Stuart Breast Implant Removal doctors

David Bogue, MD David Bogue, MD
Boca Raton Plastic Surgeon
660 Glades Road Suite 380, Boca Raton
21 answers
Brian Hass, MD Brian Hass, MD
Palm Beach Plastic Surgeon
2401 PGA Blvd. Suite 150, Palm Beach Gardens
Robert N. Cooper, MD Robert N. Cooper, MD
Vero Beach Plastic Surgeon
201 S.E. Osceola Street, Stuart

Recent Answers

Can the Chest Muscle Be Fixed if It Moves Weird (Up and Out) After Having Breast Implants Removed?

I had breasts implants for 9 years and removed them 6 months ago because of the way the muscle moved them when flexing the muscle, but now even without implants I still have the same problem with the muscle. I want to get implants again but I want my muscle fixed at the same time, can this animation deformity be corrected? What is the most effective and predictable way? Thank you.

A: Muscle deformity with and after implants.

The animation deformity you have experienced is not uncommon with implants placed submuscularly. Unfortunately, there is very little that can be done for this while implants are in place. Upon explantation, it helps to perform a total capsulectomy (removal of all of the breast capsule) and to even reattach portions of the pectoralis muscle to the chest wall (medially and inferiorly). If you were to have implants placed under the muscle again, the animation deformity is likely to continue. Some surgeons have noted improvement in this deformity by using a dermal matrix (Strattice).  The Strattice is placed like a hammock from the inframmary fold to the pectoralis muscle border. This provides a "tether" for the muscle as it contracts which may lead to a less-noticeable animation deformity. Unfortunately, this is quite an expensive addition to the surgical cost.

David Bogue, MD
Boca Raton Plastic Surgeon
Breast Explantation While Pregnant?

Can a breast explantation surgery be safely performed while pregnant? I have subglandular saline. I've heard its an easy procedure, and can even be done under "twilight" anesthesia.

A: Wait until after pregnancy.

Breast implant removal under elective circumstances should be performed when you are NOT pregnant. There is no reason to expose your baby to any possible anesthetic risk.

David Bogue, MD
Boca Raton Plastic Surgeon
Is Capsulectomy Necessary for Capsular Contracture when Getting an Explant?

I have had silicone implants under the muscle for 5yrs and have developed capsular contracture in one and now want to explant (may reimplant at a later date). Is it necesssary to do a complete capsulectomy? If I leave the scar tissue in, what are the risks if any?

A: Capsulectomy following explantation.

The main reason for removing the capsule following explantation is to prevent the occurrence of a seroma, or fluid collection. The entire capsule does not need to be removed, usually just the anterior surface. That being said, a total capsulectomy is not terribly difficult to perform, particularly for subglandular (on top of the muscle) capsules.

David Bogue, MD
Boca Raton Plastic Surgeon
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