Breast implant removal, also called explant surgery or implant revision, takes a great deal of surgical skill and training. Done well, it should prioritize your safety and help restore the original shape of the breasts. Whether you want your implants out for medical reasons, aesthetic reasons, or simply because your goals have changed, the technique your surgeon uses matters.
That is especially true if you have suspected implant rupture or symptoms you believe are tied to your implants. For women with symptoms of implant rupture or health problems associated with their implants, it’s essential to be vigilant about the technique used for breast implant removal. Dr. Mussat uses advanced breast implant removal techniques designed to help protect each patient from further complications.
Dr. Florence Mussat is a Chicago plastic surgeon with extensive training and experience in performing breast implant removals. To learn more about her approach and whether explant surgery may be right for you, contact her Chicago office online or by calling (312) 751-9000 to schedule a consultation.
What Is a Breast Implant Capsule?
A capsule is a layer of scar tissue that gradually forms around a breast implant. It happens with all implants because it is the body’s natural response to a foreign object. Capsules also form around knee and hip implants. A capsule usually causes no trouble. The concern begins when it thickens or hardens, a condition called capsular contracture. A contracted capsule can cause discomfort or pain, change the shape of the breast, and press on the implant.
Click here to read an article on a successful breast implant removal from Plastic and Reconstructive Surgery – Global Open.
Why Might I Consider a Breast Implant Removal in Chicago?
For some women, explant surgery is a matter of health and safety, especially when something goes wrong with an implant. For others, it is a personal choice. Complications with implants can include:
- Implant rupture or leakage, including silicone leaking into surrounding breast tissue
- Capsular contracture, when the scar tissue around the implant tightens or hardens
- Breast implant illness (BII) and other health concerns women connect to their implants
- Dissatisfaction with the look, size, or feel of the implants
- Changes in preference or life stages, including a desire for a more natural look
- Size adjustments through breast revision surgery
For more information about breast implant illness, please visit Healing Breast Implant Illness and Breast Implant Illness. (Note: These links are to external websites that are not provided or maintained by or in any way affiliated with Florence Mussat M.D., S.C. Florence Mussat M.D., S.C. does not guarantee the accuracy, relevance, timeliness, or completeness of any information on these external websites.)
What Happens During Breast Implant Removal Surgery?
The goal of explant surgery is to remove the implant and, when appropriate, the surrounding capsule together as a single, untouched unit. When an implant has ruptured, the surgery also aims to remove silicone gel without spreading it further into the body. Removing the capsule completely helps keep the body from retaining scar tissue that may be contaminated, and careful removal of the implant helps prevent foreign material from being left behind. As a precautionary measure after the removal, Dr. Mussat might place a drain to further discourage the formation of another capsule and to help the breast regain its original shape.
Click here to read an article on silicone migration from intact saline breast implants from Plastic and Reconstructive Surgery – Global Open.
During your surgery, Dr. Mussat repairs muscle and tissue as needed to help restore the original contours of the breast. After she removes the capsule and the implant, your breast tissue and muscles can gradually settle back to their original position on the chest wall for breasts that look and feel natural.
Explant Techniques: En Bloc, Total, and Partial Capsulectomy
Not every explant is the same. The right technique depends on the condition of your implants and capsules, your symptoms, and your goals.
- En bloc capsulectomy: The implant and its capsule are removed together as one intact specimen, without opening the capsule. This is often recommended for ruptured silicone implants, breast implant illness, and cases where there is concern about implant-associated cancers.
- Total capsulectomy: The entire capsule is removed, typically after the implant has been taken out first.
- Partial capsulectomy: Only the thickened or problem areas of the capsule are removed.
- Implant removal without capsulectomy: In select cases, a healthy, soft capsule may be left in place.
Dr. Mussat recommends the approach that best fits your situation during your consultation.
Am I a Good Candidate for Breast Implant Removal?
Most women who are unhappy with their implants, or who are experiencing complications, can be considered for explant surgery. During your consultation, Dr. Mussat reviews your health history, symptoms, and goals to determine whether surgery is right for you.
Ideal candidates for breast implant removal in Chicago generally:
- Are non-smokers (or are willing to stop before and after surgery)
- Are in good overall health
- Are at a stable weight
- Understand the details, risks, and limits of the procedure
- Have a positive outlook and realistic expectations
- Are prepared to follow all pre- and post-operative instructions closely
You may be an especially good candidate if you have a ruptured or leaking implant, a hardened or painful capsule, or symptoms you suspect are related to your implants. If you are not sure, a consultation is the best way to get a clear answer.
Benefits of Breast Implant Removal
Women choose explant surgery for many reasons, and the benefits vary from person to person. They may include:
- Resolution of implant complications, such as rupture, leakage, or a hardened capsule
- Relief from pain or discomfort caused by capsular contracture
- Possible improvement in symptoms that women associate with breast implant illness, such as fatigue, joint pain, and brain fog (results vary, and not every patient sees improvement)
- A more natural look and feel, with breasts that reflect your own tissue
- Greater comfort and freedom in clothing and daily activity, including exercise
- No future implant upkeep, including replacement surgeries and ongoing monitoring
- Peace of mind knowing the implant and capsule have been addressed with a careful surgical approach
Breast Implant Removal Recovery
Recovery after explant surgery is generally more manageable than many women expect, but it still requires real rest and patience. Your experience will depend on the technique used, the extent of surgery, and whether you combine explant with other procedures.
The first few days: Plan to rest at home. Soreness, swelling, and tightness are normal and can be managed with the medication Dr. Mussat prescribes. If a drain was placed, you will receive clear instructions on caring for it.
Week one: Most patients can return to light daily activity within about a week. You may be asked to wear a supportive garment or surgical bra to help control swelling and support healing.
Weeks two through four: Avoid strenuous activity and heavy lifting for at least two weeks, or longer if Dr. Mussat advises. Many patients return to desk work within the first week or two, depending on how they feel.
Weeks four through six and beyond: Most patients gradually return to exercise and full activity in the weeks after surgery, with Dr. Mussat’s approval. Swelling continues to improve over the following months as your breast tissue settles into its final shape.
Combining Breast Implant Removal with a Breast Lift or Fat Transfer
After implants are removed, some women notice that their breasts look smaller, softer, or less lifted, especially if the implants were large or in place for many years. If you choose, combining explant with another procedure can address this in a single surgery and a single recovery.
- Explant with breast lift (mastopexy) removes excess skin and lifts the breast and nipple for a firmer, more youthful position
- Explant with fat transfer uses your own fat, taken from another area, to add natural-looking volume and soften contours
- Explant with breast reduction reduces size for women who want smaller, lighter breasts
Combining procedures can be safe and appropriate, depending on your health and the reason you are having implants removed. Dr. Mussat can talk through your options with you.
What to Expect During a Breast Implant Removal Consultation with Dr. Mussat
Dr. Mussat reviews your history, symptoms, implant details, and goals, and examines your breasts. She may order imaging or request your original implant records. Together, you decide on the technique, incision approach, and whether to add a lift or fat transfer. Cost and insurance questions are addressed at this point as well. You will receive instructions on medications, smoking, and arrangements for the day of surgery and your first days at home.
The procedure is performed under general anesthesia for your comfort. After your surgery and during your recovery, you’ll have scheduled visits to monitor healing and answer questions. As swelling resolves over the following months, you’ll notice your breasts settle into a more natural shape.
Why Choose Dr. Mussat for Breast Implant Removal in Chicago?
Explant surgery is technically demanding, and results depend heavily on your surgeon’s training and attention to detail. Dr. Mussat treats every explant carefully, whether the reason is a rupture, capsular contracture, or breast implant illness. She focuses on removing implants and capsule tissue safely, preserving healthy breast tissue, and restoring natural-looking contours. Her patients receive individualized planning and clear guidance from their first consultation through recovery.
Frequently Asked Questions About Breast Implant Removal
What is breast explant surgery?
Explant surgery is a cosmetic breast surgery in which breast implants are removed. More than ever and for various reasons, women around the world are choosing to remove their implants. Some aren’t satisfied with the appearance of their implants, while others have been experiencing complications that necessitate the procedure. The most common reasons women remove implants include:
- Dissatisfaction with the look or feel
- Leaks or ruptures
- Capsular contracture prevention or mitigation
- Size adjustments with breast revision surgery
How much does a breast implant removal cost in Chicago, and will my insurance cover it?
Dr. Mussat explains the cost of the procedure during your consultation and can help you understand whether insurance may cover all or part of the cost. For more information, read our FAQs on insurance coverage for a breast implant removal.
Will I need downtime for recovery?
Yes. As with your original implant surgery, you will need downtime for rest and healing after a breast implant removal. You should plan to rest for several days after the procedure and avoid strenuous activity for at least two weeks.
How will I look after breast implant removal surgery?
Many women ask whether they will look good after breast implant removal, and the answer depends on several factors. The appearance of the breasts depends on their size relative to the implants, the degree to which the breast tissue has been displaced over time, and the amount of remaining skin elasticity. Whether things look good depends on these physical factors and how a woman perceives her “new” breasts relative to how she feels about her body and whether her breasts play the same role they did when the implants were originally placed.
Why do people get breast implant removal surgery?
You may wish to have your implants surgically removed for various reasons, including breast implant illness and related complications, aesthetic concerns, or personal preferences.
What happens during breast implant removal?
The procedure typically involves making incisions along the same lines as your original surgery, followed by careful removal of the implants and surrounding scar tissue. The technique may vary depending on the original implant placement and individual circumstances.
Is breast implant removal painful?
Dr. Mussat uses general anesthesia to keep you comfortable during surgery. Afterward, you may experience some soreness, but pain medication can help manage discomfort.
Will breast implant removal affect my appearance?
Yes. Breast implant removal can change your appearance. After this surgery, your breasts may look deflated or saggy, especially if the implants were large or in place for an extended period. You can consider additional procedures, such as a breast lift, to improve your aesthetics if desired.
Are there any complications associated with breast implant removal?
Any surgical procedure carries potential risks. With breast implant removal, these may include infection, bleeding, changes in breast sensation, scarring, and unsatisfactory aesthetic results. Dr. Mussat reviews these with you to help you decide whether to proceed with the surgery.
Can I combine breast implant removal with other procedures?
Yes. Many women opt to combine breast implant removal with other procedures such as a breast lift, breast reduction, or fat grafting to enhance breast shape and volume during the same surgery.
What is breast implant illness, and will removing implants relieve its symptoms?
Breast implant illness refers to a range of concerns reported by some women with breast implants, including fatigue, joint pain, and cognitive issues. While there is ongoing debate about BII, removing your implants may help alleviate these symptoms. However, results can vary, and it’s essential to discuss individual concerns with a health care provider. While neither implant type has been directly correlated with an increased risk of cancer, recent years have also seen the rise of secondary health issues related to breast implants. For patients experiencing breast implant illness, symptoms like headaches, chronic fatigue, fever, and joint pain can be especially debilitating and provide enough reason for women to seek explant. Furthermore, the FDA has identified over 450 cases of Breast Implant-Associated Anaplastic Large Cell Lymphoma, a rare form of cancer that can develop in the scar tissue around the implant. In the face of these very real medical concerns, many patients have chosen implant removal as a means of protecting their overall health.
Am I a candidate for breast implant removal in Chicago, Illinois?
In general, candidates for a breast implant removal procedure are those who are dissatisfied with the results of their initial breast augmentation or are experiencing rare conditions associated with their implants. Dr. Mussat suggests that breast implant removal candidates in Chicago be:
- Non-smokers
- In good overall health
- At a stable weight
- Familiar with the details of the procedure
- Positive in outlook, with realistic expectations regarding their results
- Prepared to closely follow all pre- and post-operative care instructions
How is breast implant illness treated?
Currently, the primary treatment for breast implant illness is breast implant removal (explant surgery). Given the increasing number of cases and recent FDA announcements regarding breast implant-related cancers, such as anaplastic large cell lymphoma (ALCL) and squamous cell carcinoma (SCC), Dr. Mussat approaches each breast implant removal case very carefully. During explant surgery, Dr. Mussat removes the entire capsule (total capsulectomy) in one piece without rips or tears. Depending on the initial incision and breast implant size, implants can be removed through a previous areolar incision, an incision under the breast fold, or a breast lift incision.
When should I see my Chicago plastic surgeon about breast implant illness (BII)?
If you have breast implants and have noticed an increase in unexplained symptoms such as fatigue, joint pain, breast pain or burning, enlarged axillary lymph nodes, brain fog, or other symptoms whose root cause doctors have not been able to identify, it may be time to schedule a visit with an explant surgeon.
How do I care for myself or a loved one with breast implant illness?
Breast implant illness can be difficult to manage for many Chicago-area women and their families as they struggle with extreme fatigue and other symptoms, some of which may be debilitating. Many women have visited countless doctors and specialists and still do not have definite answers or an improvement in symptoms. Following an anti-inflammatory diet and limiting exposure to environmental toxins can be a helpful place to start in reducing other sources of inflammation within your body.
How do I know if my breast implant is leaking or ruptured?
Many Chicago-area women won’t know right away that their breast implant is leaking. If you have saline implants, your body safely absorbs the saline, and you will likely notice that the affected breast looks deflated. If you have silicone implants, it is harder to tell if a rupture has occurred, but if you notice hardness in your breast area, see your doctor to determine the best course of action.
How long is the recovery period after breast implant removal?
Recovery times can vary, but most patients can resume light activities within a week and return to more strenuous activities after several weeks. Following Dr. Mussat’s post-operative instructions is important for a smooth recovery.
How do I choose a surgeon to perform my breast implant removal?
Selecting a qualified and experienced surgeon is an important first step toward a successful outcome. Research potential surgeons, review their credentials, read patient reviews, and schedule consultations to discuss your goals and concerns before making a decision. Confirm that the surgeon is board certified and has expertise in breast implant removal procedures.
What is the difference between en bloc, total, and partial capsulectomy?
In an en bloc capsulectomy, the implant and capsule are removed together as one intact unit. A total capsulectomy removes the entire capsule, usually after the implant has been taken out. A partial capsulectomy removes only the problem areas. The best option depends on your implant type, the condition of the capsule, and your symptoms.
How long does breast implant removal surgery take, and is it outpatient?
Most explant surgeries take roughly one to three hours, depending on the technique and whether you are combining it with a lift or fat transfer. In most cases, it is an outpatient procedure, so you go home the same day. Dr. Mussat can confirm what to expect for your surgery.
Do I need imaging before breast implant removal?
Often, yes. An MRI, ultrasound, or mammogram can help check the condition of your implants and capsules, identify a silent rupture, and plan the most appropriate technique. Dr. Mussat can tell you if imaging is recommended in your case.
Will I have visible scars after implant removal?
You will have scars, but in many cases they follow your original incision lines and fade significantly over time. If you add a breast lift, the scars will be somewhat longer. Dr. Mussat can explain where your incisions will be placed and how to care for them.
Can I get new implants after having mine removed?
In many cases, yes. Some women choose to replace their implants at the time of surgery or at a later date. Whether it’s safe depends on the condition of your tissue and the reason for removal. Dr. Mussat can guide you through your options, including replacement, or a lift or fat transfer without implants.
Will my removed implants and capsule be tested?
In some cases, yes. The capsule can be sent to a pathology lab for evaluation, which is especially important if there is concern about BIA-ALCL or other capsule conditions. Dr. Mussat can discuss with you whether pathology testing is recommended.
Do breast implants need to be replaced or removed after a certain number of years?
Breast implants are not considered lifetime devices. The longer implants are in place, the greater the chance of complications such as rupture or capsular contracture, though some women keep implants for many years without problems. If your implants are 10 or more years old, it is wise to have them checked, even if you feel fine.
Read our FAQs on insurance coverage for breast implant removal in Chicago.
To schedule a personal consultation with Dr. Mussat and learn more about breast implant removal, contact her Chicago office online or by calling (312) 751-9000 today.
