Breast Implant Removal

Aesthetic Breast Reconstruction after Breast Explant (Implant Removal)

You loved your breast implants once, and probably never thought you would want to have them removed when you decided to have breast augmentation surgery. The truth is, there are an increasing number of women that are seeking treatment for implant removal by HKB. Reasons for wanting your breast implants removed include Breast Implant Illness, recurrent capsular contracture, lifestyle changes, or simply personal preference. No matter what your reason for seeking explant surgery, our surgeons will work with you to determine the best procedure to achieve an aesthetically pleasing outcome for your new breasts.

Implant removal may result in loose, sagging breast tissue and may require additional procedures to achieve your ideal breast shape. HKB offers breast reconstruction after implant removal in Charlotte, NC.

Breast Explant Process in Charlotte, NC

Understanding the total capsulectomy and en bloc procedures requires familiarity with the capsule, which is the scar tissue that forms around an implant. This is a natural reaction of the body and, in most cases, will not change the way your implants look or feel. When removing breast implants, the capsule must always be taken into consideration.

Breast explant with total capsulectomy en bloc can facilitate ideal healing and tissue recovery. When capsulectomy is done en bloc, the entire capsule and implant are removed as a single unit. The implant stays within the capsule during the entire procedure. Our surgeons remove the capsule en bloc when it is safe and appropriate for the patient, but it is important to note, it is not possible in all explantation cases.

Reconstruction Options after Breast Explant

Once the implant is removed, the breasts may look deflated. The skin and breast tissues have stretched to accommodate the breast implant, and without it, the breast appearance will be droopy and flattened. The larger the implant, the more extreme its effect will be on the breast tissues.

The next step in the surgery will depend on what you and your surgeon have decided during your consultation. This discussion may include whether you’d like to increase volume with fat transfer or if a lift would help meet your aesthetic goals. These procedures reshape the breast after breast implant removal. They may be performed separately or combined, depending on your aesthetic goals and your surgeon’s recommendations. 

Breast Lift     

Once your implants are removed, it’s likely that your natural breast tissue will appear more relaxed than before. This can be caused by the natural aging process as well as prolonged use of large implants. In these cases, it’s often the best choice to have a breast lift after the implants have been removed. With this procedure, our surgeons can remove excess skin and reshape remaining tissue to ensure your natural breasts sit at a more desirable position on the chest wall. The nipple and areola will be moved to a higher position and, if needed, the areola can be reduced in size.

Fat Grafting

If you would like to maintain a larger breast size than your natural tissue provides but don’t want to do so with breast implants, there is another option. Fat grafting involves taking fat from one area of the body where there is an excess—such as the buttocks, thighs, or abdomen—and transplanting it to an area that needs more volume. Transferred fat is commonly used in breast surgeries, both for reconstruction after implant removal and in natural breast augmentation.

Harvesting and grafting fat are completed in the same surgery. Fat transfer breast augmentation is an excellent alternative for patients who no longer want implants but are still looking for a natural-looking improvement in volume. If the breasts still sag or droop after fat grafting, a breast lift may also be recommended.

Recovering from Explant and Reconstruction

Your amount of downtime and recovery after breast implant removal and reconstruction will be dependent on what type of reconstruction you choose.  The average amount of time a patient takes off work after cosmetic breast surgery is one week. During this time, you’ll experience some swelling, bruising, and discomfort. You will wear a support bra and have drains to aid healing . You should have a friend or family member available to drive you to and from surgery and stay with you for a few days following surgery. Avoiding strenuous exercise or anything that may strain your upper body is recommended for at least a month post-surgery, and women are urged to sleep on their backs until advised otherwise.

Our surgeons have performed many breast implant removals and are available to answer any of your questions about the procedure or recovery process.

The Importance of Having Breast Reconstruction Completed by an Expert

Breast implantation removal and reconstruction are a delicate process and should only be performed by board-certified plastic surgeons who are experienced in the operation. At HKB, Drs. Hunstad, Kortesis, and Bharti are all board-certified and have performed thousands of breast surgeries. No matter which surgeon performs your procedure, you will receive the highest quality patient care and individualized attention.

If you plan to have your breast implants removed, it’s important to realize that other work may be necessary to ensure your breasts have the right shape and amount of fullness you were hoping for. When you consult with the surgeons at HKB, you will be able to ask questions about the different types of reconstruction as well as learn which options are best for you depending on your desired results. Book your consultation today to learn more!

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