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.

Breast Explant with Lift or Reduction Before and After Results
Breast Explant with Lift or Reduction Before and After Results

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Ideal Candidates:

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


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

Related Blog Posts

Frustrating Back, Neck, and Shoulder Pain May Require a Breast Reduction and Implant Removal
Breast ReductionA breast augmentation is one of the most common cosmetic surgery procedures. In this surgery, an implant is inserted to increase the size of the breasts. Many women undergo this procedure to enlarge their breast size. Unfortunately, years after getting a breast augmentation done, some women face problems owing to their large breasts. Some of the common issues are highlighted below:

Recovery After a Breast Lift with Explantation
Recovery Breast LiftIf you have decided to get your breast implants removed with an explantation procedure and are pairing it with a breast lift, it is crucial to take recovery seriously. Going under the knife is a major decision to make, and it’s important to follow Dr. Rai’s instructions to ensure optimal recovery. Proper recovery and aftercare are of the utmost importance after surgery, and the techniques you use to recover will play a significant role in how your breasts heal.


Schedule a private consultation with Dr. Surjit Rai to discuss your health concerns.

7777 Forest Lane, Suite C612,
Dallas, TX 75230

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Call Us : 972.392.3511

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