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 39
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.
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.
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.
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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
Implant removal under local anesthesia
Implants can be safely removed under local anesthesia. Typically, this can be done with minimal pain, and you can return to work the next day.
There are times when the capsule, which forms around the implant, needs to be removed. Talk to your surgeon about this. If the capsule around the implant needs to be removed, that should be done under a general anesthetic.
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.
Breast implant removal recovery
Can Implant Removal be done with Local Anesthesia
Recovery Time After Breast Implant Removal
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.