in this section
- Breast Augmentation
- Breast Lift (Mastopexy)
- Breast Lift w/ Augmentation (Mastopexy w/ Augmentation)
- Breast Reduction (Reduction Mammaplasty)
- Browlift (Forehead Lift)
- Ear Reshaping (Otoplasty)
- Eyelift (Blepharoplasty)
- Facelift / Necklift
- Facial Filler
- Facial Resurfacing
- Nose (Rhinoplasty)
- Tummy Tuck (Abdominoplasty)
- Mommy Makeover
- Earlobe Reduction Surgery
- Breast Implant Removal
- Earlobe Repair Surgery
Breast implant removal surgery is a surgical technique that removes the previously placed breast implant device. The procedure may be combined with a capsulectomy, (removal of tissue capsule that naturally surrounds the implant after placement).
Dr. Roth will first listen to your concerns and goals. Some patients bring in photos from publications to demonstrate desired look and size. He will then gather a thorough medical history. Past medical events may impact your surgery, anesthesia, and recovery. Current issues such as medications, herbal remedies, allergies, smoking, drug use, bleeding, and scarring tendencies, will be reviewed. Chronic issues (e.g. diabetes, high blood pressure, autoimmune disease) are also important.
Dr. Roth will examine you and will describe not only what he sees, but also how it relates to your appearance or other issues. He will then explain what might be done to improve each area medically or surgically.
You may not wish to take advantage of every treatment that is available, but at least you can know about available options and what each might offer.
Many things can effect the success of the procedure, the subsequent healing process, and final result. Clearly, issues effecting your general health and ability to heal can impact the process, but more subtle issues and practices can also make a significant impact. It is imperative that patients refrain from ingesting any medications or other substances that could potentially cause surgical complications. A list of medications should be reviewed and selected medications discontinued at least two weeks prior to the procedure.
Patients undergo a general physical examination prior to their surgery. This is to ensure that no underlying medical problems exist that may interfere with the safety of their surgery. The Anesthesiologist may have specific criteria to be met. Appropriate consultation (Cardiology, Pulmonary, etc.) may be requested to address any issues. Any issues, however trivial they may seem, should be reported. For example, a seemingly innocent minor infection can result in a surgical wound infection, and so must be treated prior to surgery. Likewise, hypertension must be under control. Blood pressure medicines are typically taken right up to the time of your procedure. Cigarette smoking has a significant impact on wound healing and needs to be discontinued prior to the operation. Serious wound healing complications can occur in patients who are exposed to smoke, even passively. The risk of wound healing problems decreases after one quits. Appropriate timing of surgery after cessation of tobacco exposure can be discussed.
Preoperative photographs are taken. They assist in the planning of the procedure and in reviewing the improvement afterward. Postoperative photographs are generally taken at 3 and 6 months after your procedure as well. You will be asked to sign a surgical consent, which enumerates the risks of the procedure in detail. Some of these risks have been reviewed here, but are also discussed at the consultation.
Appropriate prescriptions are written, (e.g. pain pills, so that you will be able to take them when you return home).
You will need to arrange for someone to drive you to and from the surgery center. Patients cannot drive after surgery, and for 10 days afterward. Recently sedated patients will not be placed into taxis for transport home. Medical transportation can be arranged in the event that you cannot find someone. It is also mandatory to have someone stay with you for the first few days after surgery, for your comfort and safety.
After arrival at the surgicenter. The nursing staff will register you and have you change into the appropJriate gown.
The choice of anesthetic will be made with input from the Patient, Surgeon and Anesthesiologist. Continuous monitoring of your vital signs is carried out throughout the operation.
There are several ways to perform the breast implant removal procedure. These are determined by the patient’s anatomy, tissues, and goals. The operating time can also vary depending on these factors.
The bra will hold the dressing in place. You may shower after your first postop visit.
Frequently Asked Questions
What is breast Implant Illness (BII)?
Currently, there is no proof in the medical literature associating breast implants with specific illness or patient complaints.
Common symptoms expressed by patients have been known to include:
- Lack of energy
- Foggy thoughts or difficulty with memory
- Irritable bowel syndrome and gastrointestinal illness
- Swelling of the glands.
- Pains in joints and muscles
- Recurrent infections
- Rashes on the skin
- Loss of hair
Many of our patients have seen various physicians (Rheumatology, Infectious Disease, etc.). We have found that the vast majority of our patients who desire removal of implants for BII feel better after the procedure.