I would like to remove my large saline implants after 13 years without a lift. Will I need to remove the capsule? (photo)
Doctor Answers 3
I would like to remove my large saline implants
Consult your local plastic surgeon
Removing the capsule when removing the breast implant
I would agree with Dr. DeMars' response.
Intentionally deflating the implant voids the warranty and commits the patient to removal or replacement, but it's an easy solution to the issue of seeing what the breast will look like without the implant volume.
It would appear that the implants you have were properly sized and positioned and therefore removing them should leave your breasts looking the way they would have looked if the implant had never been there. You may have sagged a bit over 13 years but putting implants in does not lift breasts and taking them out does not make them sag. The issue of sagging after removal is an illusion because of the lost volume and upper pole fill.
There is no medical reason to remove normal capsule tissue around saline-filled implants. Removing saline implants with a capsulectomy can be done under local anesthesia in the office as a walk-in and walk-out procedure for minimal cost, particularly if the original incisional scar is in the inframammary crease. The risk of fluid collection after removing the implants is vastly overrated and can be easily dealt with if it occurs.