Can I get explant surgery of under muscle saline implant while continuing breastfeeding?

Due to breastfeeding and due to the hashimotos and fibromyalgia is not a current candidate. I would say that you need to see your treating Doctor for hashimotos and fibromyalgia before being cleared for surgery.

Considering the implant is behind the muscle, removal of the implant while breastfeeding shouldn't be a problem, however this may still be a risk.   I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Your PS should be able to evaluate the cause for your pain.   He/she, along with your OB/GYN, and PCP treating your fibromyalgia and hashimoto's disease can determine if the implants are the source of your discomfort or if there another explanation. If necessary, the implants can probably be removed under local anesthesia. Implant removal should not adversely impact your ability to continue breastfeeding.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Dear Autumn N,it is hard to tell for sure without an examination but generally speaking, implant removal under local anesthesia might be an option. 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

Thank you for sharing your question.  Depending on the exact procedures needed to achieve a good result - implant removal, capsulectomy, etc you may be able to have the implants removed with a small in-office procedure.  Any procedure should be run by your ob/gyn to assess the safety to your breast-feeding child to make sure no increased risk exists.  Hope this helps.

Your case is unique.  You should be able to remove your implant at this time, but if you are having pain an examination is needed to help determine the cause.  It may be that your capsules need to be removed as well.  I recommend meeting with a board certified plastic surgeon in your area for a consultation to determine if you should proceed with surgery at this time.

Since you are breast feeding, your child will be getting whatever medication you take. You could pump prior to surgery for a while and save your milk. After surgery, you could still pump, but just discard your milk. I would first check with your pediatrician to see what he/she advices about breast feeding and anesthesia, especially if your child is very young. If you choose to have just your implants removed under local anesthesia, then it could be done. If you need general anesthesia, it would be best to wait until you have finished breast feeding.

Hi Autumn,
If your goal is to simply remove the implants, then yes, some surgeons will offer removal of saline implants under local anesthetic which can be done safely while breast feeding.  If however, your goal is to remove both the capsule (the scar your body forms around the implant) and the implant (the so called enbloc resection), then you will need a general anesthetic and that needs to be discussed with in more detail as to the risks.  
Congratulations on the new baby and best of luck.

It should be quite safe to remove your under-muscle saline breast implants using local anesthesia in the office while you are still breast feeding.  Certainly it is imperative to first discuss this with your child's pediatrician in order to establish a specific plan that will safely avoid feeding to your child any breast milk containing drugs you received during the removal.  Hope this helps.  Best wishes to you!

Dear Autumn N,Hello and thank you for your excellent question.  If you are considering removing your implants, then you should be evaluated for the Bellesoma Breast Lift technique - it provides an exceptional breast lift, upper pole fullness, relief from neck and back pain, and no vertical breast lift scar. It uses a woman’s OWN breast tissue to produce an internal suspension technique, without the need for a breast implant. It does not disturb the nipple, areola, or breast glands, so sensation and the ability to lactate is preserved. It uses 3D scanning of your breasts and body to design a procedure specifically designed for YOU, and you alone. Finally, for patients who desire breast enlargement, it can be combined with fat grafting. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Texas “Top Doc” 2017, 2018

RealSelf100

America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 - 2018