Being informed about the implant removal process can help you plan for treatment and ultimately decide if this is an option you’d like to pursue. This procedure is very different than the original procedure you had for the breast augmentation.
Breast Explantation with total en bloc capsulectomies is performed under general anesthesia and usually takes between one to three hours. The timing depends on which procedures are being performed. Patients may simply undergo explant with en bloc capsulectomies, or the patient may decide to have a breast lift (mastopexy) and possible fat grafting as well which would make the procedure take longer. A typical explant with total capsulectomies usually takes 1.5 hours. An explant with total capsulectomies and breast lift usually takes 2-2.5 hrs. An explant with total capulectomies, breast lift, and fat grafting takes 2.5-3hrs.
The procedure of explant with total capsulectomies involves making an incision through the skin, usually through the existing scar in the inframammary fold (base of the breast). The incision is longer than the original incision to help us perform a safe and effective procedure. We carefully dissect down to he capsule around the implant, and separate the capsule from the surrounding tissue (breast, chest wall, and pectorals muscle) and removed the entire capsule. This is done in every attempt in an en bloc fashion, with the capsule intact and the implant inside, but at times with a total capsulectomy is performed if there is a patch that is too adherent to the chest wall. In these cases everything is removed all together and anything that was still left behind is then removed with aggressive scrapping, electrocautery, and other resection techniques without causing potential harm to our patients. At the end of the procedure both the implant and capsule is removed from your body in one operation.