Board-certified Beverly Hills plastic surgeon Dr. Robert Cohen, MD, FACS, is internationally recognized for his expertise in aesthetic breast surgery and complex revision procedures. In his boutique practice, he frequently treats women evaluating whether their breast implants still align with their health priorities, lifestyle, or aesthetic goals. Over the past several years, Dr. Cohen has seen a noticeable rise in patients seeking breast implant removal, also known as explant surgery.
Several forces are driving this change. Patients today are more informed about implant-related complications such as capsular contracture, rupture, or implant malposition. At the same time, aesthetic trends have shifted toward softer, more natural-looking breast contours. Many women also reach a point where their implants no longer reflect their current lifestyle or personal preferences. Read on to discover why more women are choosing explant surgery and what to know when considering implant removal.
Why More Women Are Choosing Implant Removal
Women pursue explant surgery for many different reasons, but several motivations appear frequently among patients who consult with Dr. Cohen.
- Health concerns: Complications such as capsular contracture, implant rupture, rippling, or implant malposition can cause discomfort and affect breast shape.
- Symptoms some patients associate with Breast Implant Illness: Some women report fatigue, inflammation, or other systemic symptoms they believe may be connected to their implants and choose removal in hopes of feeling better.
- Implant safety concerns: Increased awareness of textured implant recalls and their association with a rare lymphoma known as ALCL has prompted some patients to explore removal as a precaution.
- Changing lifestyle priorities: Pregnancy, weight changes, aging, and evolving fitness goals can alter how implants feel or look over time.
- Preference for natural aesthetics: Many women today prefer a breast appearance that feels lighter, softer, and more proportionate to their body.
For many patients, explant surgery reflects an evolution in personal priorities rather than regret about a previous procedure.
Modern Approaches to Explant Surgery
Breast implant removal is highly individualized. In many cases, explant surgery is part of a carefully planned approach that restores natural breast contour and balance once the implants are removed.
- Breast lift: A lift reshapes breast tissue and repositions the nipple to maintain an attractive contour after implant removal.
- Fat grafting: Fat transferred from areas such as the abdomen or thighs can restore subtle volume using the patient’s own tissue.
- Capsulectomy when appropriate: Removal of the scar tissue capsule surrounding the implant may be recommended when complications are present.
Dr. Cohen is known for advanced breast surgery and complex revision procedures. During consultation, he evaluates each patient’s anatomy, implant history, and aesthetic goals before recommending the safest and most appropriate surgical plan. His objective is always to create a natural breast shape that remains harmonious with the patient’s overall proportions.
Speak With a Beverly Hills Explant Specialist
The growing interest in explant surgery reflects a larger movement toward personalized aesthetic choices and long-term comfort. With elite surgical training and over 20 years of experience correcting some of the most challenging aesthetic breast issues, Dr. Cohen provides the experience and precision these complex procedures require. Schedule a consultation today to discuss your goals and learn whether breast implant removal may be the right choice for you.