Is it possible to drain/ remove implants under local in the office? The implants I currently have are 3 1/2 years old and they replaced a too large previous augmentation. At the time I was told my "pockets" we're perfectly clean with no scarring. I have no cc issues, but I am having shoulder/back issues and want them out! I was a small B cup before but ended up with a full D even after my revision to downsize! I am 5"5 115 lbs so in addition to the back issues, I feel they are too large. Options? Cost?
July 24, 2014
Answer: Explantation of saline breast implants, under local anesthesia Simple explantation of breast implants is both safe and feasible under local anesthesia, provided a. Patient and physician are comfortable with the procedure. Supplemented local anesthesia includes oral anti-anxiety tablets, Xanax, etc. and is ok, as long as the patient has a driver;b. The implants are saline. The implant can be deflated and withdrawn through a relatively small incision;c. The extent of capsular contracture is minimal. It's impractical to attempt capsulectomy (removal of thick scar tissue) in an awake patient.d. Breast lifting is not required. Patients are uniformly concerned about the contractile quality of the skin brassiere, once the implant is removed. There are multiple factors which can positively influence shrinkage. Unless the nipple-areolar complex is very low on the chest wall, I usually ask patients to consider staging explantation and lifting. Only the patient can determine whether a relaxed breast is acceptable or not and a wait and see approach affords a patient time to evaluate the outcome.Interview several BC/PS who will support you in your decision. Realself has fees according to geography.Good luck.
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July 24, 2014
Answer: Explantation of saline breast implants, under local anesthesia Simple explantation of breast implants is both safe and feasible under local anesthesia, provided a. Patient and physician are comfortable with the procedure. Supplemented local anesthesia includes oral anti-anxiety tablets, Xanax, etc. and is ok, as long as the patient has a driver;b. The implants are saline. The implant can be deflated and withdrawn through a relatively small incision;c. The extent of capsular contracture is minimal. It's impractical to attempt capsulectomy (removal of thick scar tissue) in an awake patient.d. Breast lifting is not required. Patients are uniformly concerned about the contractile quality of the skin brassiere, once the implant is removed. There are multiple factors which can positively influence shrinkage. Unless the nipple-areolar complex is very low on the chest wall, I usually ask patients to consider staging explantation and lifting. Only the patient can determine whether a relaxed breast is acceptable or not and a wait and see approach affords a patient time to evaluate the outcome.Interview several BC/PS who will support you in your decision. Realself has fees according to geography.Good luck.
Helpful 1 person found this helpful
August 11, 2014
Answer: #Explant - Removal of saline under the muscle implants. It's possible but only if the procedure is limited (saline implants would be easier to remove this way than silicone), the incision is nearby (an incision on the breast would be easier than trying to do this via the axillary approach), you're only having the implants out (ie no capsulectomy) and, of course, there are no complications.For that reason, even if the decision is made to do this under local alone, it is prudent to anticipate the potential for some sort of problem (bleeding, pain) and to know what would be done in that event.You should therefore go over all of this with a board-certified plastic surgeon so that you know your options and what to expect.I hope that this helps and good luck,Dr. Alan EnglerMember of RealSelf100
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August 11, 2014
Answer: #Explant - Removal of saline under the muscle implants. It's possible but only if the procedure is limited (saline implants would be easier to remove this way than silicone), the incision is nearby (an incision on the breast would be easier than trying to do this via the axillary approach), you're only having the implants out (ie no capsulectomy) and, of course, there are no complications.For that reason, even if the decision is made to do this under local alone, it is prudent to anticipate the potential for some sort of problem (bleeding, pain) and to know what would be done in that event.You should therefore go over all of this with a board-certified plastic surgeon so that you know your options and what to expect.I hope that this helps and good luck,Dr. Alan EnglerMember of RealSelf100
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