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Dr. Cohen is widely regarded as among the top breast surgeons in the area, thanks to his precision-oriented approach and natural-appearing outcomes. He performs breast implant removal in Beverly Hills for clients who are struggling with complications such as implant malposition, capsular contracture, rippling, rupture, and implant recalls. Patients who simply wish to remove their implants for aesthetic reasons can also find relief through Dr. Cohen’s meticulously detailed techniques.

What is breast implant removal?

Breast implant removal is a safe, effective procedure that can be performed on an outpatient basis. The surgery can correct complications associated with implants and leave the client feeling much more at ease with their body. Because the breasts change after implant removal, Dr. Cohen may pair your surgery with a breast lift or fat grafting procedure to ensure a beautiful, elegant result.

What are some common reasons for explant surgery?

Capsular contracture – This is a complication in which the scar tissue in the capsule surrounding the implants hardens and tightens. It can be very painful if left untreated and also compromises the appearance of the breasts, making them look asymmetrical and misshapen. 

Implant rupture – Both silicone and saline implants have the potential to rupture in the short or the long term. In saline implants, rupture is easily detectable due to the deflated shape of the chest. With silicone implants, however, detection may be delayed due to a lack of symptoms. The patient may have to undergo an MRI or ultrasound procedure to confirm the condition.

Implant malposition – Occasionally, the implants shift into an unfavorable position. They may end up too close together, too far apart, too high, or too low on the chest wall. Sometimes this is due to weight fluctuations or pregnancy, but sometimes it just happens gradually over time.

Implant rippling – In leaner patients, implant rippling may occur when saline implants are chosen. It can also happen with silicone devices if the breast skin is too thin to cover the implants.

Recalled implants –  Recently, a risk of ALCL (Anaplastic Large Cell Lymphoma) has arisen in connection with textured implants, and many of these devices have been recalled. Symptoms may include swelling, fatigue, and pain, as well as a change in breast shape. 

BII (Breast Implant Illness) – Breast Implant Illness (BII) is an umbrella term for a broad range of symptoms that women may experience while having implants. Usually, the best treatment approach is implant removal. 

How is explant surgery performed?

Dr. Cohen will usually try to remove the breast implants through the same incisions used during the augmentation procedure, saving you from additional scarring. This is usually only possible with inframammary or areolar incisions. In cases where complications like capsular contracture have occurred, Dr. Cohen will need to remove the scar tissue surrounding the implants (en-bloc resection).

Dr. Cohen examining patient's chest.

What is an explant fat transfer procedure?

Fat transfer is a procedure that can provide natural breast enhancement by using the patient’s own organic materials to augment the breast mounds. In recent years, more and more clients have traded in their implants for the natural look and feel of fat grafting. 

During the procedure, fat is extracted from a donor region such as the thighs, stomach, or hips. This accomplishes a secondary body contouring goal of slimming the donor areas. Once the fat has been purified and sterilized, it is then injected into the breasts strategically to achieve your augmentation goals. This option can be beneficial in ensuring the chest looks good after the implants have been taken out. 

What is a capsulectomy?

This procedure is performed to manage the breast cavity once the implants have been removed. In a partial capsulectomy, part of the capsule is taken out of the body at the same time as the implants. The remaining element of the capsule is usually cauterized with a heated instrument to prevent future infections. In a total capsulectomy, the capsule is completely removed. 
En bloc capsulectomy refers to a procedure in which the surgeon removes the scar tissue around the capsule along with the implants. The capsule itself is not disturbed during en bloc capsulectomy. This procedure may be needed if the client is suffering from ALCL (Anaplastic Large Cell Lymphoma).

Beautiful petite woman in chair next to window.

What are the benefits of breast implant removal?

  • Provides relief from implant complications
  • Helps treat BII (Breast Implant Illness)
  • Can aid in treating certain medical conditions
  • Improves the look of the chest
  • Relieves discomfort
  • Enhances self-confidence
  • Natural, balanced outcome
  • Long-lasting results

Am I a candidate for breast implant removal?

Candidates for implant removal should be mentally and physically healthy and be realistic in what they expect from their results. The surgery is ideal for women experiencing any of the following:

  • Medical complications or BII (Breast Implant Illness)
  • Dissatisfaction with the look or feel of their implants
  • A desire for a more natural breast appearance
  • Concern over the recall of textured implants associated with ALCL (Anaplastic Large Cell Lymphoma)

What will my breast implant removal recovery be like?

Recovery after breast implant removal is much like that of breast augmentation. You will wear a compression garment temporarily to help control your swelling, and you will need to rest for about a week. Discomfort and tenderness can be well-managed with pain medications prescribed by Dr. Cohen. You will need to abstain from vigorous exercise and heavy lifting for at least 2-4 weeks as instructed by the doctor. 

Dr. Cohen will provide a full aftercare plan with instructions for everything from bathing and showering to caring for your incisions. You will visit the office for periodic follow-up visits to ensure your recovery is progressing smoothly and without incident.

Why choose Dr. Cohen?

Dr. Cohen is a skilled, experienced breast surgeon who understands how complex implant removal procedures can be. Whether you are pursuing a fat transfer explant treatment or an en bloc capsulectomy, Dr. Cohen delivers impressive, natural-looking results that are perfectly tailored to your needs and wishes. 

Dr. Cohen trained at the Tulane University School of Medicine in New Orleans, earning top honors for his meticulous research. He then was chosen to complete an elite program in plastic and reconstructive surgery at Dartmouth (Dartmouth-Hitchcock Medical Center). Dr. Cohen is an active member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery.

FAQs

What are the risks?

While Dr. Cohen does everything possible to prevent complications associated with breast implant removal, every surgical procedure comes with some inherent risks. These include anesthesia risks, infection, bleeding, temporary numbness, and poor wound healing.

Is breast implant removal covered by insurance?

Insurance companies do not typically cover procedures unless they are deemed medically necessary, but in the case of breast implant removal, there are lots of grey areas. While BII (Breast Implant Illness) is very real to patients, the insurance company may not view it as a reason for reimbursement. On the other hand, insurance companies may cover explant treatment related to capsular contracture or rupturing. It’s best to check with your individual carrier.

Can breast implant removal be combined with any other treatments?

Yes. Dr. Cohen can perform a breast lift or fat transfer procedure in tandem with your explant treatment to ensure a visually appealing, balanced result. Mastopexy can help elevate sagging breasts and reposition downturned nipples. Fat transfer can modify the breast contours to present a more authentic look with changes that are long-lasting and sustainable.

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