Breast implant removal is sometimes desired by patients noticing, what initially looked great and made their appearance look more proportionate, doesn’t suit them anymore. Often due to change of body physic with time or an altered personal lifestyle in general. Other patients seeking breast implant removal present with a capsular contracture, causing a change in breast shape, sometimes accompanied with breast pain and firmness. If the diagnosis of a ruptured breast implant has been establised, a breast implant removal is warranted.
It is a normal process that a capsule forms around an implant after a breast augmentation has been performed. The capsule is made of collagen fibers and is usually very thin. Capsule formation is a natural response to any foreign body.
When a healthy capsule starts to thicken and to contract, we speak of a capsular contracture. There are different grades of severity (Baker I-IV). Depending on the grade of capsular contracture, and other factors related to the implant placement and the implant itself, the breast implant removal may require a removal of the capsule as well.
A so-called capsulectomy either complete, near complete or partial can be necessary. The necessity depends on several factors, like the severity of the capsular contracture or the type and brand of the breast implants that were placed. Additional factors like the number of previous surgeries, the medical and family history of the patient, need to be taken into account when a decision to remove a breast implant is made.
Each case of a breast implant removal with or without removal of the breast implant capsule, requires a thoughtful consideration of the individual situation of the patient weighing the pro’s and the con’s.
En-bloc capsulectomies are commonly performed when a silicone breast implant rupture has been diagnosed or suspected. Very often these ruptures go along with severe capsular contractures, firmness, and affect patients who have had silicone breast implants placed a very long time ago. En-bloc capsulectomies can be challenging depending which initial approach was chosen to place the breast implant. It is our goal to perform the en-bloc breast implant removal with its capsule through the old incision, however this is not always possible. Sometimes the old scar needs to be extended or another incision needs to be performed.
There are specific increased risks associated with en-bloc removals and capsulectomies. They differ from the risks of the initially conducted breast augmentation procedure.
During your consultation with Dr Knoll you will learn about your options and the best and safest approach for your breast implant removal.
Sofar breast implant illness is not an established diagnosis in the medical literature. However, there have been patients, who underwent exhaustive medical testing for their described symptoms without any results, whose well-being has improved after the removal.
In those cases, it is helpful for us, if you provide the information about the performed differential diagnosis.
There are many things to be discussed during your consultation, when considering a removal. It is very helpful to either bring some of your test results, radiographic imaging, and breast implant information with you. Having made some thoughts about your personal preferences of your breast shape and volume after the removal are always welcome. Those are important and will guide the consultation as well.
Costs of a breast implant removal can vary significantly. Some breast implants can easily removed even under local anesthesia, not requiring additional work on the capsule or another surgical procedure, like a breast lift, breast reduction, breast implant exchange, or fat grafting. Whenever the inframammary fold needs to be reconstructed, the procedure becomes more involved.
Although we understand, that costs or its range is always of interest for patients, the length and the complexity for this procedure can vary substantially. For these understandable reasons, an in person consultation is recommended allowing an assessment of a patient’s individual situation.
We understand that it can be impractical for some of our out of town/international patients to travel to Frankfurt for an initial consultation. For this reason, Dr. Knoll offers online consultations. By submitting a series of photographs, information about yourself, and your desired outcome, we can start to determine if you are a good candidate. Though a virtual consultation starts the conversation, it does not replace the need to be seen in person for a traditional consultation to finalize plans.
If you would like to have additional information or would like to schedule a consultation, please contact the office of Dr. Bianca Knoll. We will be happy to assist you.