Recovery? Pain? I was told by my surgeon that he could remove them under straight local. They are not ruptured. Is this true? I'm 30 years old. I had silicone 400cc breast implants placed 3 years ago. I was a fuller A cup and went up to a DD (against my wishes, I wanted a C) I'm a very active person and have hated them ever since. I do not wish to have them replaced in fear of future surgery, problems, etc. It was an unfortunate circumstance that I just want erased from my history.
Breast Implant Removal Recovery
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Implant Removal under Local
Yes, if all that is being done is removal of the implant, and you are willing to put up with a little pain while the local is injected, and complete awareness of everything that is happening, then it can be done under local anesthesia only. Alternatively a little bit of conscious sedation along with the local could be a more pleasant way to have this done, but might incur some additional expense and require that someone give you a ride home. Recovery is generally pretty easy, but an adjustment.
It is unforturnate that you ended up with uncomfortably large implants. We always fully engage the patient in choice of implant size, and peform a "try-on" of various implant sizes in choosing which size is appropriate. By doing this we find that patients almost never return wanting to upsize or downsize, or it they do it is often because they chose an implant that we didn't fully agree with.
Implant Removal Can Be Done With Local Anesthesia
Yes, you can remove implants with just local anesthesia, and return to work immediately.
Expert opinion does vary on the need for removing the capsule (capsulectomy) at the time of implant removal (explantation). Capsulectomy s done to make sure the space created for the implant will seal closed after removal. If it does not, fluid (serum) can accumulate in the space, creating breast fullness, asymmetry, and even the feeling of fluid moving in the pocket.
Capsulectomy would better be performed with sedation (or general anesthesia) for your comfort. The use of drains for about a week is common with capsulectomy. Your return to work depends on your surgeon's counsel in this regard.
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Pain after Breast Implant Removal
While the implant removal can be done under local anesthesia, I prefer monitored care with local anesthesia and IV sedation, or a light general anesthesia as this allows for a less stressful experience for you and for the surgeon should problems occur during the procedure.
The pain after breast implant removal is usually minimal, particularly in nothing else is done.
You have fairly large implants, and therefore sagging breasts can be expected. You will likely need a mastopexy or breast lift with or without smaller implants depending upon how much natural breast tissue you have and which size you desire.
A consultation and thorough discussions with your plastic surgeon is necessary.
Breast augmentation reversal is easy with local anesthesia alone.
It will take about 10 minutes to remove your old implants under local anesthesia. It's too bad you paid for something you really didn't want. Most patients love breast augmentation. In spite of the money wasted, the procedure can be reversed easily. Most of the time the breasts look very much like they did before augmentation so mastopexy is usually not necessary.
Recovery Following Implant Removal
Occasionally women are dissatisfied with their breast implants and elect to have them removed. In the absence of severe capsule formation this is often a relatively simple procedure. The procedure usually involves re-opening the incision, extracting the implant and closing the wound. This can often be accomplished with local anesthesia alone.
The procedure is associated with minimal pain and short recoveries. Since the muscle is undisturbed there’s minimal amounts of pain following the procedure. Patients usually don’t require narcotics for longer than 24 hours and are able to return to work the following day as long as no heavy lifting is involved.
If you’re considering this option, consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to formulate a treatment plan that’s specific for your situation.
Removing implants under local anesthesia
Breast Implant Removal
Although implant removal can be performed safely under local, I find that I can do a better job with sedation or anesthesia.
I find that by scoring the capsule (capsulotomy), i can get the breast tissue to lay back down on the chest wall more naturally with less possibility of creases or contour irregularity. I also find the scoring of the capsule to help the capsule adhere to the chest wall, which decreases the chance of seroma (fluid collection) formation.
I wish you a safe recovery.
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