The choice of breast implant removal is highly individualized and may be influenced by various factors. Dr. Alain Polynice, our Breast and Body Specialist at Beverly Hills Face and Body Specialists, carefully assesses each patient to determine whether they are suitable for breast implant removal. Several factors contribute to the decision-making process:
1. Patient’s Personal Goals and Preferences:
- Desire for Change: A patient might desire a change in breast size, shape, or overall appearance. This could be driven by personal preferences, lifestyle changes, or evolving aesthetic ideals.
- Discomfort or Dissatisfaction: Some patients may experience physical discomfort, dissatisfaction with the current size or shape of their breasts, or a feeling that the implants no longer align with their self-image.
2. Health and Medical Considerations:
- Complications or Issues: Patients experiencing complications related to their breast implants, such as leakage, rupture, or capsular contracture (abnormal scar tissue or tissues forming around the implant), may be candidates for removal. It’s not uncommon for patients to feel like they initially chose a size of implant that was too large. To help alleviate pain from the weight of breasts can be another reason you may find yourself as a candidate for implant removal.
- Health Concerns: Medical conditions that arise, which may necessitate the removal of breast implants. For instance, a patient may develop an autoimmune disorder or another medical condition that requires removing foreign materials from the body.
3. Lifestyle Changes:
- Pregnancy and Breastfeeding: Some women choose to remove breast implants after completing their family or after experiencing changes in breast appearance due to pregnancy and breastfeeding.
- Weight Loss or Gain: Significant weight changes can impact the appearance of breasts. Patients who have lost or gained weight and wish to address changes in breast size or shape may consider implant removal.
4. Psychological Considerations:
- Psychological Discomfort: Patients may experience psychological discomfort or anxiety associated with having breast implants. This may be influenced by societal trends, changing beauty ideals, or personal reasons.
5. Aging and Natural Changes:
- Aging and Natural Changes: Over time, breasts undergo natural changes, including skin elasticity and tissue density changes. Some patients may choose to have implants removed to embrace a more natural appearance as they age.
6. Maintenance and Upkeep:
- Desire for Low-Maintenance: Breast implants require ongoing maintenance, and some patients prefer a low-maintenance lifestyle. The desire to avoid potential future surgeries for implant replacement may influence the decision to remove implants.
7. Explantation for Explantation’s Sake:
- Personal Choice: In some cases, patients may choose to remove their breast implants without a specific medical or aesthetic concern. Personal philosophies, lifestyle changes, or evolving attitudes toward body image may influence this decision. For example, a patient may not enjoy the attention they may receive due to the enhanced contour of the breasts.
8. Consultation and Assessment:
- Specialized Evaluation: Dr. Alain Polynice conducts a thorough consultation, assessing the patient’s physical health, medical history, and breast anatomy. He discusses the patient’s goals, expectations, and concerns, helping to determine if breast implant removal aligns with their desired outcomes.
The Comprehensive Process of Breast Implant Removal at Beverly Hills Face and Body Specialists with Dr. Alain Polynice:
1. Initial Consultation:
We begin with an in-depth consultation with Dr. Alain Polynice at Beverly Hills Face and Body Specialists. During this appointment, patients discuss their reasons for breast implant removal, concerns, and desired outcomes. Dr. Polynice conducts a thorough examination, reviews medical history, and collaboratively develops a personalized treatment plan based on the individual’s unique needs and goals. Although an in-person consultation and examination is ideal, we have patients from all over the world who have their initial visit virtually. We are happy to accommodate you if you cannot attend your initial in-person consultation.
2. Preoperative Assessment:
Before the breast implant removal procedure, patients undergo a comprehensive preoperative assessment at Beverly Hills Face and Body Specialists. This may include imaging, blood tests, and a discussion about the different options for implant removal, such as whether the implants will be replaced or downsized or if the patient desires a natural breast appearance without implants.
3. Surgical Planning:
Dr. Alain Polynice carefully plans the surgery, considering factors such as implant type, size, and the condition of breast tissue. As a Breast and Body Specialist, Dr. Polynice’s expertise ensures that the removal process aligns with the patient’s aesthetic goals and maintains harmony with their body proportions.
4. Anesthesia and Incision Placement:
On the day of the surgery at Beverly Hills Face and Body Specialists, Dr. Polynice and the anesthesia team strive for patient comfort. The chosen incision technique is determined based on implant type and patient anatomy. Incisions may be made around the areola, under the breast creases, or in the armpits for minimal visible scarring.
5. Implant Removal:
With precision and skill, Dr. Alain Polynice removes the breast implants, taking care to preserve the natural breast tissue and contour. Silicone gel implants may be removed intact, but any silicone material is carefully extracted if there is a rupture or leakage.
6. Capsulectomy (if needed):
Sometimes, a capsulectomy removes the scar tissue (capsule) that may have formed around the implants. This step is crucial if there are concerns about implant-related issues, such as capsular contracture. Any breast tissue or capsule removed may be sent to pathology for analysis.
7. Tissue Adjustment (if necessary):
Dr. Polynice may adjust the breast tissue to ensure a symmetrical and aesthetically pleasing result. This could involve reshaping and redistributing the existing breast tissue to achieve the desired contour.
8. Closure and Recovery:
Once the necessary adjustments are made, incisions are meticulously closed, and the patient is moved to the recovery area. At Beverly Hills Face and Body Specialists, the team provides postoperative care instructions and pain management and monitors the patient’s initial recovery phase.
9. Follow-up and Aftercare:
Our concierge team will schedule follow-up appointments to help monitor the healing process and address concerns. Dr. Alain Polynice and the Beverly Hills Face and Body Specialists team provide ongoing support to ensure patients achieve optimal results and a positive overall experience. We require you to have a responsible adult pick you up from surgery and stay with you for a minimum of 24 hours. If you do not have someone available, our concierge team can set you up with a trusted aftercare company with dedicated nursing and care staff to stay with you after surgery. This care is at an additional cost, which the patient will be responsible for.
Frequently Asked Questions
Why would someone choose to have their breast implants removed?
Reasons for breast implant removal vary and can include changes in aesthetic preferences, discomfort, complications, lifestyle changes, or health concerns. Dr. Alain Polynice at Beverly Hills Face and Body Specialists can discuss your reasons during a consultation.
How do I know if I am a candidate for breast implant removal?
Candidates for breast implant removal are individuals who may be experiencing discomfort, complications, dissatisfaction with the appearance of their breasts, or have personal reasons for wanting the implants removed. Dr. Polynice will assess your candidacy during a personalized consultation.
Is breast implant removal a major surgery?
Breast implant removal is considered a surgical procedure, and the complexity can vary depending on factors such as implant type, condition, and whether additional procedures like capsulectomy are needed. Dr. Alain Polynice will provide detailed information during the consultation.
Will I need a breast lift along with implant removal?
Depending on the condition of your breast tissue and skin elasticity, a breast lift (mastopexy) may be recommended to achieve optimal results. During your consultation, Dr. Polynice will assess your needs and discuss the potential need for a breast lift.
Can I have my implants replaced during the same surgery?
Yes, implant removal and replacement can be performed during the same surgery if you wish to maintain or change your breast size. Dr. Polynice will discuss your preferences and guide you through the available options.
What is the recovery process like after breast implant removal?
Recovery varies but typically involves some downtime for rest and healing. Patients may experience swelling and discomfort initially. Dr. Polynice will provide detailed postoperative care instructions to ensure a smooth recovery.
Will patients have visible scarring after the surgery?
Dr. Alain Polynice uses meticulous surgical techniques to minimize scarring. Incisions are strategically placed, and their visibility fades over time. Scar management instructions will be provided to optimize healing.
Can I breastfeed after breast implant removal?
Breastfeeding may still be possible after implant removal, but it depends on factors like the extent of surgery and the condition of the breast tissue. Discuss your breastfeeding concerns with Dr. Polynice during the consultation.
Will my breasts look natural after implant removal?
Dr. Polynice is skilled at achieving natural-looking results. The outcome depends on factors like breast tissue quality and whether a breast lift is performed. Patient expectations and desired outcomes are thoroughly discussed during the consultation.
How long does the procedure take?
The duration will vary based on factors like the case’s complexity. Dr. Polynice will provide an estimate during the consultation based on your specific circumstances.
Does insurance cover any of the costs of breast implant removal?
In most cases, insurance does not cover breast implant removal for cosmetic reasons. However, insurance coverage may be considered if removal is medically necessary due to complications. We are not a part of any insurance networks but can provide operative reports and visit notes for patients to attempt to recuperate some costs based on their insurance plans. We are not responsible for any expenses your insurance plan doesn’t cover, and we collect the total surgery cost, including anesthesia, OR, and facility fees, two weeks before surgery.
Is breast implant removal painful?
Dr. Polynice manages pain through anesthesia during the surgery, and postoperative discomfort is addressed with prescribed pain medication. Dr. Polynice and his team prioritize patient comfort throughout the process.
How long will the results last?
The results are long-lasting, but factors like aging, weight fluctuations, and lifestyle changes can impact the breasts over time. Dr. Polynice will guide you in maintaining optimal results.
Can I exercise after breast implant removal?
Light activities can usually be resumed within a week, but strenuous exercise may need to be postponed for a few weeks. Dr. Polynice will provide personalized guidelines based on your recovery progress.
Will my breasts sag after implant removal?
The extent of breast sagging depends on skin elasticity and breast tissue quality. Dr. Polynice may recommend a breast lift to address sagging and achieve a more desirable contour.
Can I choose a different size for replacement implants?
Yes, if you choose to replace your implants, you can discuss your preferences with Dr. Polynice. He will help you select a size that aligns with your aesthetic goals and proportions.
When may I return to work after surgery?
The timing for returning to work varies but is generally within a week, depending on individual healing. Dr. Polynice will guide you when you can resume normal activities based on your progress.
Will my breasts look deflated after implant removal?
The appearance of the breasts after implant removal depends on factors like breast tissue quality and the need for additional procedures. Dr. Polynice aims to achieve natural-looking results that enhance your overall aesthetic.
How soon can I see the final results?
While initial results are visible, final results may take several weeks to months as swelling subsides and the tissues settle. Dr. Polynice will schedule follow-up appointments to monitor your progress.
Can I have breast implant removal if I have a history of breast cancer?
Patients with a history of breast cancer should consult with both their oncologist and Dr. Polynice to ensure safe and appropriate care. The decision will depend on your circumstances; a collaborative approach will be taken to address specific needs and concerns