Breast Implant En Bloc Removal Surgeon
Breast implants will not last a full lifespan and therefore will lead to additional surgeries in a person’s life. Furthermore, a large and growing group have of women have experienced adverse health effects termed “breast implant illness” attributed to the implants in their chest. Since 2009, the U.S. Food and Drug Administration has received more than 350,000 incident reports involving breast implants. France has even gone so far as to ban macro-textured and polyurethane implants over cancer concerns. On average and without complications, implants last about eight to ten years before you need to have the breast implants removed. In that time, the additional surgeries may be to remove or replace the implant, to fix tissue damage or scarring, to treat implant leakage, re-positioning the implant, or treating any other complications that may arise in or around the breast due to the implant. Not only are these surgeries exhausting for the body, but they are also expensive and emotionally draining. You need to contact our renowned double board certified surgeon if you are experiencing adverse affects related to your implants and considering breast implant removal. Dr. Khan does not put breast implants in he only removes them!
What is Breast Implant Removal?
Breast implant removal is a surgery to remove breast implants. Breast implants are not meant to last a lifetime and complications may arise with breast implants and they may need to be removed. Some of these complications include: a ruptured or deflated implant, visible wrinkling or rippling of the implant, hardening of the implant, reactions to the implant, uneven appearance of breasts, persistent breast pain following insertion of implants, breast implant illness and more.
Breast implant explant or removal is an important procedure in many situations. Breast implant surgery is meant to provide confidence to women who are less than satisfied with their bust however, the surgery does not always have the desired outcomes. When that happens removal or en bloc procedure may become a consideration.
For some women, they have simply tired of the aesthetic look of larger breasts. For others, their health is in jeopardy. We have heard women say their implants left them sick and a shell of who they once were, with symptoms like depression, anxiety, endless fevers and exhaustion. You should consider contacting Dr. Khan if you are concerned that your implants are effecting your well being.
Should I Consider Breast Implant Removal?
Doctor Shaher Khan MD may advocate for the procedure for patients dealing with:
* Capsular contracture (hardened breast tissue)
* Leaking of the filler material (due to the implant or rupturing or deflating due to holes or tears on the surface of the implant.)
* Malposition (implant has shifted out of place)
* Rippling or wrinkling of the breast tissue
* Calcification (this occurs when calcium builds up)
* If the chest wall becomes misshapen due to the implants
* Extrusion (skin breakdown allows for the implant to break through)
* A blood clot forms (hematoma)
* Fluid collects around the implant (seroma)
* Breast tissue atrophy
* Skin thinning or shrinkage
* Breast pain, delayed wound healing or infection
* Patients may also decide to have their implants removed for personal reasons
Implant Removal Options
Dr. Shaher Khan MD will go over the breast implant removal options that are best for you. There are procedures for many different scenarios. One or a combination of these methods may be used to remove implants:
* “Straightforward” implant removal (taking out an implant with no further steps): NOT RECOMMENDED. Done primarily by surgeons who do NOT believe in breast implant illness and are NOT BOARD CERTIFIED BY American Society of Plastic Surgery.
* Implant removal with breast lift (so that skin will not sag once implants are gone)
* Capsulectomy (REQUIRED if scar capsules need to be removed at time of explant)
*EN BLOC EXPLANTATION (REMOVAL OF IMPLANT AND CAPSULE- DESIRED PROCEDURE AND HIGHLY RECOMMENDED).
What Are The Steps Involved In A Breast Implant Removal Surgery?
Step 1 – Consultation
Preceding any of the above procedures, candidates go through a consultation and pre-operative process, wherein they set the right expectations and weigh the pros and cons. The goal is to make sure that the patient is making a well-informed choice.
Expect a casual and enjoyable conversation with Dr. Khan (board certified in Plastic and Reconstructive Surgery as well as General Surgery) followed by an initial exam and some advice from the doctor.
Step 2 – Preparation
In preparation for surgery, get plenty of rest, stay hydrated and remember not to allow any anxiety about undergoing surgery to cause your body stress. Try and think positively and remain emotionally healthy as well as physically healthy prior to surgery. Your exact preparatory steps will be specific to your needs and Dr. Khan will go over what is best for you. Patients who are worried about scar tissue must plan ahead and go through a capsulectomy. This is the removal of the scar tissue. Patients should also tell their surgeon if they have any illness or are taking any medications. It is especially important to let the doctor know if the medications have blood-thinning effects. This is not something to leave out of your conversations with your doctor.
Step 3 – Day of
Executive Plastic Surgery offers outpatient breast implant removal surgery at their state of the art private AAAASF Certified Surgery Center at the office that will greatly reduce the out of pocket cost and maintain the highest standards of safety and delivery of surgical care.
The American Association for Accreditation of Ambulatory Surgery Facilities AAAASF sets the “Gold Standard in Accreditation.”
Step 4 – Anesthesia
Anesthesia will be administered to mitigate pain during the surgical procedure. Your doctor and anesthesiologist will recommend either intravenous sedation or general anesthesia. During the procedure, an anesthesiologist monitors the patient’s vitals.
Step 5 – The incision
Your doctor will make an incision along the lower fold of the breast, also known as the inframammary fold, or an incision in the region of or underneath the areola (the pink part of the breast). Surgeons generally take out breast implants through the original incisions (the ones from when they were implanted) to avoid further scarring of the breast skin.
Step 6 – The operation
This will depend a great deal on your personal needs. Your doctor will create a plan using one or more techniques to get the goal result specifically suited to you. Afterward, sutures, skin adhesives, or tapes will be used to close up the incision in order for it to heal. An uncomplicated implant removal may be over in just an hour. But, a removal with a replacement or complications with scar tissue, for example, may extend the procedure. The surgeon will begin by removing the scar tissue around the initial incision (called the capsule). The doctor will place a surgical drain to stop fluid from leaking during recovery.
Step 7 – Recovery
During recovery, you will be prescribed medication to mitigate the pain. You will also be instructed to rest for a given period of time. That time could be as much as a few weeks or as little as a few days depending on a multitude of factors. You will need someone with you for at least a few days. Be sure to find a reliable and responsible friend or loved one to be there the day of. The doctor will provide thorough post-operative instructions. Some patients find it helpful to wear a support bra during the first few weeks subsequent the surgery. The doctor and nurses will go over everything with you.
What Should I Expect After Breast Implant Removal?
Here in our Detroit area office, we work hard to serve the best interests of our patients. Our goal is for you to look and feel confident and happy with your body. Managing expectations is vital. Though we will do everything in our power to make you as happy as possible with your breasts, there are no guarantees.
Possible Risks And Complications Of Breast Implant Removal Surgery
Good preparation and post-operative care can help minimize complications. It is crucial for patients to closely follow their surgeons’ post-operative instructions, especially with regards to taking their antibiotics, which are often prescribed as a preventative measure against the risk of post-surgical infection.
Possible complications of the removal procedure include:
* breast distortion
* severe skin scarring or excessive scar tissue
* excessive bleeding
* decreased nipple sensation (Note that this usually occurs in cases that entail broad dissection.)
You will have a different breast profile, which may be less buoyant than before surgery and have irregularities. This depends on how much scar tissue you have. However, the opposite could be true and the breast may appear more natural. It is really a matter of the patient’s comfort level with her breasts.
Our number one concern is whether or not the patient is experiencing their best possible quality of life. Therefore, we consider each case very carefully. We look forward to consulting with you and hope to earn your trust as medical professionals. Reach out to Executive Plastic Surgeon soon to learn more about the surgery and our standard of care at our Detroit metro area offices: (734) 419-1615.