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Breast Implant Removal Surgery and En Bloc Removal in Melbourne, Australia
Dr Craig Rubinstein, one of the most experienced plastic surgeons based in Melbourne, performs breast implant removal surgery/explantation surgery, and en bloc removal of both the breast capsule & implants.
In the event that you feel uncomfortable consulting with your original surgeon, seeking a second opinion is crucial.
It is essential to choose a qualified plastic surgeon to ensure the desired outcome.
What is Breast Implant Removal Surgery?
Breast implant removal, also known as explantation surgery, involves the removal of breast implants, either with or without the surrounding breast capsule.
Following the implant removal, you may consider additional breast revision surgery techniques such as a breast lift (mastopexy) or fat transfer to achieve your preferred aesthetic outcome.
The options and results of this procedure are influenced by factors such as the amount of existing breast tissue and the elasticity of your skin (skin laxity).
During the surgery, meticulous dissection of the breast is performed to remove the implant, part or all of the surrounding breast capsule, and, in some cases, any leaked implant contents.
What is En Bloc Removal?
En bloc removal or en bloc explantation is a surgical technique that involves removing the breast implant along with the surrounding scar tissue or capsule. This method is commonly preferred by patients who have experienced implant rupture or are concerned about silicone leakage from the implant.
Additionally, individuals experiencing symptoms related to breast implant illness (BII) or concerns regarding BIA-ALCL (breast implant-associated anaplastic large cell lymphoma) and textured implants often opt for en bloc removal or complete capsulectomy.
Things to Consider Before Your Removal Consultation
Below is a list of questions to consider asking yourself if you are considering breast implant removal:
- Are your breast implants causing you pain?
- Have you given your surgery results at least 12 months of healing time to settle (allowing swelling to subside)?
- Have your breasts become unusually hard
- Are you unhappy with the look of your breast implants?
- Do you want to return to life with smaller breasts or more similar to how your breasts looked before you got your implants?
- Have you noticed breast rippling or movement?
- Are your implants moving? Or ‘bottoming out’?
- Did you give your original surgeon a chance to rectify the situation (if they are a FRACS-qualified specialist)?
Recovery After Surgery
The recovery process after breast implant removal can vary from patient to patient, but below are some general aspects to consider:
Immediate post-operative period
Following the surgery, you may experience some discomfort, swelling, and bruising around the breast area. Pain medication and instructions on wound care will be provided by your surgeon. You will likely need to wear a surgical bra or compression garment to support the breasts during the initial healing phase.
Physical activity
Your surgeon will provide guidelines on when you can resume daily activities and exercise. Initially, you will need to avoid strenuous activities and heavy lifting to allow for proper healing. Gradually, you can reintroduce mild exercises as advised by your surgeon.
Healing and scars
It is normal to have some scarring after breast implant removal. The appearance of scars can vary depending on factors such as incision type and individual healing characteristics. Your surgeon may recommend scar care techniques, such as keeping the incision area clean and moisturised, to promote optimal healing and minimise the visibility of scars.
Follow-up appointments
It is important to attend scheduled follow-up appointments with your surgeon to monitor your healing progress and address any concerns or questions you may have. Your surgeon will provide specific instructions on post-operative care and follow-up visits.
Emotional recovery
Breast implant removal can be an emotional journey for some individuals. It is important to give yourself time to adjust to the changes and discuss any emotional concerns with your support system or a healthcare professional if needed.
Every patient’s recovery experience is unique, so it is crucial to follow your surgeon’s post-operative instructions and communicate any unusual symptoms or complications during recovery.
Common Reasons for Wanting Breast Implant Removal Surgery
Most implant surgery patients will need to undergo additional breast surgery in their lifetime (revision surgery, replacement or removal).
There are a wide variety of reasons behind women seeking implant removal. For example:
- A poor surgical result from overseas
- Unqualified surgery by a cosmetic doctor that needs to be corrected by a specialist surgeon
- A change in your lifestyle, body weight or appearance preferences
- In addition, there are breast implant surgery complications that can lead to implant removal surgery:
- Capsular contracture
- Capsular calcification
- Implant rupture
- Breast implant deflation
- Implant leakage
- Breast implant wrinkling
- Excessive movement of the breast implant. Also known as “animation”
- An allergic reaction to the breast implant
- Infection or bleeding after surgery
- Suspicions or recent diagnosis of breast cancer
- Aches or pain caused by breast implants
- Ageing implants – Breast implants DO have a lifespan (as do all medical devices).
Cost of Breast Implant Removal Surgery
The cost of breast implant removal surgery can vary depending on several factors, including the complexity of the procedure, the surgeon’s experience and reputation, the geographic location of the practice, and any additional procedures required to achieve the desired outcome.
Since breast revision surgery often involves more complex techniques and may require additional procedures such as a breast lift (mastopexy) or fat transfer, it tends to be more expensive than the initial implant surgery. The increased complexity and longer time spent in the operating room contribute to the higher cost.
It is important to consult with a qualified plastic surgeon to discuss your specific needs and goals. During the consultation, the surgeon will evaluate your individual case and provide you with a personalised treatment plan, including the associated costs.
Keep in mind that the cost of breast revision surgery should not be the sole determining factor when choosing a surgeon. It is essential to prioritise the surgeon’s qualifications, expertise, and the quality of care they provide, as these factors can greatly impact the safety and success of the procedure.
Further Reading – Medical References
- American Society of Plastic Surgeons. November 2018. What is breast implant removal surgery?
- Breast Implant Removal | Explantation in Melbourne – Coco Ruby Plastic Surgery
About Dr Craig Rubinstein
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Dr Craig Rubinstein FRACS (Fellow of the Royal Australasian College of Surgeons) is an experienced Melbourne Specialist Plastic Surgeon for breast and abdominoplasty surgery.
Dr Rubinstein offers women personalised abdominoplasty surgery and all forms of cosmetic breast surgery.
BOOK A CONSULTATION (03) 8849 1400
Next Steps in Your Surgical Journey
Want more information about your Procedure?
- Download a Free Procedure Guide on your chosen surgery.
- Visit the FAQs and read patient reviews to learn more about your intended procedure.
- For more information about pricing visit our cost page.
- You can also talk to our Patient Care Team from 9 to 5 pm Monday to Friday on (03) 8849 1400
About Your First Consultation
- Dr Rubinstein’s Consultation fee is $300.
- A referral from your GP or specialist is essential.
- A referral helps when claiming Medicare or Private Health Insurance coverage.
- Please contact the Patient Care Team at Coco Ruby Plastic Surgery to book your consultation.
What to Bring to Your Consultation
- You are more than welcome to bring a friend or relative to help discuss the information and your choices.
- Ensure you also take a lot of notes and thoroughly examine the documents provided.
- Please be aware you may need to undress for a physical exam so wear simple clothes.
Disclaimer
The content of this article is intended for educational and informational purposes only. It is not meant to replace professional medical advice, diagnosis, or treatment. It is important to consult your physician or qualified healthcare provider for any questions or concerns you may have regarding a medical condition. Do not disregard professional medical advice or delay seeking it based on the information provided in this article. The author and publisher of this article do not guarantee the accuracy, applicability, or completeness of the content. The information presented in this article is at your own risk.
Read further information about surgical outcome variability on our Disclaimer page.