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Breast Implant Removal

Breast Implant Removal in Dallas, Texas

Introduction

Introduction to Breast Implant Removal

Removing breast implants can sometimes feel like a big choice, done for medical or personal reasons. You may no longer be interested in having implants due to an aesthetic change in preference, they may have shifted over the years and need to be replaced, or there is a medical need to change them, such as capsular contracture or breast implant illness concerns. Whatever the case may be, Dr. Surjit Rai in Dallas, TX, is here to go over your options with you and help you make the best decision regarding your body so that you feel comfortable and informed before moving forward. Dr. Surjit Rai specializes in “en bloc” capsulectomies and has performed over 3,000 breast explants to date

For more information about this procedure please visit our dedicated breast-explant site.

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Breast Implant Removal Patient

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What is a Breast Implant Removal?

Breast implant removal (or breast explant) is the surgical process of removing silicone or saline implants from a previous breast augmentation surgery and often the scar tissue (capsule) surrounding the implants. Removal of the implants and capsules is termed a capsulectomy. Patients choose to undergo this procedure for several reasons, but it is slightly more complicated than the original procedure due to the increased scar tissue and requires the surgical expertise of someone highly experienced in the field, such as Dr. Surjit Rai. In some cases, women will add a breast lift or fat transfer to the procedure to keep their perky appearance.

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Why Are Some Patients Choosing To Remove Their Breast Implants, and Whether You May Be a Good Candidate

There are a variety of reasons some patients choose to remove their implants:

  • No longer like the way their implants look: Some patients feel their breasts look very different from the way they did when they had their original augmentation. The breasts have sagged or changed shape. Sometimes the breasts have sagged while the implants have stayed high, causing a double bubble appearance to their breasts. Some patients feel that their breasts have enlarged in size and now they are too big and heavy for their bodies.
  • No longer want the maintenance of the implants: Implants are not lifetime devices. They do break down over time. Most surgeons recommend replacing the implants every 10 years to stay ahead of possible implant ruptures. Many women get to a point in their lives when they no longer want to think about having more surgeries in the future. They feel young and healthy now, and they find it hard to imagine doing another surgery in 10 more years.
  • Have developed a capsular contracture or rupture: Capsular contractures occur when the capsule (or scar tissue) around the implant becomes very thick and hard. It will feel firm and can start distorting the breast or causing pain. Once a capsular contracture has occurred, there is a high likelihood of it recurring with the replacement of the implants. In addition, some women experience a rupture in their implants. Many women choose to explant instead of replacing when this occurs.
  • Concern about breast implant-associated anaplastic large cell lymphoma (BIA-ALCL): This is a type of lymphoma associated with textured breast implants. While it is still relatively rare, it is much more common than previously suspected. Most women will present with a fluid collection (seroma) around their implants. This is easily seen on a mammogram or ultrasound. Some patients choose to undergo an explant to try to minimize the risk of developing this lymphoma.
  • Concern about breast implant illness (BII): This is a concern that the implants could be causing or contributing to medical issues for the patient. While research into BII is ongoing, many patients who seek out Dr. Surjit Rai for their explant surgery do so out of concern about BII. Dr. Rai has extensive knowledge of breast implant illness and shares his experiences with his patients. Many patients who have breast implant illness concerns elect to have a total en bloc capsulectomy. Dr. Rai will discuss these options with the patients during their consultation. For more information about breast implant illness and en bloc capsulectomies please visit our dedicated Breast-Explant website.

What Are the Benefits of a Breast Implant Removal?

The benefits of a breast implant removal can be medical, personal, or both. For medical reasons, it is a safe choice to remove them if you’re dealing with issues such as capsular contracture, which is when scar tissue becomes abnormally hard around the implant and causes major discomfort and/or aesthetic problems. Many women suffer from breast implant illness. This is a term used to describe when the implants could be causing or contributing medical issues or patients. For those who have simply had a change in aesthetic preferences, removing implants allows them to restore their breasts to their natural shape and size. You can even remove them and have a breast lift or fat transfer if you choose to.

What’s the First Step?

Your Breast Implant Removal Journey with Surjit Rai, MD

Whatever your reason may be for seeking a breast implant removal, your first step is to consult with a professional who is highly experienced in breast enhancements, such as Dr. Rai. Dr. Surjit Rai has performed over 3,000 breast explant procedures. From his Dallas, TX, practice, he will sit down with you to have an open and honest discussion about the concerns you’re facing, as well as review your medical history, including your original procedure. He will evaluate your physical anatomy to get a better idea of what we are working with, and he will create a surgical plan that effectively creates the results you’re looking for, whether that’s removing implants with a breast lift or fat transfer. Once this has been established, you’ll receive pre-operative instructions similar to your original surgery.

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What to Expect on the Day of Breast Implant Removal Surgery

Dr. Surjit Rai performs most of his procedures at his fully certified (AAASF) in-suite operating room. It meets the same safety standards as a hospital or surgical center operating room. However, it is much more convenient and private. Dr. Rai works with a team of MD board-certified anesthesiologists who provide excellent care for his patients.

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A woman with brown hair in a white blouse and jeans sits in Dr. Rai's seating and waiting area reading over possible options in a folder. Purple orchids sit on the marble table next to her giving a serene and clean vibe to this area. - Patient Resources in Dallas, TX

  • This surgery involves the removal of the breast implant with the surrounding scar tissue (capsule) that the body has created around the implant. This is typically done en bloc, which is the removal of the capsule and the implant in one unit (the implant still inside the capsule). The surgery takes 2 hours to perform, and Dr. Rai will leave surgical drains in the breasts to optimize the recovery and safety for his patients. Drains typically stay in place for about 3-5 days, depending on the amount of drainage. The patient will be placed in a surgical ACE wrap for compression. The patient will recover in the office and be released home the same day when they are comfortable.

  • This surgery involves the removal of the breast implant and capsule, and the removal of excess skin on the breasts. This is called a breast lift or breast mastopexy. It can be done safely at the same time as the explant. Dr. Rai will use an anchor lift incision to remove excess skin. This will tighten the breast around the new, smaller size. Dr. Rai utilizes an auto-augmentation technique during his breast lift to use the tissue at the bottom of the breast to try to fill and volumize as much of the breast as possible. The areola will also be made smaller, and the areola and nipple will be lifted to a higher location on the breast. This surgery will take 3 hours to perform, but the patient will also leave the same day. Surgical drains and an ACE wrap will be used for this procedure as well.

  • Breast implants with or without breast lifts can be combined very safely with other cosmetic procedures. Typical combination surgeries include abdominoplasties (tummy tuck), face or neck lift, eyelid surgery, and liposuction. Many patients elect to have other procedures done at the same time to minimize the recovery and cost of surgeries. Sometimes, fat transfer can be performed for patients as well. This involves liposuction to remove fat from other areas of the body and injecting it into the breasts to add some volume to the breasts after the explant.

What Happens To The Capsule That Is Removed And The Implants?

The capsule is sent to the pathologist to look for any incidental breast cancer. Additional testing (CD30 stains) can be done as well to look for BIA-ALCL. The implants can be returned to the patient if desired or disposed of by the office. Additional testing for microbiology (mold, fungus, bacteria) can be done if warranted.

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Breast Implant Removal Recovery

Your Guide to Post-Breast Implant Removal Care

Patients will recover for approximately 1 to 2 hours after their surgery in our office. They will then go home. They will begin recording their drains daily. They can shower on the second day and then replace their ACE compression wrap. Dr. Rai will see patients to remove their drains when the drain outputs are low enough (usually 3-5 days after surgery). Some patients elect to remove their own surgical drains. Dr. Rai will then see the patient 2 weeks after the drains have been removed, followed by another visit 2 weeks later, and then schedule subsequent appointments as needed, depending on the patient’s healing progress. Out-of-town patients can be seen virtually and send photos of their breasts to determine how they are healing.

If the patient is undergoing an explant procedure, they should expect to limit their lifting to 10 pounds for 4 weeks and then have no restrictions on activities at that time. If a patient is undergoing a lift at the same time, they should limit their lifting to 10 lbs for 4 weeks and then expect full recovery without restrictions between 6-8 weeks from the surgery date. Patients are encouraged to avoid driving for 1 week after the surgery.

How Much Does a Breast Implant Removal Cost in Dallas, TX?

The cost of a Breast Implant Removal in Dallas is generally pricier than your original surgery due to the complexity and delicacy that comes with dealing with excess scar tissue. As mentioned, you’ll need this procedure to be performed by someone highly trained in this field, especially if you’re seeking this procedure for medical concerns. We are happy to go over financing options with you and even navigate insurance if you qualify for medical purposes.

Why Choose Dr. Surjit Rai For Your Breast Explant / Capsulectomy?

  • Dr. Rai in Dallas, TX, has extensive experience in breast explants, capsulectomies, en bloc capsulectomies, and breast implant illness. He is performing his own clinical research on the topic of breast implant illness. He has patients coming from all over the world who seek him out for his breast explant and breast implant illness knowledge. Please visit our dedicated breast-explant website here
  • Dr. Rai has performed over 3,000 explant procedures to date.
  • Dr. Rai prides himself on his personal care for his patients. Patients can expect frequent communication with Dr. Rai. Dr. Rai is always available to his patients and prides himself on personally communicating with them to ensure they feel well cared for at every stage of their explant journey.
  • All capsule specimens are sent for pathological testing to rule out any unknown cancers.
  • Your safety is our top priority: Dr. Rai performs his surgeries in his fully accredited (AAASF) facility. This in-suite operating room meets the latest safety standards and provides patients with a safe, private, and convenient environment for their surgery. Dr. Rai only uses board-certified MD anesthesiologists to take care of his patients.
  • Dr. Rai aims to get the best cosmetic result possible using his auto augmentation breast lift technique to try to utilize as much natural breast tissue as possible to reshape and volumize the breast.
  • Latest medical advancements: Dr. Rai uses Exparel, which is an injectable anesthetic that can aid in pain relief for up to 72 hours. Dr. Rai also uses Emend, which is a newer anti-nausea medication to help prevent nausea for patients after their surgery.
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5.0 ★★★★★ 327 Reviews

Patient Reviews

  • A close up shot of a woman with brown hair in a white blouse and jeans sits in Dr. Rai's seating and waiting area reading over possible options in a folder. - Patient Resources in Dallas, TX

    He is the most caring doctor

    He is the most caring doctor , he is very precise , listens , explains every detail and has addressed every concern I had. Although I was scared to have the surgery it was very quick and I absolutely love the way that I look. The recovery was not at all what I thought it would be. Dr Rai is extremely good at what he does and has been amazing through out the whole entire process. Thank you so much for everything I honestly feel so much better !!

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  • MRKTMade_Rai-40-circle-1-473

    Dr. Rai is the best in Dallas

    This is my second-time coming to Dr. Rai for my nose and breast and I never leave disappointed. He is so kind and truly an artist at his craft. His staff is so kind and always so helpful. I had multiple consultations with different doctors and let me tell you Dr. Rai is the best in Dallas. Look no further Dr. Rai has the experience and his kindness are like no other.

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  • MRKTMade_Rai-40-circle-473

    I cannot say enough good things about my experience with Dr. Rai and his team.

    From the very first consultation, he listened with compassion, answered all of my questions, and made me feel completely supported in my decision to explant.

    The surgery itself went smoothly, and the results exceeded my expectations. What truly stood out, though, was the phenomenal aftercare. Dr. Rai and his staff checked in consistently, responded quickly whenever I had concerns, and made sure I felt cared for every step of the way.

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  • MRKTMade_Rai-40-473

    I’m forever grateful for Dr. Rai and his team.

    They are so thorough, nice, calming, reassuring, supportive…. I could go on and on. I would recommend Dr. Rai over and over! You simply cannot go Wrong with making him your choice. My favorite thing about the whole process was after surgery HE personally calls and emails you until you are released from his care. HE personally talks to you on the phone and shows that he gives a crap about his patient. It’s not just a paycheck to Dr. Rai, he truly cares and actually shows it. You don’t have many drs SHOWING their genuine care outside of your surgery day. He’s there for his patients and I’m grateful for it bc he calmed so much anxiety!!! Plus, his work is WONDERFUL! 100/10 recommend!
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  • MRKTMade_473

    I can’t say enough good things about Dr. Surjit Rai and his staff!

     They were exceptional, from the time I made my appointment to my consultation, my surgery and post op care. The front desk staff made the scheduling easy, the pre and post op nurse was kind and put my nerves at ease. Dr. Rai is a skilled surgeon with a wonderful bedside manner, he explained the surgery and outcome very clearly and provided personal post op support. I am a nurse in the medical field and I would highly recommend him as a surgeon.
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Expert guidance, tailored to your needs.

Scheduling your consultation is easy. You can either give us a call at our Dallas office at (972) 566-6500 or fill out the online consultation form to get started. For more information please visit our dedicated breast-explant website here.

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