Breast Explant with Fat Transfer

Dallas, Texas

Introduction

Breast Explant with Fat Transfer in Dallas, TX with Dr. Rai

Breast explant with fat transfer, also known as breast implant removal with fat transfer, is a surgical procedure performed to remove damaged or unwanted breast implants. Board-certified plastic surgeon Dr. Rai offers breast explant with fat transfer in Dallas for women in need of a skilled and experienced surgeon.

 

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What is a Breast Explant With Fat Transfer?

The breast implant removal/capsulectomy is performed first. After that is completed tumescent liposuction is performed on the areas where the fat will be harvested. The fat is then processed so all the blood and fluid are removed until only pure fat is remaining. This is the fat used to fill the breasts. By processing the fat, it is more likely to make a permanent improvement in the breast.

The biggest risk with fat grafting is fat reabsorption. Not all of the fat placed in the breast will survive and therefore the fullness might go down over the course of several months to a year. Although this procedure can be combined with an explant, Dr. Rai’s preference to is do it 3 months after an explant or explant with a lift. By doing it later Dr. Rai can target where he needs to inject the fat more precisely and decrease the risk of needing a second fat transfer procedure.

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What if I Don’t Have Enough of My Own Fat?

Many women who explant are very thin with not enough fat to make a meaningful volume difference to the breasts. AlloClae is a new product on the market that is a fat filler for women that do not have enough of their own fat. It uses fat and structural elements surrounding it (extracellular matrix) harvested from sterilized donors.

The idea is to provide a fat filler to volumise the breast similar to fat grafting with more consistent results and less risks such as oil cysts and fat reabsorption. AlloClae is done under local anesthesia and does not require surgery or anesthesia. It usually takes 1 hour to perform and has minimal downtime.

What are the benefits of a Breast Explant With Fat Transfer?

  • Restores a natural breast shape
  • Addresses sagging or stretched skin
  • Provides a more youthful breast appearance
  • Can improve comfort and alleviate symptoms related to implants
  • Customizable to individual patient goals

Who are the best candidates for a Breast Explant With Fat Transfer?

Patients who no longer desire to have their implants and those that wish to remove all the capsule from their breast pocket. Patients that want fuller breasts and more volume after the implants are removed.

Patients that want to fill any areas of the breast where wrinkling or creasing has occurred after implant removal.

What’s the First Step?

Your Breast Explant Journey with Surjit Rai, MD

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.

Dr. Surjit Rai, carrying a black patient folder, smiles as he opens a door to enter an examination room. He is dressed in a professional purple suit and striped tie.

What to Expect from a Breast Explant with Fat Transfer

  • Procedure Length: 5 hours
  • Anesthesia: General – fully asleep
  • Incision: Under the breast fold (8 – 9 cm). The old scar will be cut out. Small incisions in the areas where liposuction is being performed
  • Areas of Fat Harvest: Any areas of the body but typically the abdomen, flanks, back, and thighs are used
  • Implants: Returned to the patient
  • Capsules: Sent to pathology (additional testing for CD30 and other microbiology can be 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. A nerve block will be done and a 72-hour nerve block is offered (Exparel)
  • Drains: One drain in each breast. Typically removed between days 3 and 5
  • Dressings: Ace wrap until drains are removed. Can shower on the second day after surgery. Compression binder or garment in the areas liposuctioned
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Breast Explant With Fat Transfer Recovery

Your Guide to Post-Breast Explant Care

There will be some swelling and bruising around the breasts and around the areas where the liposuction was performed following your breast explant with fat transfer in Dallas. The bruising will take 2-3 weeks to go away.

No heavy lifting greater than 10lbs for the first several weeks. Full recovery without restrictions at 4 weeks. You will be sore in the liposuctioned areas but there isn’t any restriction on movement in those areas.

 

 

 

Follow Up:

  • 3-5 days for drain removal
  • 1.5 weeks for an incision check
  • 3-4 weeks for an incision check
  • As needed after that

How Much Does Explant Surgery With Fat Transfer Cost?

The cost of your breast explant with fat transfer in Dallas is something that will be discussed as a part of your consultation.

The price of your breast explant will depend on the factors like anesthesia fees, surgeon fees, and the extent of the work required for the procedure. Our team will also go over the payment options available to you for your breast implant removal.

Why Choose Cosmetic Surgical Center for a Breast Explant Procedure?

Dr. Rai has performed more than 2,500 breast implant removal procedures, giving him extensive experience in explant surgery, complete capsulectomy, and en bloc removal, particularly for patients concerned about Breast Implant Illness (BII).

He is committed to carefully removing the capsule using a meticulous technique, with all tissue sent to pathology for testing, including screening for breast cancer and ALCL. When possible, muscle repair is performed, implants can be returned to patients upon request, and surgical photos are taken for documentation.

Each procedure includes a nerve block, with the option of a 72-hour Exparel block for extended pain control. To optimize cosmetic outcomes, Dr. Rai combines modern breast lift methods with auto-augmentation techniques to enhance fullness and projection.

Patients receive personalized care through dedicated consultation time, direct follow-up calls, and surgery in a certified facility with a board-certified anesthesiologist, with operating privileges at Medical City Dallas for added safety.

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5.0 ★★★★★ 310 Reviews

Patient Reviews

  • Dr. Surjit Rai, carrying a black patient folder, smiles as he opens a door to enter an examination room. He is dressed in a professional purple suit and striped tie.

    Hands down the best surgical experience I have ever had

    Hands down the best surgical experience I have ever had, and I have had many! Dr. Rai has an amazing bedside manner & is an incredibly skilled Surgeon. His follow up has been wonderful & I recommend him to anyone needing an En-bloc explant.

  • A circular close-up of a patient holding a black informational folder. The folder features the "Cosmetic Surgical Center" logo in silver.

    Dr. Rai is an extremely skilled doctor

    Dr. Rai is an extremely skilled doctor, a wonderfully kind person and truly cares about each and every patient. I had surgery 3/2/2018 and he called me several times to check on me ( even called me from the airport as he was about to board his plane!) to make sure I was doing well after my surgery. His staff is just as awesome!

  • Dr. Surjit Rai, wearing a professional mauve suit, conducts a consultation with a female patient. He is smiling as he uses a tablet to show her "before and after" photos of a body contouring procedure.

    Hands down the most amazing Dr. I have ever met!!!

    Hands down the most amazing Dr. I have ever met!!! I was suffering from Breast Implant Illness, and he was very understanding, as this can be a very touchy subject with plastic surgeons. He listened to all my concerns, and was very compassionate. I also had a reduction with implant removal. I am 6 weeks post op and couldn’t be more thrilled with my results!!

  • A circular close-up of a patient holding a black informational folder. The folder features the "Cosmetic Surgical Center" logo in silver.

    I highly recommended Dr. Rai!!!

    Hands down the BEST surgeon I have ever had a procedure done by. Not only is Dr. Rai awesome so is his father, office and hospital staff. From the first day I called to book my apptointment to the last check up I had my experience was nothing but amazing. I promise you will not be disappointed… I highly recommended Dr. Rai!!!

  • Dr. Surjit Rai, carrying a black patient folder, smiles as he opens a door to enter an examination room. He is dressed in a professional purple suit and striped tie.

    From the first consultation I immediately felt at ease with him

    Dr. Rai removed my implants. From the first consultation I immediately felt at ease with him. He listened to my entire story and provided helpful insight that I had not heard before. His front office staff is very kind and personable. After my initial consult anytime I walked through the front door they immediately knew who I was and greeted me by name.

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Schedule a Consultation

Expert guidance, tailored to your needs.

If you’re considering a breast explant with fat transfer in Dallas, contact us today to schedule a consultation. Dr. Rai is dedicated to helping you achieve a natural and beautiful breast appearance that aligns with your aesthetic goals.