises explant patients to wait approximately 6 months after their explant surgery to consider any additional procedures. The breast tissue will settle as it heals and blood flow improves and many patients are very happy with their appearance once they are fully healed.
Post Surgery and Recovery
You should plan to devote the first week after surgery to complete rest and recovery. Patients may experience some discomfort, but pain medication will be prescribed. Dr. Tal Roudner generally does not use post-surgical drains because he does not find them necessary for explant surgery unless an infection is present. Patients are typically able to resume day to day activities and sedentary work in about one week. There will be restrictions on physical activity and strenuous exercise and manual labor should be avoided for 3-4 weeks. A post-operative appointment with Dr. Tal Roudner will be scheduled 5-7 days after surgery and at 6 weeks after surgery. These appointments are important to assess your recovery and to set up a follow up appointment 6 months later.
Payment for Breast Implant Removal Surgery
The cost of explant surgery is approximately $5,000 to $8,000. The exact price can vary based on several factors, and more information will be explained at your consultation appointment. You can get Information on Financing Options if needed. Outside financial assistance may be available for women who are seeking breast implant removal for health reasons – click here for information on The Explant Financial Assistance Program*
When seeking a surgeon for breast implant removal, it is important to factor in experience and dedication to patient health. Dr. Tal Roudner is committed to providing comprehensive care to optimize the patient experience and outcome. We encourage patients to do their research prior to breast implant explant surgery as it is a demanding surgery that requires great technical skill and meticulous execution.
We are available to answer any questions about breast implant removal. If you are living with breast implants that cause you physical discomfort or emotional distress, please contact us to take the first step toward feeling comfortable in your body.
*The Explant Financial Assistance Program is an independent organization with no affiliation to Dr. Tal T. Roudner.
1. Archives of Plastic Surgery 2014 Nov; 41(6): 734–739
2. FDA Update on the Safety of Silicone Gel-Filled Breast Implants June 2011 Center for Devices and Radiological Health U.S. Food and Drug Administration