Recovery Time - Implant Removal and Capsulectomy?

Question

I just scheduled my surgery for implant removal and capsulectomy for 12/21. I had my 380/360cc smooth saline implants put in 11 years ago submuscular. I missed 1 week of work, but only needed pain meds for the first two days (then switched to OTC and did just fine). Can I expect a similar recovery or will it be worse? Want to make sure I'm able to participate in Christmas activities.

Jed H. Horowitz, MD, FACS · Answer

Good day! The recovery with explantation is almost the same with what you experienced. Patients will feel sore and tired during the first 48 to 72 hours after the surgery. Patient is allowed to do normal activities at any time if they cause no pain or discomfort but activity is still largely dependent upon how you feel. However, you are refrained from lifting or raising the arms above the head as strenuous activity will raise your blood pressure, which could cause late bleeding and harm your result. 
During the first week after surgery, swelling and bruising will subside and will be controlled by pain medication. With regards to shower, it is permitted on the 3rd day after surgery if there are no drains. In addition to that, I usually suggest to begin walking around the house periodically throughout the day once the anesthesia has worn off. This will help minimize swelling and bruising and help with the healing process. Doctors have different protocols with regards to recovery so it is best to ask your surgeon about this in detail. Best of luck! #RealSelf100

Richard J. Bruneteau, MD · Answer

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 reopening the incision, extracting the
implant, and closing the wound.This
could easily be accomplished with local anesthesia without significant
discomfort.The procedure is associated with minimal pain and short
recoveries.Since the muscle is
undisturbed, there’s minimal amounts of pain following the procedure.Patient’s 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.

Lewis Albert Andres, MD · Answer

Hello! Thank you for your question!  It is a matter of surgeon 
preference as well as what is seen during your procedure that will 
determine whether or not a complete capsulectomy is performed. If 
significant capsule formation is seen intraoperatively, a full capsule 
removal may be warranted with a drain in order to completely remove all 
of the tissue and allow better adherence of your breast back to its 
normal anatomic position down on your chest wall. If minimal contracture
 is seen, it may be possible to leave the capsule, or place cuts within 
the capsule to allow better adherence. It truly is dependent on what is 
seen with your capsule and the issues that may be causing you to have 
such a procedure (e.g., contracture from ruptured implant vs pain vs 
simple pocket adjustment, etc).  Implants may or may not be replaced depending on your discussion and reason for capsulectomy.  Without
 knowing your issues and
 without an examination, it is difficult to tell you what may be the 
best thing for you. I tend to favor performing capsulectomies (in an en 
bloc fashion) in order 
to create a fresh pocket, reshape the pocket, allow better shape and 
adherence of the overlying breast. I would discuss your issues with your
 plastic surgeon who will assist you in determining the right modality 
for you. Most patients tolerate this procedure very well with minimal 
downtime.  It is typically an outpatient procedure with most being able 
to resume activities within a few days along with restrictions for a 
week or so.  Many surgeons will recommend a postoperative garment for 
several weeks postop as well.  Hope that this helps! Best wishes!

Tom J. Pousti, MD · Answer

Most  patients who undergo breast implant removal surgery experience minimal discomfort compared to the initial operation. Barring complications, you should be able to participate in  non-strenuous Christmas activities.

Best wishes with your upcoming procedure and Merry Christmas!

Antoine A. Hallak, MD, FACS · Answer

yes you can theoretically expect a similar time frame for this recovery but you need to discuss that with your surgeon. he is in the best position to give you a good estimate about your recovery.

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