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EXPLANTATION (BREAST IMPLANT REMOVAL) IN SYDNEY & CANBERRA

For various different reasons, some women decide to have their breast implants removed. This could be due to weight gain or loss, or even a change in lifestyle choices that can affect the way that breasts age over time. A poor outcome from primary breast surgery and postoperative issues, such as capsular contracture or implant rupture, may necessitate removal of the implants.

When considering any elective surgery, it’s best to put a lot of time and thought into deciding what you want. It is both a personal journey of self-discovery and a search for the options that suit your needs best. At Panthea Clinics, we strive to provide the best outcomes for a wide range of surgeries, including breast augmentationabdominoplasty and breast lifts. Get in touch with us today to learn more about how we can help you achieve the look you’ve always wanted.

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Why choose our clinic?

Breast procedures is an area of Dr Farhadieh’s special interest and expertise. He brings excellence in surgical art, and uses techniques that are innovative and modern to achieve the best results possible. As an internationally recognised plastic surgeon he has both provided expert commentary for international plastic surgery journals, as well as authored a chapter on this topic in an international plastic surgery textbook: Plastic and Reconstructive Surgery: Approaches and Techniques. With this level of expertise guiding everything he does, patients can have complete confidence in Dr Farhadieh’s ability to provide state of the art outcomes.

Consultation

For your consultation, it is always helpful to have documentation on the nature of your previous surgery with you (e.g. operation notes or record, or hospital discharge summary), although we can often retrieve these from colleagues where necessary. After a discussion about the nature of your concerns, Dr Farhadieh will discuss all the options available and how they could be tailored to your needs and wants. The risks of the operation will be explained to you.

The procedure

On the day of surgery, your breasts are marked with a surgical marker while you are awake, and any final questions are addressed. Surgery will be performed under general anaesthetic. You may be discharged on the day of surgery or may stay overnight depending on the extent of surgery and, where appropriate, personal preference. Long-lasting local anaesthetic infiltrated into the surgical sites at the time of surgery will help to alleviate immediate postoperative pain. Paracetamol is usually recommended for any discomfort during the early postoperative period. The incisions are closed with absorbable sutures and covered with tape. Any discolouration or swelling will disappear quickly and any residual swelling will normally resolve by 6 weeks. Straining, bending and lifting must be avoided during this time, and a supporting bra should also be worn.

You can usually go back to work within 7–10 days, but are advised to avoid strenuous physical exertion, particularly with respect to the upper body. Gentle lower body exercise can be resumed 1 week postoperatively. The breast will find its final shape within 6 months of surgery.

There is risk associated with all surgery. Because of the previous surgery, revision surgery is associated with added risks. Dr Farhadieh will discuss these with you fully during your consultation.

Frequently Asked Questions

What is breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)?

BIA-ALCL is a rare but highly treatable type of lymphoma. It develops around breast implants and occurs most frequently in patients who have breast implants with textured surfaces. This is a cancer of the immune system, not a type of breast cancer. When caught early, BIA-ALCL is usually curable. Women who received textured implants should contact their plastic surgeon, particularly if you have experienced symptoms such as excessive swelling around the breast implants, pain, major asymmetry, breast enlargement, pain, lump in the breast or armpit, overlying skin rash and hardening of the breast. Any new swellings need to be investigated. 

To read more, head to our blog to view various articles on BIA-ALCL.

What is an En Bloc Resection? Will I have to have one?

In essence this is treating the implant and its surrounding fibrous capsule as a lesion needing to be excised in full without breach. The body walls recognise the implants as inert medical material with no significant immunogenic response off as a foreign bodies. The capsule has three layers, flat synovial type fibrocyte cells, collagen bundles and blood supply. It is known that the biofilm surrounding the implant material may form a barrier that is impenetrable to antibiotics and other medications as well as body’s immune cells. Thereby forming a focus for ongoing inflammation not only locally but also more systemically it has been argued. The fibrous capsule has been shown to harbour antigens and even non virulent bacteria lending credence to this theory. The idea is that by excising the entire capsule and implant, much in the same way as say cancer would be, the risk of any contamination or ongoing source of inflammation would eradicated. 

Is it possible to an En Bloc Resection in every instance?

Whilst technically this is possible, the pertinent question to be asked is how much wider spread tissue damage typically to the pectoralis major muscle in the cases of submuscular or dual plane implant placement or when the implant has ruptured with extracapsular leak of silicone. 

What happens to my old implants?

In revisional surgery the rule of thumb is to replace the breast implant devices where an implant is necessary. Often this means creating new pockets not only to reshape the breast but also to reduce the capsular contracture rates.

Is the surgery painful?

There is some discomfort associated with surgery. Most patients report a ‘tightness’, rather than pain, due to the excellent pain control regime we use, which includes local anaesthetic for the immediate postoperative period as well as powerful analgesics.

Will I have liposculpture and liposuction as part of the procedure as well?

This depends on the nature of breast surgery being considered. In some situations this helps to achieve an optimized final aesthetic outcome.

When will I be able to resume normal activity?

Within 2 weeks you will be back at work and able to resume most normal activities. During the subsequent weeks you will be able to return to your pre-surgery levels of activity.

Where will the scars be placed?

As part of the preoperative assessment Dr Farhadieh will discuss and tailor the incision sites, often through previous surgery. The scars are not only camouflaged, but fade considerably within the first 12 months from surgery.

What will my follow up include?

Dr Farhadieh believes that the relationship between doctor and patient is sacred and privileged. Our practice is based on compassion, honesty, transparency and, above all, patient welfare. We pride ourselves on making sure that you feel supported at all times. We will be available during all stages of your journey and will schedule short-, medium- and long-term follow-up appointments as part of our overall practice.

What are the costs?

Click HERE to view cost breakdown.

62 year old woman underwent explantation and breast lift at 6 months postoperatively

 * Individual results may vary. The material appearing on the website is for educational use only.

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