19328 Removal of intact breast implant

Name of the Procedure:

Removal of Intact Breast Implant
(Also known as) Explant Surgery, Breast Implant Removal, Implant Explantation

Summary

Removal of intact breast implant surgery involves the surgical extraction of breast implants while preserving their integrity. This procedure may involve removing the implant alone or both the implant and the surrounding scar tissue (capsule).

Purpose

This procedure is performed to address complications related to breast implants such as capsular contracture, implant rupture, or personal preference for implant removal. Its goal is to alleviate symptoms, improve breast appearance, or resolve medical issues caused by the implant.

Indications

• Discomfort or pain due to capsular contracture
• Suspected or confirmed implant rupture
• Breast implant-associated illness or complications
• Infection or chronic inflammation
• Desire to remove implants for personal or cosmetic reasons

Preparation

• Patients may be required to fast for 8 hours before the procedure.
• Certain medications, such as blood thinners, may need to be adjusted.
• Preoperative diagnostic tests may include blood work and imaging studies (e.g., MRI or ultrasound).

Procedure Description

1. The patient is administered general anesthesia for the surgery.
2. An incision is made, typically along the original scar line to minimize new scarring.
3. The surgeon carefully dissects through the tissue to access the breast implant.
4. The intact implant is removed, and if necessary, the surrounding scar tissue (capsule) is also excised.
5. The incision is closed with sutures, and the area is bandaged for protection.
6. Drainage tubes may be placed to prevent fluid buildup, which will be removed in follow-up visits.

Duration

The procedure typically takes 1 to 2 hours to complete.

Setting

The surgery is usually performed in a hospital or outpatient surgical center.

Personnel

• Surgeon (usually a plastic or reconstructive surgeon)
• Anesthesiologist
• Surgical nurse
• Operating room technician

Risks and Complications

• Infection
• Bleeding or hematoma
• Scarring or changes in breast contour
• Pain and discomfort
• Anesthesia-related risks
• Rare complications like seroma or nerve damage

Benefits

• Relief from symptoms like pain or discomfort
• Improved breast appearance or symmetry
• Resolution of medical complications associated with implants
• Enhanced overall health and well-being

Recovery

• Patients are usually advised to wear a special support bra.
• Rest and limited physical activity are recommended for the first few weeks.
• Pain and discomfort can be managed with prescribed medications.
• Follow-up appointments are necessary to monitor healing and remove any drainage tubes.
• Full recovery can take several weeks, with gradual return to normal activities.

Alternatives

• Capsulectomy: Removal of the capsule surrounding the implant.
• Implant replacement with new implants.
• Fat transfer or reconstructive surgery.
• Living without implants, accepting the natural breast shape.

Patient Experience

During the procedure, the patient is under general anesthesia and will not feel anything. Post-procedure, pain and discomfort are common but can be managed with medications. Swelling and mild bruising are possible, and comfort measures like support garments can alleviate discomfort. Most patients can resume normal activities within a few weeks, following their surgeon's advice.