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 42
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.
Pain and recovery after removing implants
If you have formed capsules (scar tissue), your surgeon may want to take some extra time to remove them, to make sure you heal well, and don't form deep scars or collection of fluids. Overall, that part of the procedure depends on what the surgeon sees when they remove the implants. Still, all this can be done with very light sedation, with most of the anesthesia coming from local.
Recovery should be pretty quick (much less than getting the implants, though still recommend special bra/wrap and modifying heavy exercise) and pain should be manageable with oral pain meds.
Overall, if you are unhappy with the augmentation, removing the implant should be an easy experience and I hope you are able to do it, and are pleased with your results.
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Breast implant removal recovery
Can Implant Removal be done with Local Anesthesia
Implant removal with local anesthesia
Breast implant removal under local anesthesia is a very simple procedure for the surgeon and the patient. Virtually painless during and after.
Having had 400 cc implants for 3 years there will be stretch of the overlying tissue. You may consider asking your plastic surgeon if you are a candidate for internally supporting and lifting the breast. This involves suturing the implant pocket closed while lifting the nipple and breast. This can be easily done with local anesthesia as well if you wish.
York J. Yates, MD - Utah.
BREAST IMPLANT REMOVAL RECOVERY IS DEPENDENT UPON THE EXTENT OF SURGERY REQUIRED
Silicone implants that are not ruptured may be easily removed under local anesthesia.
The recovery does not compare at all to the initial augmentation surgery (if the capsule is left behind). The surgery is less invasive (again if the capsule is left behind)
The pain is related to the extent of the surgery carried out:
- minimal pain if the capsule is left behind.
Note that if the capsule is contracted, deformed and very adherent to the surrounding tissues or if the silicone implants are ruptured, the surgery may be quite uncomfortable or very difficult for you and / or the surgeon if carried out with only local anesthesia.
Dr. Carlos Cordoba
MDCM, CSPQ, FRCS, FACS
Plastic & Esthetic Surgeon
4055 Ste-Catherine O. Suite 100
Montreal, QC. Canada H3Z 3J8
Keep in mind that you may require additional surgery such as a breast lift post implant removal, so you may require a little more than only local anesthesia
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.
Breast Implant Removal Recovery depends on type of surgery done
Simply removing intact implants is easy and can be done under local anesthesia. However, if a complete capsulectomy is also part of the procedure then IV sedation would be more comfortable. En bloc capsulectomy is often performed with implant removal and requires drains. Recovery is often quick once the drains are removed at 7-10days.
Recovery from implant removal
If you are just having your implants removed and not the capsule then it is possible to do this with just local anesthesia. I find that most patients are more comfortable however with some light sedation through an IV. If any portion of the breast capsule needs to be removed then I would strongly recommend some form of sedation or general anesthesia. Schedule a consultation with a Board Certified Plastic Surgeon who can really assess your situation and come up with the best plan for you to make you most comfortable. Good luck!
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.