Under muscle explant - is it dangerous to do since they are under the muscle?

Question

I am a 34 year old who had an under muscle silicone breast augmentation 3 years ago. The first implants never settled correctly and I had MAJOR inflammation from them. The doctor replaced them with smaller implants and the inflammation went away, but I still find them uncomfortable. I’m interested in an explanation but I’m very nervous about the process. Is it dangerous to do since they are under the muscle? I have a baby now and I’m super scared to die from surgery now. Help please.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  There is little additional risk to a below the muscle implant removal than above and your overall risk of surgical complications is low.

Richard Baxter, MD · Answer

Removal of breast implants need not be a dangerous procedure if they are simply removed without removal of the scar capsules. If they are under muscle with dual plane, you should have the muscle re-attached, which isn't difficult. Risks increase if you have a capsulectomy and especially if you do en bloc, which is rarely necessary IMO.

Gary M. Horndeski, MD · Answer

Under the muscle explant is easy to perform. It takes less than 1 hour. Depending on the size of your implants and your skin elasticity, your breast skin may hang and you may need a lift. The breast lift can be done simultaneously or delayed.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear gmc508,
it is hard to tell for sure without an examination. Generally speaking, it is a simple procedure which can be done using the same incision. If you are considering a surgery, I would suggest you to 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

Camille Cash, MD · Answer

You can elect to have your implants removed at any time.  Recovery is typically more minimal than from an augmentation.  The surgery will not carry a higher risk from the implants being under the muscle. You will want to discuss any lifting restrictions with your surgeon as you mentioned you have a baby.

Connie Hiers, MD, FACS · Answer

Removing your implants, with or without capsules, should be fairly straight forward and less risky than pregnancy and delivering a child.  Otherwise, just wait.

Under muscle explant - is it dangerous to do since they are under the muscle?

Answers (6)

More Breast Implant Removal Questions

WE SEND PRETTY
EMAILS

Answers (6)

More Breast Implant Removal Questions

Want implants removed. The muscle above the implants has hurt since I got them 3 yrs ago. Can they be removed while pregnant?

Breast implant removal - how likely I will need a fat transfer or lift? (photos)

Is it true that a capsule left inside will be reabsorbed by the body?

Please tell me if it’s possible to have them removed with the old incision?

I’ve had one lift when implants were put in, is it more risky to have a second lift when they are taken out?

Do I have to receive antibiotic prophylaxis for breast implant removal?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS