Can small implants and capsules be removed by way of the areolas? (Photo)

Question

I have had 180cc saline implants since 1992 and my PS assured me he could remove them via the same scar (under the areolas vs under the breast itself) bc they are so small as well as also perform a full capsulectomy that way. On my BII support group website I have had women saying it was not possible yet I read a popular female racecar driver had hers successfully removed this way in 2018 to not have to encur excessive scarring. She did not need a lift and my PS says I should not either.

Camille Cash, MD · Answer

It is possible to remove the implants through the same incision.  I recommend that you visit with a board certified plastic surgeon to determine what is best for you.  There are risks and benefits to various approaches.

Shaher W. Khan, MD · Answer

Hello, thank you for your question. In my opinion, it is not possible to remove the entire implant and capsule through an areolar incision, even if they are small. Please see the attached video that answers your question. Always ensure that you feel confident in your surgeon's expertise with this method, as well as the expected outcomes. Discuss any concerns you have about capsule removal and breast shape with your surgeon, so that you have a clear understanding of the procedure and recovery process. If you have any doubts about the technique or potential risks, it’s always helpful to seek a second opinion from a surgeon with experience in explant surgery.

Raffy Karamanoukian, MD, FACS · Answer

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

Alan Gonzalez, MD, FACS · Answer

Hello @Annie bear, thank you for your question. Whether implants and capsules can be removed through the areola depends on the specialist's surgical technique. Personally for me the best esthetic result of a breast explant is when there is a breast reconstruction immediately after the breast implant removal and capsulostomy. With an L-shaped incision, which for me is the smallest and most discreet incision possible in a breast explant with breast reconstruction. Is important to take into account that after the capsule has been taken out is best to send that tissue to be analyze. To determine the best course of action, a personalized consultation is necessary, in which all aspects are considered. Best wishes! Alan Gonzalez MD, FACS. Best wishes! Alan Gonzalez, MD FACS.

Daniel Barrett, MD · Answer

Dear annie bear,
it is hard to tell for sure without an examination. Generally speaking, it is possible to remove implants using the same incision. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Can small implants and capsules be removed by way of the areolas? (Photo)

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Answer: Can small implants and capsules be removed by way of the areolas?

Answer: Can small implants and capsules be removed by way of the areolas?

Answer: Implant removal

Answer: Implant removal

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Everything you need to know about Breast Implant Removal

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Can small implants and capsules be removed by way of the areolas? (Photo)

Answers (7)

Answer: Can small implants and capsules be removed by way of the areolas?

Answer: Can small implants and capsules be removed by way of the areolas?

Answer: Implant removal

Answer: Implant removal

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Recommended reading

Everything you need to know about Breast Implant Removal

Our mission is to create a world where every investment in modern beauty is Worth It.