Implant Removal/Explant and Total Capsulectomy Cases

Women may want their implants removed for various reasons: implant capsular contracture, which leads to pain, malposition, and poor aesthetics, bottoming out, increase in existing breast volume overtime, or fears of breast implant related illnesses.  The management of implant removal may involve “en-bloc,” capsulectomy, total capsulectomy, segmental total capsulectomy, or capsuloaugmentation lifting and even fat grafting.  All done to improve the aesthetic outcome in complex situations.

This patient presented with implants done elsewhere by others. She did not like the shape (“bottoming out”) and double bubble.  She did not want implants any longer.  I did total capsulectomy and combined with auto-augmentation (non implant) breast lift using multiple internal dermoglandular flaps.  A very nice outcome.