Breast Explant with Lift or Reduction Dallas
The breast implant removal / capsulectomy is performed first. The scars are the same for the breast lift and reduction and you always get a lift at the time of a reduction. The difference with a breast reduction is that breast tissue is removed to decrease the size of the breasts. This procedure is best for patients who have gained a significant amount of weight since their augmentation or are unhappy with the heaviness of their chest. In a breast lift the nipple is moved to a higher position and the loose skin at the bottom of the breast is tightened up. At the same time the breast tissue at the bottom of the breast is used to give the patient a fuller breast and try to replace some of the volume lost by removal of the implant.
Dr. Rai utilizes a special technique called auto augmentation with his breast lifts. This surgical technique uses a patient’s natural breast tissue to add volume and projection to the breast after an explant procedure. This technique involves removing the top layer of skin from the bottom of the breast. The underlying breast tissue is kept fully intact and is pushed up under the breast to add volume and fill the breast. This allows Dr. Rai to create a more natural breast shape and to add as much natural volume to the breast as possible.
Patients who no longer desire to have their implants and those that wish to remove all the capsule from their breast pocket. Patients that have loose skin on their breasts or patients who already have breast ptosis (the nipple is in a low position).
Procedure Length: 4.5 hours
Anesthesia: General – fully asleep
Incision: Anchor incision – around the nipple up and down and in the crease
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.
Recovery: No heavy lifting greater than 10lbs for the first several weeks. Full recovery without restrictions at 4-6 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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