You Choose What’s Best for Your Body

Perhaps there was a time and a place for larger breasts, and maybe that time has passed. Or maybe you’re now having pain or discomfort from your breast implants, and you want them removed. Whatever the reason for a breast implant removal in Orlando, it is your body and your choice. There are a few things to consider when evaluating the removal of breast implants, and I want to make sure you have a full understanding of these details before you proceed with surgery here.

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Why Remove Breast Implants?

The most common reason to remove your breast implants is simply because you don’t want them anymore or you don’t like the way they look. If your breast implants are causing you physical or emotional distress or indeed are affecting your medical health, then breast implant removal is the right step for you.

What Are Breast Implant Illness (BII)?

No discussion of breast implant removal in Orlando would be complete unless I first talked about breast implant illness, often abbreviated as BII. There are certainly several ways in which breast implants can interfere with your anatomy and biology, and I want to cover these topics first, the ones that we most clearly understand.

Capsular Contracture

Breast implants can cause encapsulation (aka capsular contracture), which can result in painful tightening of the breast capsule, or internal scar, around the implant. This can result in problems related to back, neck, chest, and shoulder pain. It can also lead to or exacerbate symptoms surrounding fibromyalgia. 

Seroma

Breast implants can also become surrounded by fluid, a process known as seroma. When a seroma forms, the body has developed inflammation around the implant, most likely related to bacteria (or biofilm) that has contaminated the surface of the silicone shell. The breast can become enlarged, swollen, and painful in these cases. In rare cases, this fluid can become infected, leading to fever and malaise, as well as redness and swelling around the breast.

Rupture

When breast implants rupture, they can result in a chronic inflammatory condition that can similarly lead to encapsulation (or capsular contracture). While much less common with the more cohesive “gummy bear” breast implants, free silicone could leak into the surrounding breast and lymph nodes, leading to silicone granulomas. These masses can be palpable, although they are usually non-tender and benign (not dangerous).

Autoimmune Disease

Autoimmune disease and breast implants are the least well-understood relationship, despite the wealth of patients with both breast implants and autoimmune disease. The summary is that medicine has yet to find a causative link between breast implants and autoimmune processes. Nonetheless, there are many women with breast implants who have experienced subsequent problems with their immune systems. Breast implant removal may or may not be helpful in eliminating these autoimmune problems once they arise, but if you are willing to consider this possible connection, then I am willing to help. 

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What Is the Cosmetic Impact of Breast Implant Removal in Orlando?

The most common ways in which breast implants affect your anatomy are related to the chest wall, the pectoralis muscle, and the breast gland. 

The Chest Wall

Breast implants can mold the chest wall cartilage, leading to small depressions in the breastbone after the removal of breast implants. These depressions are not able to be covered up or fully reshaped, and they may be visible if the overlying breast is not large enough to camouflage.

The Pectoralis Muscle

If implants are placed under the muscle, some of the pectoralis (or pec) muscle is divided in the process. When the implant is removed, some retraction of the pec may be seen, where it is slightly higher on the chest. This is especially true of the central part of the pec near the sternum, which can appear more bony or more visible after implant removal.

The Breast Gland

The breast itself is actually made smaller by breast implants. This occurs because the implant compresses the breast gland, causing it to shrink down in size. It is possible that your breasts will be even smaller than they were before your implant surgery once the implants are removed.

Top 5 Reasons to Remove Your Breast Implants

  1. You no longer like the look and feel of your breasts.
  2. You have pain in your breasts and have capsular contracture.
  3. You are concerned about developing an autoimmune disease.
  4. Your breasts are too large for your frame.
  5. You have noticed sudden enlargement of one breast or have swollen lymph nodes.  
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Understanding En Bloc Removal

En bloc removal of your breast implant and breast capsule has gained popularity as a technique for removing breast implants and the surrounding breast capsule. An en-bloc approach involves removing the entire implant and its surrounding capsule in one piece. To achieve this, the scar needs to be longer because the entire implant and capsule are large when taken together. Unlike your breast implant, which could be “squeezed” into the pocket, the en bloc specimen can not be taken out through an incision of the same size.

The studies do not show any improvement in breast implant illness symptoms when the implants are removed en bloc versus the two other common treatment options, namely:

  1. Separate implant and capsule removal
  2. Implant removal alone (and leaving the capsule)

An en bloc removal also puts risk on the chest wall and lungs. The lung can be injured while removing the posterior part of the capsule if your implants are under the muscle.

For these reasons, I generally do not advocate for en bloc removal; instead, I remove part or all of the capsule (capsulectomy) and—of course—all of the implant.

What Will the Recovery Period Be Like After My Breast Implant Removal?

Immediately following the surgery, you will be taken to a private recovery room, where our experienced nursing staff will closely monitor your condition. You will be provided with everything necessary for a smooth recovery, including any required postoperative medications, detailed care instructions, and follow-up appointments to monitor your progress.

As part of our comprehensive care approach, we recommend a specific postoperative care routine, including the use of specialized recovery bras and any necessary dressings. These measures are designed to optimize your results and enhance your overall recovery experience.

All surgeries are performed in my state-of-the-art facility attached to my Orlando clinic, allowing me to oversee every aspect of your safety. During the initial recovery period, it is essential to follow the provided guidelines, which may include restrictions on certain activities, avoiding heavy lifting, and adhering to a prescribed medication schedule.

Your full recovery will involve a gradual return to your regular activities, with specific timelines tailored to your individual needs. Throughout this process, our dedicated nursing staff is available 24/7 to address any concerns or questions you may have, providing continuous support.

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Why Choose Oppenheimer Plastic Surgery for Your Breast Implant Removal in Orlando?

My mission is to empower women through exceptional plastic surgery and genuine kindness. No matter the reason you want to have your breast implants removed, you can trust that you will be in the compassionate hands of a board-certified, third-generation plastic surgeon committed to your well-being at Oppenheimer Plastic Surgery. Gentleness is one of my core values, and this shapes every aspect of my work, from meticulous markings to every stitch carefully placed by hand. It also extends from the operating room to our entire team, supporting you with reverence for the incredible courage it takes to undergo an aesthetic operation. If my approach seems right for you and you're ready to have your implants removed, I would be honored to help. Please schedule a consultation with me or my nurse, and we can help you move forward with your breast implant removal in Orlando

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