Breast Explant Dallas
Breast explant with capsulectomy involves removing the implant with its surrounding capsule. This is an en bloc removal. The procedure is very tedious and requires skill and experience to perform correctly. The implant and capsule are freed off the ribs and muscle and removed from the body. If there is any other foreign bodies (sutures) or any evidence of a silicone rupture or leak this is thoroughly cleaned and washed before the incision is closed. If the pectoralis muscle needs to be repaired it is done at the time of the procedure.
Patients who no longer desire to have their implants and those that wish to remove all the capsule from their breast pocket.
Procedure Length: 2.5 hours
Anesthesia: General – fully asleep
Incision: Under the breast fold (8 – 9 cm). The old scar will be cut out
Implants: Returned to the patient
Capsules: Sent to pathology (additional testing for CD30 and other microbiology can run as well)
Muscle Repair: Performed at the same time as the explant
Sutures used: All dissolvable
Photos of Implants and Capsules: Provided to the patient
Post Operative Antibiotics: None
Pain: Moderate. Nerve block will be done and 72 hour nerve block is offered (Exparel)
Drains: One drain in each breast. Typically removed between day 3 and 5
Dressings: Ace wrap until drains are removed. Can shower on the second day after surgery.
Recovery: No heavy lifting greater than 10lbs for the first several weeks. Full recovery without restrictions at 4 weeks
What to Expect
On the day of your surgery, you will arrive 30 minutes before your scheduled procedure. After the procedure, you will typically recover for 45 minutes to an hour and then be discharged home. Dr Rai has an on call answering service and is reachable at any time should there be any questions or concerns after hours following your procedure.
- 3-5 days for drain removal
- 1.5 weeks for incision check
- 3-4 weeks for incision check
- As needed after that
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