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

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.

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.

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

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

Yes. In general it can can be done. It may take a bit more time and effort, but the work can potentially be done through that area. The scar line might end up a bit larger. I recommend you work with a Board Certified Plastic Surgeon.

Yes, implants and capsules can be removed with the peri-areolar incision unless your areolae are tiny.

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.