Breast implant removal options? 385cc Sientra

Hello, thank you for your question. It sounds like you’re dealing with a challenging situation regarding your breast implants and concerns about Breast Implant Illness (BII). I have attached a video that answers your question in detail. While the idea of removing your implants can be daunting, many people report relief from BII symptoms after explantation. It’s crucial to work closely with a knowledgeable healthcare provider who can guide you through your options and help you make an informed decision.

I would first explore several doctors to make sure your symptoms are not due to an underlying illness. Your last resort is to remove your implants. Even if you remove them, there is no guarantee that your symptoms will be resolved. If you decide to remove them, I would also remove the capsule. Depending on how much loose skin is present, a breast lift may also be indicated. I'm sorry for your issues.

Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon

I would begin by scheduling a few consultations with board certified plastic surgeons near you to discuss your concerns and learn more about your options. If you feel you have BII then removal of the implants and capsules may help. If you elect to have them removed your surgeon can discuss whether or not a lift is recommended for you. I've included a video on implant removal and BII that I hope you find helpful.

The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.