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Breast implants have long been a popular choice for enhancing confidence and body image, but for some women, they may eventually become a source of discomfort, health concerns, or dissatisfaction. Whether due to complications like capsular contracture—which causes tightness, pain, and distortion—or breast implant illness (BII), a set of systemic symptoms that some patients attribute to their implants, many individuals seek breast explant surgery as a solution. Others may simply prefer a more natural look or wish to avoid the long-term maintenance required for implants.

Dr. Joshua Lampert, a board-certified plastic surgeon in Miami, is an expert in breast explant procedures, ensuring safe, effective, and aesthetically refined outcomes. His meticulous surgical approach prioritizes both health and cosmetic goals, helping patients feel confident and comfortable in their bodies once again. In this blog, we’ll explore the most common reasons for explant surgery, the procedure itself, and what patients can expect during recovery and beyond.

Exploring the Medical and Personal Reasons for Explant Surgery

Capsular Contracture

Capsular contracture occurs when the body forms excessive scar tissue around the implant, causing tightness, pain, and distortion. Severe cases can result in:

  • Firmness and hardening of the breasts
  • Uncomfortable tightness or pain
  • Misshapen or asymmetrical breast appearance
  • Restricted movement and discomfort in daily activities

When these symptoms significantly impact a patient’s comfort and aesthetic goals, explant surgery with total capsulectomy is often the best solution.

Breast Implant Illness (BII)

BII describes a collection of systemic symptoms that some women experience after getting breast implants, including:

  • Chronic fatigue and brain fog
  • Joint and muscle pain
  • Skin rashes and hair loss
  • Anxiety, depression, and mood changes
  • Gastrointestinal disturbances
  • Hormonal imbalances

Because there is no definitive diagnostic test for BII, explant surgery is often pursued to relieve symptoms. Many patients report a significant improvement in overall well-being following the removal of their implants and surrounding capsules.

Desire for a Natural Look & Avoiding Future Maintenance

Over time, some women find that implants no longer align with their lifestyle or aesthetic preferences. Others may wish to avoid the need for future surgeries related to implant aging, rupture, or shifting. Explant surgery allows patients to embrace a more natural aesthetic while eliminating concerns over long-term maintenance.

The Explant Procedure & Recovery: What to Expect.

The breast explant procedure varies depending on a patient’s specific condition and goals. The most common techniques include:

  • En Bloc Capsulectomy: Removes the implant and capsule as a single unit to minimize exposure to potential contaminants.
  • Total Capsulectomy: Ensures the entire scar capsule is carefully removed, leaving no residual implant-related material.
  • Breast Lift or Fat Transfer: Additional procedures may be performed to refine breast shape and volume post-explant, based on individual patient goals.

Recovery is a gradual process. Swelling and discomfort are common in the first week, with prescribed pain medication and compression garments helping to manage symptoms. Light activities can typically resume after two to three weeks, while and final results develop over time as scarring fades, leading to improved comfort and confidence.

Is It Time to Remove Your Breast Implants? Dr. Lampert is Here to Help You Decide.

Deciding to remove breast implants is a significant choice, and having the right surgeon makes all the difference. Board-certified Dr. Lampert specializes in advanced breast explant techniques, including the Mammary Imbrication Lift and Fixation Technique, which enhances breast shape and positioning post-explant for a natural, aesthetically refined result. His approach prioritizes safety, precision, and natural-looking results, ensuring that each procedure is tailored to the patient’s unique needs.

If you're considering breast explant surgery due to complications or a desire for a more natural look, Dr. Lampert offers personalized consultations to discuss your options and create a surgical plan tailored to your needs. Schedule your consultation today and take the first step toward renewed confidence.


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