Thinking About Having Breast Implants Removed? Here's What You Need to Know to Have a Safe Surgery

There are many reasons you may want to remove your breast implants, from medical to personal concerns, but the goal is the same — safe and successful removal. On the outside, it may appear to be a simple process, but breast implant removal is actually quite complex, which is why you need an experienced plastic surgeon on the job.

At Pousti Plastic Surgery, Dr. Tom J. Pousti is double board certified in plastic and reconstructive surgery, with extensive experience in breast implant removal. In fact, women fly from all over the country to San Diego to receive the optimal care our team provides when it comes to removing breast implants.

Here’s a look at some of your options so that you can learn the best way to safely and successfully remove your implants.

More than an implant

When you have implants put in, your body responds by creating connective tissue that surrounds the new additions, called capsules. Whether you’ve opted for saline or silicone, your body responds in the same way, creating what is essentially scar tissue as it attempts to heal and shore up the area.

This means that when you decide to have your implants removed, there is more to the procedure than simply sliding the implants out.

In general, there are three different techniques for removing your implants, depending upon the degree of encapsulation and the circumstances for the removal.

The best case scenario

If you aren’t experiencing any problems with your implants, but you simply want them removed for personal reasons, the odds are good that Dr. Pousti may be able to remove them without disturbing any of the surrounding tissue.

As well, if your body created only a thin capsule around your implants, Dr. Pousti is often able to remove your implant cleanly, avoiding the need to remove more tissue than is necessary.

Considering the capsule

If your capsule is creating problems, or it’s thicker than usual, Dr. Pousti may turn to a partial or total capsulectomy when he removes your implants. This means that he removes part, or all, of the connective tissue surrounding your implants.

The rationale behind this move is that the tissue that makes up your capsule doesn’t simply disappear on its own after we remove the implants. So, if you’ve developed thicker capsules, this extra tissue may affect the shape of your breasts after we remove the implant or may cause continued discomfort. To avoid these outcomes, many women opt to have the capsule removed at the same time as their implants to properly restore their pre-augmentation breasts.

If Dr. Pousti finds that he can only remove part of the capsule, he cauterizes and sterilizes the remaining tissue to encourage faster healing. For example, if you’ve had a submuscular implant that develops a capsule that adheres to your rib cage, Dr. Pousti leaves this tissue in place and only removes the tissue that isn’t deeply embedded in other tissue.

All in one

The third type of breast implant removal procedure is what’s called an “En Bloc,” in which Dr. Pousti removes your implant and your capsule as one unit. One of the reasons you may opt for this type of procedure is if your silicone implant has ruptured and you want to remove all of the contents without affecting healthier tissue.

We do need to make a larger incision for this procedure (about 6-7 centimeters), but Dr. Pousti makes every effort to camouflage the incision in your inframammary fold.

The bottom line is that breast implant removal is surgery, no matter how simple, and you need to have an experienced surgeon like Dr. Pousti in your corner to make sure you garner the results you desire.

To learn more about removing your breast implants, please give us a call or use our online scheduling tool to set up a consultation.

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