Breast implant removal with breast lift surgery
There is generally some stretching and expanding of the skin and tissue that occurs from having implants. As a result, following your breast implant removal procedure, the breasts will often appear deflated and empty.
As a breast lift (mastopexy) and breast implant removal specialist, Dr. Wu is able to skillfully perform both procedures so that your breasts are able to remain youthful, balanced, and beautiful without implants.
Breast lift surgery can improve the shape and position of your breasts after the initial breast augmentation implants have been removed, but it won’t enhance the size of your breasts. To increase your breast volume without artificial materials, a natural breast augmentation can be performed by transferring your own fat cells from other parts of your body into your breasts.
Breast implant removal performed with fat transfer or fat grafting
Breast fat transfer augmentation as well as fat grafting augmentation are the two terms used to refer to the same procedure. They both involve replacing a portion or all of the volume that has been lost after your initial implants have been removed. Dr. Wu is one of the few aesthetic plastic surgeons who specializes exclusively in fat transfer augmentation procedures and does not perform implants-based cosmetic breast enhancement. To replace some of the volume lost due to implant removal, donor fat is extracted from parts of the body (usually the abdomen, flanks, or thighs) and purified before injection into the breasts. As it is your own fat, your body accepts it much more readily than something artificial, such as breast implants.
In combination with a breast lift and breast fat transfer, breast implant removal can effectively remove the artificial implants from your body while recreating your beautiful breasts.
Breast implant removal only
If your health concerns are only related to the implants from your initial breast augmentation, removing them can be a quick procedure with a short recovery. The implant is typically removed from the same incisions used when they were first placed, such as in the breast crease. For some patients who only need implant removal, the procedure can be performed and anesthesia can be administered in the office under local anesthesia.
For patients with saline breast implants, a quick 5 minute in-office deflation procedure can be performed 1 month prior to the breast implant removal procedure. This is advantageous as it gives your breasts a chance to rehydrate and it also provides a preview of what your breasts will look like once the implants are removed if no other procedures are performed.
Implant removal with total capsulectomy
Essentially, the capsule is a scar tissue produced by the body to coat the implant and pocket where it has been inserted. Implanted medical devices and objects, such as pacemakers and artificial joints, will develop this encapsulating tissue. When a total capsulectomy is used to remove an implant, the implant and surrounding scar tissue are removed together. In some cases, capsule removal may be necessary if you have capsular contracture or ruptured silicone implants.
Despite the belief that leaving the capsules in the breast is not harmful, Dr. Wu will remove the implant capsule along with the implants when the capsule appears thickened or abnormal. When the capsule remains in place, recent clinical evidence suggests that the following may occur:
- A mass with cancer-like characteristics.
- The presence of dense calcifications that can interfere with breast imaging.
- A cystic mass that may also contain implant-related silicone, resulting in additional complications.
A total capsulectomy may help avoid complications arising from breast capsules. This is why you should always consult with an aesthetic plastic surgeon who understands breast anatomy and has experience with various types of breast procedures, including natural breast augmentation, breast lift, breast reduction, and breast implant removal. Dr. Wu is a specialist in all of these procedures.
En bloc breast implant removal, subtotal capsulectomy, & capsulectomy vs. capsulotomy
En bloc breast implant removal is a variation of total capsulectomy. This procedure involves removing the implant and capsule together, rather than one at a time. You may need this procedure if you have textured implants, implant capsule problems, or suspected implant leakage.
During subtotal or partial capsulectomy only part of the capsule is removed. A capsulotomy involves partially removing or releasing the capsule less invasively.
Breast Implant removal with replacement
Despite the fact that many surgeons will replace implants, Dr. Wu and Revel You do not recommend this and also do not perform implant-based breast enhancement or replacement. To enhance your natural beauty and maintain a healthy lifestyle, Dr. Wu prefers a natural approach to breast augmentation using your own fat cells, and is one of the few plastic surgeons in the Houston, TX area to do so.