What is Breast Explant Surgery?

Breast explant surgery and implant removal are two different procedures involving removing breast implants from the body.

Breast implant removal is a surgical procedure involving removing breast implants from the body. This procedure is typically performed when a patient is experiencing complications with their implants, such as implant rupture, capsular contracture, or implant displacement. Breast implant removal is a relatively simple procedure involving making an incision in the exact location of the original implant, removing the implant, and closing the incision with sutures.

Alternatively, breast explant surgery is a more complex procedure involving removing the breast implants and the surrounding scar tissue and capsule that has formed around the implant. This procedure is typically performed when a patient is experiencing symptoms of breast implant illness or wishes to have their implants removed for personal reasons. Breast explant in Miami requires a more extensive incision and may require additional procedures, such as a breast lift or fat transfer, to achieve the desired results.

Unhappy After Explant Surgery?! Deformities, Indentations & Solutions Explained

Unhappy After Explant Surgery?! Deformities, Indentations, & Solutions Explained

Reasons for Breast Explant Surgery

Breast explantation, or implant removal, is chosen for various reasons, including:

  • Personal preference for a natural look and feel.
  • Addressing implant-related issues like rupture, discomfort, or malposition.
  • Adapting to lifestyle changes, such as physical activities.
  • Resolving health concerns or immune-related symptoms.
  • Adjusting to post-pregnancy or breastfeeding preferences.
  • Aesthetic revisions for different desired outcomes.

Consulting a skilled surgeon is vital for tailored guidance based on individual motivations and goals.

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The Mammary Imbrication Lift and Fixation Technique

Dr. Joshua Lampert and his team have introduced a groundbreaking approach to breast implant removal and total capsulectomy, addressing concerns over Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) and Breast Implant Illness (BII). Their Mammary Imbrication Lift and Fixation Technique, showcased in a retrospective review of 64 patients from 2016 to 2021, demonstrates promising results with minimal complications and high patient satisfaction. 

This meticulously developed method ensures both intact capsulectomy and avoids common risks, making it a reliable and aesthetically driven solution for those seeking breast explant surgery. Dr. Lampert's commitment to safety, satisfaction, and aesthetics makes this technique a paradigm shift in breast explant procedures, offering confidence to individuals considering implant removal without replacement.

Click here to read Dr. Lampert’s paper, Safely Shaping the Breast After Implant Removal and Total Intact Capsulectomy Using the Mammary Imbrication Lift and Fixation Technique.

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Who is a Good Candidate for Breast Explant Surgery?

A good candidate for breast explant surgery is someone who:

  • Has experienced complications associated with breast implants
  • Has decided they no longer want breast implants
  • Understands that breast explant surgery may result in changes to the shape and size of the breasts
  • Is in generally good health
  • Is a non-smoker
  • Does not have significant health concerns that would impede healing
  • Has reasonable expectations about the results
  • Can commit to following post-op instructions

Before & After Breast Explant In Miami With Dr. Lampert

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A.L.L. For Moms Charity Surgery Day 2023

Dr Lampert performed 2 explants for his ALL for Moms Charity Surgery Day

Charity Surgery Day A.L.L. for Moms from Lampert MD Plastic Surgery

Breast Explant Consultation With Dr. Lampert

During your breast explant consultation, you’ll discuss the following:

  • Your reasons for considering breast explant surgery
  • The risks and benefits of the procedure
  • The expected outcomes
  • The various options for breast explant surgery, including the type of incision, the need for capsule removal, and the possibility of additional procedures such as a breast lift or fat transfer

Dr. Lampert will also evaluate your medical history, current health status, and breast implant history to determine if you are a good candidate for the procedure. This consultation will typically include a physical examination of your breasts to assess the size, shape, and condition of the breast tissue and the implants. Dr. Lampert may also take measurements and photographs to help plan the surgery.

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Breast Explant Procedure

There are two main types of breast explant surgery: en bloc and capsulectomy.

  • En bloc: This procedure involves removing the entire breast implant, including the capsule surrounding it, in one piece.
  • Capsulectomy: This procedure involves separating the breast implant and the capsule surrounding it.

Before your breast explant in Miami begins, you will be given anesthesia to ensure you are comfortable and pain-free throughout the surgery. You may be given either general anesthesia, which will put you to sleep, or local anesthesia, which will numb the area around your breasts.

Once you are under anesthesia, Dr. Lampert will make an incision in your breast to access the implant and carefully remove it from the breast. After the implant is removed, he will remove any scar tissue that has formed around the implant. This is an important step, as scar tissue can cause discomfort and pain if left in place.

Once the implant and scar tissue are removed, Dr. Lampert will close the incision using sutures or surgical tape. The incision will be covered with a bandage or dressing to protect the area.

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Breast Explant Recovery Timeline

Here is a general timeline to help you understand what to expect from breast explant recovery:

  • Immediately after surgery: You will likely experience discomfort and swelling in the chest area. Pain medication will be prescribed to help manage any pain.
  • First week: During the first week after surgery, it is important to rest as much as possible and avoid any strenuous activity. You may need to wear a compression garment to help reduce swelling and promote healing.
  • Second week: By the second week, most patients can return to light activities, such as walking or household chores. However, avoiding heavy lifting or strenuous exercise is still essential.
  • Third week: By the third week, many patients can resume normal daily activities, including work and exercise. Remember, listening to your body and not pushing yourself too hard is crucial. 
  • Fourth week and beyond: Over the next several weeks, you should continue to see improvement in your recovery. It may take several months for your breasts to heal fully and for any scarring to fade.

Breast Implant Illness

Breast Implant Illness (BII) is a term used to describe symptoms reported by some individuals with breast implants. These symptoms may include chronic fatigue, joint pain, memory issues, and skin problems. While the exact cause of BII is not yet understood, some theories suggest that certain components of implants may trigger an immune response. However, the medical community has not reached a consensus on the existence or nature of BII. It's important to consult with a healthcare professional, such as Dr. Lampert for an accurate evaluation and guidance.

More About Breast Implant Illness

Capsular Contracture

Capsular contracture is a potential complication that can occur after breast augmentation surgery. It happens when scar tissue forms around the breast implant, causing the capsule to tighten and contract. This can result in breast firmness, discomfort, distortion, and in severe cases, pain. The exact cause of capsular contracture is unclear, but it may be related to factors such as infection, implant rupture, or the body's immune response. Treatment options include medication, massage, or surgical intervention to remove or replace the implant and address the tightened capsule.

More About Capsular Contracture

Why Choose Dr. Lampert for Breast Explant in Miami, FL? 

Choose Dr. Lampert for your breast explant in Miami, FL, for a combination of expertise and personalized care. With years of experience, Dr. Lampert specializes in breast surgeries and has a proven track record of patient satisfaction. His commitment to safety, advanced techniques, and comprehensive pre- and post-operative support ensures a smooth journey and optimal results, making him a trusted choice for those seeking a confident breast explant experience.

Contact us today to learn more about breast explant surgery with Dr. Lampert.

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Breast Explant FAQ

Is breast explant surgery safe?

Breast explant surgery is generally considered safe, but there are potential risks and complications which you’ll discuss during your initial consultation.

Can a breast explant be combined with other procedures?

Yes, a breast explant can be combined with other procedures such as breast lift or reduction. This is often done to achieve the desired aesthetic outcome and improve overall breast appearance.

Can I get a fat transfer breast augmentation after breast explant surgery?

Yes, it is possible to get a fat transfer breast augmentation after breast explant surgery. Many women choose to have a fat transfer procedure to restore volume to their breasts after implant removal.

Will breasts fill out after explant?

After breast implant removal, the breasts may naturally fill out to some extent, but this will vary depending on factors such as age, skin elasticity, and the amount of breast tissue present before the implants. Additional fat transfer or breast lift may sometimes be necessary to achieve the desired breast shape and volume.

How can I prevent capsular contracture?

To reduce the risk of capsular contracture after breast augmentation, it's recommended to follow your surgeon's post-operative instructions, engage in gentle breast massage as directed, attend all scheduled follow-up appointments, and consider choosing appropriate implant placement and texture based on Dr. Lampert's advice.

What are the risks of breast explant?

The risks associated with breast explant surgery include infection, bleeding, changes in breast shape and appearance, scarring, loss of nipple sensation, and potential complications related to anesthesia. It's important to discuss these risks thoroughly with Dr. Lampert and make an informed decision based on your individual circumstances.

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