Price (total) for breast explant surgery in Northern Virginia? Does it cost less in Maryland?

Pricing varies by surgeon and region. If the procedure is performed in a hospital versus a surgery center the facility fees may be higher. If the capsules are thickened or causing issues it is typically recommended to remove them with the implants. If they are not, then it is an option to leave them behind. I offer a pricing tool on my website to help my patients get an estimated cost of the procedures that interest them.

Thank you for the questions.Generally speaking (in my opinion), unless the breast implant capsules have thickened (and/or are otherwise symptomatic), are associated with the ruptured silicone gel breast implants, or if the patient has concerns about "medical conditions" related to the breast implants, capsulectomy is not universally necessary. For these patients, en block removal of breast implants is a good procedure.
***On the contrary, capsulectomy can expose patients to additional risks, such as bleeding, size loss, contour irregularities and other serious complications. In other words, any maneuver performed during surgery exposes patients to additional risk (morbidity). For example, attempting to remove very thin capsule densely adherent to the patient's rib cage may expose the patient to significant bleeding and/or entrance into the thoracic cavity. When it comes to selection of plastic surgeon, I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.
Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done.  I think that you will find that any board-certified plastic surgeon who does a lot of breast surgery, will have significant “expertise” with breast implant removal surgery as well.
Be very careful with your decision-making. You will find, while doing your due diligence, that there are many different “specialties” who will offer their services to you; again, I strongly recommend you concentrate on surgeons certified by the American Board of Plastic Surgery.
 I would also suggest that you do not base your selection of plastic surgeon primarily on costs of surgery; keep in mind that additional surgery may be more costly in many ways. You may find the attached link (dedicated to breast implant removal surgery concerns) helpful as you learn more. Best wishes.

The reason you fee seems a bit high is likely due to the planned removal of the capsule. If you are suspecting a leak, then it is a bit harder to remove the old style implants than the newer style implants that we use today.  IMO that price seems reasonable.  As far as removing the capsule, I would suggest that you do.  It makes sense.  If this were saline implants then sometimes you don't need to remove the capsule.  Hope this helps.