Breast Implant Removal in Orange county

While many women opt to keep their breast implants for a lifetime after undergoing breast augmentation, there are instances where the removal or repositioning of implants becomes desired or necessary. Dr. Farbod Esmailian is a board-certified plastic surgeon experienced in breast implant removal procedures in Orange County, also known as explant surgery.

What Is Breast Implant Removal Surgery?

Breast implant removal surgery, often performed as part of a breast revision, involves the extraction of previously inserted saline or silicone implants.¹ This procedure is typically undertaken to address complications or dissatisfaction following an initial breast augmentation procedure. Reasons for removal can include asymmetry, changes in breast shape, or a desire to alter breast size. By removing or replacing the implants with new implants, Dr. Esmailian can restore a more natural appearance or achieve the desired aesthetic outcome.

Why Would A Woman Choose To Have Breast Implant Removal?

Motivations for women seeking implant removal can vary. Whether a woman desires the replacement of her current implants or the complete removal of breast implants, Dr. Esmailian can use his wealth of expertise to create a treatment plan designed to achieve their goals.

Common Reasons For Breast Explant Surgery:

Discomfort from larger, fuller breasts that feel too heavy at the current stage of life.
Dissatisfaction with breast augmentation results, prompting consideration of a breast explant procedure. Some may be interested in implant replacement with new silicone or saline implants.
Desire to switch out implants for a different size, shape, or type, with the assistance of Dr. Esmailian.
Breasts interfere with personal life, particularly for active women.
Removal of implants due to undesirable positioning.
Wish to return to the natural cup size.
Experiencing signs or symptoms associated with Breast Implant Illness (BII) or Capsular Contracture.

Medical Issues Requiring Breast Implant Removal

Issues such as breast implant illness and capsular contracture may call for breast explant surgery.

BREAST IMPLANT ILLNESS (BII)

This rare condition occurs when the patient’s body adversely reacts to the newly inserted breast implants. When no other conditions can be identified, a diagnosis of BII is given.

CAPSULAR CONTRACTURE

Excess scar tissue can lead to compression of the breast implant and tension in the surrounding tissues. This can cause the breast to become firm, exhibit an irregular shape, and appear higher on the chest. To address this condition, procedures such as en bloc capsulectomy and open capsulotomy are available options, allowing for the removal or replacement of the implants.

EN BLOC CAPSULECTOMY

A total capsulectomy is a surgical procedure that involves the removal of excess scar tissue that has formed around the breast implant and its capsule. After the scar tissue is removed, patients have the option to undergo a fat transfer or a breast lift procedure.

OPEN CAPSULOTOMY

During an open capsulotomy, Dr. Esmailian performs a procedure to cut open the scar tissue capsule that has formed around the breast implant. This is done through small incisions, and a portion of the capsule is often removed/opened.

IMPLANT RUPTURE

An implant rupture occurs when a breast implant develops a tear or hole in its outer shell, leading to leakage of the silicone or saline inside and deflation of the breast. This can result in changes to the breast shape, size, and overall appearance. Symptoms may include swelling, pain, or changes in breast firmness. To address implant rupture, procedures such as implant removal or replacement are necessary to restore the breast’s natural contour and ensure the patient's health and aesthetic goals are maintained.

Other issues, such as infections, chronic pain, and necrosis, can also be an issue.

Preparing for Breast Implant Removal

To prepare for breast implant removal surgery, patients should follow Dr. Esmailian’s preoperative instructions carefully. This typically includes stopping certain medications, such as blood thinners, and avoiding smoking for at least four weeks to promote better healing. Patients should arrange for transportation to and from the surgery and plan for a recovery period by organizing support at home. It's also important to follow any fasting guidelines if general anesthesia will be used. Additionally, discussing any concerns or questions with Dr. Esmailian prior to the procedure can help ensure a smooth and successful surgery experience.

The Breast Implant Removal Procedure

Dr. Esmailian conducts outpatient breast implant removal surgery, with a typical duration ranging from one to three hours. The breast implant removal procedure typically begins with the administration of anesthesia. Dr. Esmailian then makes an incision, often along the same line as the original breast augmentation incision to minimize additional scarring. The implants are carefully removed, and any scar tissue (capsule) that has formed around them may also be excised, a process known as capsulectomy. Depending on the patient's needs and goals, Dr. Esmailian may also perform a breast lift or other complementary procedures to achieve the desired aesthetic outcome. Finally, the incisions are closed with sutures, and the area is bandaged to support healing.

Recovery Following Breast Implant Removal

The patient's recovery process after their breast implant removal in Orange County varies depending on the extent of the procedure. However, in general, the recovery from breast explant surgery is often easier compared to the initial breast augmentation. Most patients experience minimal discomfort following the removal of their breast implants, and many can typically return to work within 3-5 days after the procedure.

During the recovery period, it is important to avoid strenuous activity and heavy lifting for a period of four to six weeks. The incisions made during the surgery are typically placed in the same location as the scars from the previous implant surgery, resulting in no new visible scars.

Schedule a Consultation

If you are facing any concerns related to breast implants and are interested in exploring breast implant removal in Orange County, we encourage you to contact us today. You can schedule an initial consultation by calling (562) 430-7373. Take the first step toward attaining the breasts you desire by reaching out to us today.

FAQs About Breast Implant Removal

WHO IS AN IDEAL CANDIDATE FOR BREAST IMPLANT REMOVAL?

Ideal candidates for breast explant surgery are those who are in overall good health. They should be non-smokers or be able to quit at least four weeks before their procedure.

WHAT IS THE COST OF BREAST IMPLANT REMOVAL?

The cost of breast implant removal can vary significantly depending on the specifics of the treatment plan. Factors such as the complexity of the surgery and any other procedures included all influence the final price. To obtain an accurate estimate tailored to your individual needs, it is best to schedule a consultation with Dr. Esmailian.

CAN I COMBINE ANY OTHER PROCEDURES WITH BREAST IMPLANT REMOVAL SURGERY?

Yes, you can combine other procedures with breast implant removal surgery to enhance your overall results and achieve your aesthetic goals. Common procedures combined with implant removal include breast lift surgery (mastopexy), which can help reshape and lift the breasts, especially if sagging has occurred. Additionally, liposuction can be performed to contour surrounding areas for a more balanced look. In some cases, patients may also opt for a new breast augmentation surgeryto replace the old implants and refine the shape and size of the breasts. Areola resizing or repositioning can also be done to complement the new breast contour.

DOES BREAST IMPLANT REMOVAL HAVE ANY RISKS?

Yes, breast implant removal does carry some risks, as with any surgical procedure. Potential risks include infection, bleeding, scarring, changes in breast sensation, and asymmetry.³ There may also be risks associated with anesthesia. It's important to discuss all potential risks with Dr. Esmailian during your consultation to make an informed decision.

Dr. Esmailian

Why Choose Dr. Esmailian?

Dr. Esmailian is a highly accomplished board-certified plastic surgeon, with extensive experience in cosmetic surgery for the breasts. With a strong commitment to delivering exceptional results, he provides top-notch cosmetic care to patients in Southern California. His approach focuses on achieving natural and personalized enhancements for each individual.

In addition to his extensive education and training, Dr. Esmailian actively participates in various professional organizations, including the Orange County Society of Plastic Surgeons and the American Society of Plastic Surgeons.

¹ Cleveland Clinic. Breast Implant Removal. Available: https://my.clevelandclinic.org/health/treatments/21799-breast-implant-removal. Accessed May 20, 2024.
² ASPS. Breast Implant Removal Candidates. Available: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal/candidates. Accessed May 20, 2024.
³ ASPS. Breast Implant Removal. Available: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal/safety. Accessed May 20, 2024.

Page updated: June 05, 2024