Breast Explant Surgery

1. Capsular Contracture

When the body gets implants, it recognizes them as something unusual. The body then starts to protect itself by forming a layer of scar tissue around the implants, known as a capsule. Sometimes this tissue can become hard, which may lead to discomfort and an uneven look.

2. Implant Rupture or Complications

Implants can deteriorate and leak over time due to age-related wear. They are also at risk of rupture from traumatic injuries to the chest, such as accidents or falls. It is important to have regular check-ups with a medical professional to monitor their condition and address any issues that may arise.

3. Personal Aesthetic Preferences

If initial breast augmentation implants don’t yield desired results, patients may consider removing them due to hormonal fluctuations, pregnancy, weight changes, lifestyle changes, or a change in heart. Regardless of the reason, patients should remember that their confidence and happiness with their appearance are crucial factors in undergoing breast explant surgery.

4. Health Concerns

Health concerns are another valid reason why some choose to have their breast implants removed. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare immune system cancer that develops in the scar tissue capsule and fluid surrounding a breast implant. It is linked to textured implants and has led to a global recall. Symptoms include joint and muscle pain, breathing problems, rashes, and sleep disturbances.

BII, a term for symptoms after reconstruction with breast implants, includes joint and muscle pain, breathing problems, rashes, and sleep disturbances. People with any type of breast implant can develop BII. 

Silicone implants have also been linked to Sjögren’s syndrome, scleroderma, rheumatoid arthritis, melanoma, and stillbirth. The FDA has reported squamous cell carcinoma and other lymphomas unrelated to BIA-ALCL.

Each patient’s decision is deeply personal. That’s why Dr. Mazaheri offers individualized treatment plans rooted in compassion, safety, and transparency.

Every explant surgery begins with a personalized plan based on your anatomy, implant history, and goals. Dr. Mazaheri offers several techniques for optimal safety, aesthetics, and post-operative results.

Surgical Techniques

For an en bloc capsulectomy, the implant and its surrounding capsule are removed together as a single piece. This is often preferred for patients with suspected Breast Implant Illness (BII). 

For a total capsulectomy, the entire capsule is removed, although it is not necessarily done in one piece. Partial capsulectomy or implant-only removal is reserved for select cases with minimal tissue impact.

The specific incision technique varies depending on implant placement and the presence of existing scar tissue. The surgical approach focuses on achieving symmetry, restoring the breast’s natural contour, and preserving healthy tissue throughout the procedure.

Most operations take between 1.5 and 3 hours, and patients typically return home the same day. During your consultation, Dr. Mazaheri will evaluate whether a breast lift would enhance your results by tightening loose skin and improving breast shape following implant removal.

Breast Implant Illness (BII) is a term used to describe various symptoms some women report after getting breast implants. These symptoms can include feeling tired, difficulty concentrating, joint pain, hair falling out, and problems with hormone balance.

While BII isn’t officially recognized as a medical condition, many women say they feel better after having their breast implants removed, a procedure called explant surgery.

Dr. Mazaheri’s Approach

• He listens to and respects patients who believe they have BII.
• He often uses a careful technique called en bloc or total capsulectomy when doing the surgery, if it’s suitable.
• He provides lab tests to study the removed implants and surrounding tissue.

If you’re having unexplained health issues and think they might be linked to your breast implants, removing them might help both your physical health and emotional well-being.

Recovering from breast implant removal surgery usually goes more smoothly than the original surgery. 

Here’s what you can expect:

• Initial Healing: You’ll need to take it easy for about 1 to 2 weeks after surgery.
• Full Recovery: Most people feel fully recovered within 4 to 6 weeks.
• Managing Pain: Pain can usually be handled with prescription medicine and plenty of rest.
• Caring for Wounds: Dr. Mazaheri will give you specific instructions on how to keep your incision areas clean and well-dressed.
• Activity Restrictions: Avoid heavy lifting, vigorous exercise, and workouts that use your upper body during the early healing period.

After surgery, you’ll have several follow-up appointments to check on your recovery. Most of the final results will be noticeable within 2 to 3 months, and any scarring should fade over time with proper care and attention.

Dr. Mazaheri is a board-certified plastic surgeon with decades of experience in breast revision procedures, including complex explant cases. 

Known for his attentive care and clinical precision, he has earned the trust of countless patients seeking safe and effective implant removal. Patients consistently praise his professionalism, surgical artistry, and dedication to their long-term health.

What Sets Dr. Mazaheri Apart

• Board-certified by the American Board of Plastic Surgery
• Specializes in breast revision and explant surgeries
• Compassionate, judgment-free consultations
• State-of-the-art surgical suite in Scottsdale, AZ
• Commitment to natural, aesthetic outcomes

Will my breasts return to their natural shape?

In most cases, the breasts will return to a version of their pre-implant shape. However, factors such as implant size, duration, and skin elasticity can impact the final appearance. Some patients may benefit from a breast lift to restore firmness and contour.

How long is the downtime after surgery?

Initial recovery typically takes 1–2 weeks, with most patients resuming their daily activities within a few days. Strenuous exercise should be avoided for at least 4 weeks.

Can I combine this with other procedures (e.g., lift)?

Yes. Many patients combine breast explant surgery with a breast lift or skin tightening treatment. This enhances breast appearance post-implant removal.

What happens to the capsule tissue?

Capsule tissue is often removed (capsulectomy) and may be sent for pathology testing, especially in cases of suspected rupture or BII.

Are implants sent for pathology?

Yes, when requested or medically indicated. This can help identify signs of inflammation, rupture, or rare complications.

“Dr. Mazaheri understood my concerns and what I wanted to achieve. He did a great job! I now have my self-confidence back! I would recommend his work to anyone looking for adjustments and professionalism : ).”

“I had a great experience from day one. From consultation, to pre-op, op, and post op- Dr Mazaheri and his staff were nothing but professional and helpful. I love the results of my tummy tuck and plan on going back for some lipo in the future. Thank you, Dr Mazaheri, I feel amazing!”

For more reviews, visit our testimonial page.