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
Doctor Answers 32
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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Breast Implant Removal Recovery
Simple Explantation or implant removal without capsulectomy can be performed in many cases under local anesthesia alone or with Twilight anesthesia especially for calm patients without significant medical problems. Not all explants need drains. Many Plastic Surgeons use either an Office OR, free standing outpatient surgical suite or a hospital OR
Simple Explantation or implant removal without capsulectomy can be performed in many cases under local anesthesia alone or with Twilight anesthesia especially for calm patients without significant medical problems.. Many Plastic Surgeons use either an Office OR, free standing outpatient surgical suite which is less expensive than using a hospital OR.
There is usually minimal discomfort afterwards ( a fraction of your original augmentation pain). Light activity the first week and return to work the second is permitted for most of my patients.
Breast implant removal
Recovery time after breast implant removal
Implant removal under local
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.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.