Breast Explant with Fat Transfer Dallas
The breast implant removal / capsulectomy is performed first. After that is completed tumescent liposuction is performed of the areas of fat harvest. The fat is then processed so all the blood and fluid is removed until only pure fat is remaining. This is the fat used to fill the breasts. By processing the fat the fat 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.
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.
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 we are liposuctioning
Areas of Fat Harvest: Any areas of the body but typically the abdomen, flanks, back, and thighs are uses
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. 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. Compression binder or garment in the areas liposuctioned
Recovery: 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. The bruising will take 2-3 weeks to go away.
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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