Breast implant removal with delayed capsulotomy

Hi, I have 10 y/o 330 cc saline implants under the muscle. I believe one is leaking. I'm interested them removed, but I also want the capsule removed as well. Is it possible to get them removed under local in a plastic surgeons office and then get the capsulotomy at a later date along with a breast lift and possible fat transfer? I don't want to get this done now as I'm planning on having more children. Thanks so much!

Doctor Answers 8

Breast implant removal

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Yes, it is definitely possible to stage your procedures. Schedule a consultation with a board certified plastic surgeon to be examined in person and discuss. Best of luck.

Breast implant removal

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Yes, your plan to stage the procedures can be done.  Contact a board certified plastic surgeon in your area for a consultation.  Together you can create a surgical plan that's right for you.

Breast implant removal with delayed capsulectomy

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Thank you for sharing your excellent question. It is possible to stage your desired procedures and your plan is reasonable. I would be sure that your surrounding implant capsule has not calcified or hardened in the interim, however, as this would leave your breast with a firm feel if not removed at the same time as your implant removal.  Hope this helps.

YES but are you sure you want to do this

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Yes you can have this done and other options. I capsulectomy, especially a very thorough one is NOT comfortable under a local anesthesia. If done completely it is time consuming and can hurt. You can have a capsulectomy later or not at all. It is not harmful to leave in place but it often leaves a "pocket" if it is not removed or roughened. This is usually harmless. ALSO remember it is very hard to get fat grafting to give you the same as 330cc implant size later. I see many patients unhappy with results of FG, just FYI.

James Romano, MD
San Francisco Plastic Surgeon

Breast implant removal

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Yes that can be done.  The fat grafting procedure is best done with a capsule in place if there are associated issues.

Breast implant removal with delayed capsulotomy

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 Your plan seems reasonable. Often, in the field of plastic surgery, there are many different ways to approach a patient's concerns;  is usually best to individualize the plan depending on many factors, including the patient's unique life circumstances (such as planned pregnancies…).


My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as discussed above. Working together you will come up with a good plan to achieve your goals. You may find the attached link helpful to you as you learn more.  Best wishes. 

Breast implant removal with delayed capsulotomy

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It is possible to do these procedures delayed.  After you have healed you may not need any reconstruction.  The capsule will be absorbed overtime and should not cause any concerns.

Staged operations?

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Yes, it is possible to remove the breast implants first under local anesthesia, but you will have to have a drain placed for a few days to allow the old pocket to collapse. You can also just deflate the implants in the office by suctioning out the saline. No drain is required. About 6 to 8 weeks later you can see if the skin has shrunk enough to avoid a breast lift or not.

Later on you can have the second surgery safely.

Best wishes, Dr. Aldo

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