Surgeons perform explant plastic surgery, also known as breast implant removal surgery, by surgically removing previously inserted breast implants or other types of implants from the body. This procedure includes reversing the initial implantation and potentially removing both the implant itself and the surrounding capsule that forms around it over time.
There is a growing trend towards explant surgery, where patients are removing breast implants or other types of implants to return to a pre-implant look. This trend is driven by several factors.
Growing concerns about the potential health risks associated with breast implants and other types of implants have led some patients to consider explant procedures. These concerns include issues like breast implant illness (BII), implant ruptures, capsular contracture and the possible link between implants and certain autoimmune conditions.
Some individuals who had previously undergone augmentation procedures with implants choose to attain a more natural appearance by either removing or exchanging implants for larger or smaller ones. This decision can be influenced by changing beauty standards and a cultural shift towards embracing natural beauty.
Social media platforms and online communities have played a significant role in raising awareness about explant procedures and sharing personal experiences. Advocacy groups and discussions on platforms like Instagram and Facebook have contributed to the spread of information and support for those considering explant surgery.
Improved surgical techniques for explant procedures and an increasing number of plastic surgeons specializing in this area have made the process safer and more accessible.
When celebrities or influencers share their experiences with explant procedures, it can influence public perception and contribute to the trend’s popularity.
The explant surgery procedure can vary depending on factors such as the type of implant, the length of time the implants have been in place, the position of implant placement, and the individual’s specific situation.
Here’s a general overview of what explant surgery typically involves:
Consultation
Before the surgery, you will have a consultation with a board-certified plastic surgeon. During this consultation, you’ll discuss your reasons for wanting the explant surgery, your expectations, and any concerns you may have. The surgeon will assess your current implant status, overall health, and medical history.
Anaesthesia
On the day of the surgery, you’ll be given anaesthesia to ensure you’re comfortable and pain-free throughout the procedure. The type of anaesthesia (general or local with sedation) will be determined based on the complexity of the surgery and your surgeon’s recommendations.
Incision
The surgeon will create an incision to access the implant, with various possible locations, including the original incision site, around the areola, or in the inframammary fold (underneath the breast). The choice of incision site relies on factors like your implant type, the implant placement position, the amount of scar tissue, and your surgeon’s preference.
Implant Removal
The surgeon will carefully remove the implant from its pocket within the breast tissue. If you have saline implants, they can be deflated before removal. For silicone implants, they might need to be dissected from the surrounding tissue.
Capsule Removal (Optional)
In some cases, the scar tissue or capsule that naturally forms around the implant (capsular contracture) is also removed. This can help improve the appearance and feel of the breasts after the implant is removed. However, not all patients require capsule removal.
Closure
After removing the implant and capsule (if applicable), the surgeon will close the incisions using sutures or other closure methods. They will aim to minimize scarring and create a natural appearance.
Recovery
After the surgery, you’ll be monitored in a recovery area as the anaesthesia wears off. You might need to wear a supportive garment or bra to aid in the healing process. Your surgeon will provide post-operative care instructions, including information about managing any discomfort, caring for incisions, and when to follow up for a post-operative visit.
Healing and Follow-Up
Healing time can vary, but most patients can resume normal activities within a few weeks. Follow-up appointments with your surgeon will be scheduled to monitor your healing progress and address any concerns.
It’s important to consult with a qualified and experienced plastic surgeon to discuss the specific details of your explant surgery, as individual cases can differ based on factors unique to each patient.