Would it be necessary for to find a plastic surgeon trained in microsurgery to remove my silicone implants?

Question

Female, 56 years old, Caucasian, Baker IV Contracture, Ruptured Left verified by ultrasound.

Jeffrey J. Roth, MD, FACS · Answer

Thank you for your question. First, all Board Certified Plastic Surgeons are trained in microsurgery. Some may do more than others in their daily practice. Given the procedure that you are describing, the microscope would not be used unless something very exceptional is going on. Please do talk to your Board Certified Plastic Surgeon. They will go through the process with you, and together you will make a plan.

Jeffrey J. Roth, M.D., F.A.C.S.

Board Certified Plastic Surgeon

Las Vegas Plastic Surgery

Jeffrey J. Roth, M.D., F.A.C.S.

Board Certified Plastic Surgeon

Las Vegas Plastic Surgery

Shaher W. Khan, MD · Answer

Hello, thank you for your question. I have attached a video that discusses your concern in detail. While it may not be strictly necessary to find a plastic surgeon trained in microsurgery for the removal of silicone implants, doing so may be advantageous, especially if there are complications or if you’re considering further procedures. It’s essential to consult with a qualified plastic surgeon who can assess your specific situation and provide recommendations tailored to your needs. They can help you understand the potential risks and benefits of different approaches and ensure that you receive the best possible care.

Alan Gonzalez, MD, FACS · Answer

Hello @conniesarah, Thank you for your question. it is important to find a plastic surgeon who is experienced in breast explant. This type of surgery requires specialized skills due to the nature of the procedure, as well as precision when removing the implants, and performing total capsulectomy (the process of completely removing all scar tissue that surrounds an implant). Make sure to ask detailed questions about their experience with breast implant removal. It’s also important to note that not all surgeons offer total capsulectomy during removal; therefore make sure this is part of the consultation discussion prior to making any decisions about moving forward with explant surgery. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Daniel Barrett, MD · Answer

Dear conniesarah,
implant removal is not a complicated procedure so it is probably best to consult your original surgeon. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

In the case of severe breast contracture removal of implants is necessary. Providing that patient has enough of breast tissue after removal of implant and portion or entire capsule (if needed) reconstruction can proceed by means of breast lift or breast lift with new implants, this time placed in new pocket. Addition of fat grafts may be needed to achieve desired shape and size. For this complex procedure there is no need for microsurgery expertise since this is needed in those very rare situations when patient own free tissue transfer may be needed to provide sufficient breast volume. These are, however, very long and expensive procedures. Hope this helps.

Lisa Sacks, MBBCh, FRCS · Answer

Dear conniesarah, You require any plastic surgeon who would be able to remove your ruptured implant and do a FULL capsulectomy. Most plastic surgeons in the UK are trained in microsurgery, although microsurgical techniques are not necessary for the type of operation you require. Any implants that have been in for longer than 8 years require a full capsulectomy.A grade IV capsular contracture also requires a capsulectomy. My advice is based on my own practice - I remove a lot of breast implants. I hope this is helpful.

Camille Cash, MD · Answer

A board certified plastic surgeon with experience in breast implant removal will be able to address your concerns.  Be sure to review surgeons' credentials and look at before after photos.  When you find those that meet your criteria you can schedule a few consultations to hear varying opinions.

Connie Hiers, MD, FACS · Answer

No, the microscope will not be used to remove implants and capsules. Most plastic surgeons have received training in microsurgery as well.

Shana Kalaria, MD · Answer

If you are just looking for implant removal, then no you do not need a microsurgeon. I would, however, find a board-certified plastic surgeon. Good luck!

Would it be necessary for to find a plastic surgeon trained in microsurgery to remove my silicone implants?

Answers (9)

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