I need to get an explantation, but don't have any idea how to find a surgeon. How do I find a trustworthy doctor to do the procedure? My GP couldn't help me with this question. I live in Florida.
How Do I Find a Trustworthy Doctor for Breast Explantation?
Doctor Answers 37
How to Find the Most Trustworthy Plastic Surgeon
I have been a practicing plastic surgeon for more than 25 years, having trained scores of plastic surgeons as a tenured professor of plastic surgery at USC, and I have had a private practice in Orange County since 1993. Speaking from all this experience, here is my advice and the criteria I would use to find the best plastic surgeon in Orange County, Los Angeles, California, or anywhere in the United States. These are the criteria I would use to select a plastic surgeon for my friends, my family, or myself.
First, I want to stress some general observations I have found to be true over the years.
The institution where the surgeon trained is also important. More renowned schools usually attract the best faculty.
You can use the internet to research the background of a prospective plastic surgeon quickly. Please do this prior to making an appointment. “Just because you wear a baseball cap it doesn’t mean you are a good ball player.” The same applies to anyone wearing a white coat—it doesn’t make you a plastic surgeon, much less a great one.
Caveat Emptor in Latin means “Buyer Beware.” In most states, including California, any physician with a medical school diploma and state license is viewed as a doctor and a surgeon—even without any formal surgical training. In some cases even doctors who have completed only the minimal requirements (medical school, licensing examination, and a one-year internship that need not include surgical training) are touting themselves as “cosmetic surgical experts.” They make these claims of expertise despite the fact that they are only formally trained as family practitioners, OB/Gyns, emergency physicians, dermatologists, or ear-nose-throat specialists. Even physician assistants and nurses have made such claims. See the below link for suggestions on how to find the most trustworthy plastic surgeon for your procedure.
Removing saline or silicone implants
Explantation of silicone or saline implants is not technically challenging and should only be done by a plastic and reconstructive surgeon. The key question arises with the remaining breast tissue. Find a surgeon with enough experience and good bedside manner who can discuss the consequences and goals of treatment after explantation.
Credentials, then questions
Once you have checked the credentials of the doctor (board certified in plastic surgery, hospital affiliations, where did they go to school, ASAPS, ASPS, years in practice, experience, etc.), you may want to ask questions during your consultation with the doctor.
A straightforward explantation of a breast implant is a technically easy procedure.
However, will all the scar tissue be removed? Does it all need to be removed? What will the breasts look like afterward? Is a lift required? Will there be sagging skin? A plastic surgeon experienced with breast surgery will be able to anticipate these problems ahead of time. This could prevent the heartache and expense of having to have revision breast surgery when a predictable problem occurs.
You should get reasonable answers from these questions and feel comfortable with your surgeon before proceeding.
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Board Certification is key
The key to well trained experts in plastic surgery is board certification. Do your research and be sure to find a surgeon certified by the American Board of Plastic Surgery.
In addition be sure to find out if your plastic surgeon has experience in explantation and revision breast augmentation.
In our San Francisco area practice we spend significant amounts of time with patients unhappy with their breast implants to discuss all options and likely outcomes.
I hope this helps!
Check with friends, your MD, and the ASPS web site
What you want is an American Board of Plastic Surgery certified surgeon who has a significant experience in breast implant and explant surgery. The recommendations of the other doctors here as to how to research this are excellent.
Explantation of saline is simple, gel can be more complex if it is ruptured and anticipating what you will look like after explantation is something that comes from experience in doing this. Some patients need nothing, some might need lifting. These should be issues a qualified plastic surgeon should review with you.
Finding a Doctor
To be an expert in any procedure, you have to have done a lot of these procedures and have published papers in the area of expertise.
The capsule is your body's response to your implants. It may contain silicone gel, silicone shell fragments, bacteria, calcification, and inflammatory cells which have been mobilized by your immune system to react to different components of the implant. Research has shown that the capsule does not disappear on its own when only the implant has been removed. See Nancy Hardt's paper in Plastic and Reconstructive Surgery. In addition, if you have pain around the implants, it is usually due to the pulling effect of the scar on surrounding muscle and tissue. If you have health problems that could be from the presence of the implants, removal of the capsule is critical in improving your health.
I've linked my en bloc video and peer-reviewed research studies here.
Surgeon's Training, Certification & Experience Are Important Factors for Cosmetic Surgery
It’s important for patients to be comfortable with their choice of plastic surgeon before proceeding with any type of cosmetic surgery. When choosing a surgeon, several issues should be considered. These include the surgeons training, certification and experience.
Completion of a plastic surgery residency is an essential requirement when picking a surgeon. Although it seems obvious that cosmetic breast surgery should be performed by someone trained in plastic surgery, this isn’t always the case. There are many physicians who perform cosmetic breast surgery who haven’t completed plastic surgery training. They frequently refer to themselves as cosmetic surgeons and have trained in a variety of other areas.
Board certification is also extremely important. This means that your surgeon has undergone testing and peer review. He has satisfied certain criteria that are associated with surgical excellence.
One of the most important factors is your surgeon’s level of experience. Surgeons who have extensive experience with cosmetic breast surgery tend to have higher success rates. Equally important is your comfort level with your plastic surgeon. Your plastic surgeon should be someone that you’re comfortable talking to. It’s also a good idea to have consultations with multiple surgeons, so you have a basis for comparison.
Take your time with this very important decision. If you have questions, doubts or anxiety regarding this issue don’t proceed until they’re resolved. Remember, breast explantation is an elective procedure and you shouldn’t proceed unless you’re prepared in every way. Picking the right plastic surgeon is one of the most important types of preparation.
Find a good doctor
How Do I Find a Trustworthy Doctor for Breast Explantation?
For more information, please go to my website at:
Breast Explantation Surgeon
I would recommend going to the American Society of Plastic Surgeons website and looking for reputable surgeons in your area. You can also utilize this website and search for board certified plastic surgeons.
I wish you a safe recovery.