Breast Implant Illness in Orange County

Explant surgery is commonly pursued for several reasons. Many women seek this procedure due to symptoms of breast implant illness (BII), while concerns about Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) also prompt some to opt for explant surgery as a precaution. Other motivations include changes in aesthetic preferences, complications from the initial breast augmentation procedure, and the desire to avoid future surgeries.

There is currently no specific test to diagnose BII. Diagnosis is generally based on the symptoms reported by the patient and their medical history. Some patients may undergo tests to rule out other conditions, but a definitive diagnosis often comes after other potential causes have been excluded.

Explant surgery is the procedure of removing breast implants. It can be accompanied by a total capsulectomy, which involves removing the scar tissue (capsule) that forms around the implants. This surgery is often sought by women who experience symptoms of BII in hopes that removing the implants and the surrounding scar tissue will alleviate their symptoms.

Many women report significant improvement or complete resolution of their symptoms after explant surgery. Benefits can include reduced pain, increased energy levels, improved cognitive function, and overall better health. However, outcomes can vary, and not all patients may experience the same level of symptom relief.

Explant surgery is typically performed under general anesthesia. Dr. Farbod Esmailian will make incisions to remove the implants and the surrounding scar tissue if a capsulectomy is performed. The length of the surgery can vary based on the complexity of the case. Recovery time also varies, with most patients resuming normal activities within a few weeks, although full recovery can take several months.

While considered a safe and effective treatment for breast implant illness,³ as with any surgery, explant surgery carries some risks, including infection, bleeding, scarring, changes in breast appearance, and complications from anesthesia. Dr. Esmailian will discuss these risks with you and take every precaution to minimize them.

If you are experiencing symptoms that you believe are related to your breast implants, it is important to consult with a knowledgeable and experienced plastic surgeon like Dr. Farbod Esmailian. During your consultation, Dr. Esmailian will review your medical history, discuss your symptoms, and help you determine if explant surgery is a suitable option for you.

After explant surgery, Dr. Esmailian will provide you with detailed post-operative care instructions. This will include guidance on managing pain, caring for surgical sites, restrictions on strenuous activities, and follow-up appointments to monitor your healing process. Adhering to these instructions is crucial for a smooth and successful recovery.

The appearance of your new breasts after explant surgery will depend on several factors, including the size of your implants, the condition of your breast tissue, and whether a capsulectomy was performed. Some patients may experience changes in breast shape or breast size. Dr. Esmailian will discuss potential aesthetic outcomes with you during your consultation and can provide options for additional procedures such as fat transfer, breast lift surgery (mastopexy) or procedures to address any asymmetry, if desired based on your aesthetic goals.

The cost of breast implant removal can vary widely depending on several factors specific to each individual case. The overall expense can be influenced by the complexity of the procedure; if a straightforward implant removal is needed, the cost may be lower compared to cases requiring additional corrective procedures, such as an en bloc capsulectomy to address capsular contracture or other complications such as implant rupture. Some patients opt to undergo additional cosmetic surgeries, such as a breast lift or fat grafting, which includes liposuction, to achieve their desired aesthetic outcome after implant removal. Including these surgeries can significantly impact the total cost. To get a precise estimate tailored to your situation, it's best to schedule a consultation with Dr. Esmailian in Orange County, CA. Dr. Esmailian can provide a detailed cost breakdown based on your specific needs and goals.