Due to their vast experience working with breast implants and performing breast surgery, patients trust our Palm Beach plastic surgeons to help them resolve both breast implant-related health issues and cosmetic complications. These can be very complicated matters and a difficult journey for the patient. Generally speaking, patients have already been through one or more difficult surgeries, and the goal going forward is to have an insightful strategy that manages the issue(s) for the last time. Our physicians understand there are many reasons you may want to have your breast implants removed, and they conduct all of their professional interactions with the utmost compassion for your physical and emotional needs. Whether you are concerned that your implants are negatively affecting your health or you are unhappy with the current appearance of your augmented breasts, our doctors can develop a fully personalized treatment approach aimed at achieving a proper diagnosis and reaching your personal breast goals.
There are many personal reasons you may be considering the removal of your breast implants, and our surgeons have extensive experience addressing virtually any concerns you may be having. During a one-on-one consultation, one of our physicians will take the time to listen to your concerns, answer your questions in an easy-to-understand manner, thoroughly evaluate your needs, and develop the most appropriate treatment plan for your unique situation. If you are experiencing (or think you may be experiencing) any of the issues listed below, we welcome you to trust the health and care of your breasts to the experience of our doctors.
Women who choose to have their breast implants removed commonly do so for one or more of the following reasons:
If you are worried about the possibility that you are suffering from a breast implant-related illness or that your breast implants need to be removed and/or replaced due to other serious concerns, please contact Pinsky Plastic Surgery today to schedule an appointment. We can book you for the soonest time available with one of our physicians to discuss the breast-related issues that are on your mind, evaluate your breasts and breast implants, and help you on the road to overcoming any related emotional and physical challenges you are experiencing.
Breast Implant-Associated Lymphoma (BIA-ALCL) is a non-Hodgkin’s lymphoma (cancer of the immune system) which develops in the scar tissue (capsule) surrounding a breast implant. This condition has mostly been linked to the use of certain textured breast implants and has not been correlated with smooth implants. At this time, the likelihood of developing BIA-ALCL is thought to be low, occurring in less than 0.03% of patients with BIOCELL textured breast implants.
Due to the concern of BIA-ALCL being linked to certain aggressively textured breast implants — and in particular, Allergan textured implants — Allergan has voluntarily issued a recall of their unused BIOCELL® textured implants out of abundance of caution for patients’ safety.
On July 24, 2019, at the request of the FDA (Food and Drug Administration) Allergan announced a voluntary worldwide withdrawal of unused stock of BIOCELL® textured breast implants and tissue expanders from doctors’ offices and hospitals. As a member of the Allergan Executive Council on Breast Aesthetics for 15 years, Dr. Pinsky has personally been in meetings with Allergan management following this announcement. There are a few very important points to note:
Patients may be able to identify their breast implant from the wallet sized information card provided from the office at the time the implant was inserted. If you cannot locate your information card, please call Dr. Pinsky’s office and we will assist you in finding out the type of breast implant you have.
This withdrawal of unused stock does not mean your textured implants need to be removed unless you are experiencing specific symptoms. According to the FDA, American Society of Plastic Surgeons (ASPS), and the American Society of Aesthetic Plastic Surgeons (ASAPS), women who do not have symptoms are being discouraged from having their implants removed because the inherent risks of surgery are greater than the risk of this rare condition.
Symptoms include breast enlargement or hardening, persistent pain, lump in the breast or armpit, or most commonly, swelling from a large fluid collection surrounding the implant—the latter of which would require an MRI and aspiration of the fluid for specific testing. These symptoms typically develop 8 to 10 years after the implant was placed.
Our physicians are aware that for some patients this news may be particularly alarming even if you do not have textured implants. A patient’s safety and sense of ease is of our utmost concern. For those reasons, we can discuss these issues in greater detail, such as what is BIA-ALCL and the relative risk, explantation, en-bloc capsulectomy (the technically more difficult task of removing the scar tissue in one complete piece), and SIEF (simultaneous implant exchange with fat).
There are concerns that breast implants may be linked to specific illnesses or symptoms in patients who have undergone breast augmentation, breast lift with augmentation, and breast reconstruction involving implants. The specific illnesses may be various autoimmune-related illnesses with symptoms that may include (but are not limited to) fatigue, weakness, muscle or joint aches and pains, cognitive dysfunction, hair falling out, and other health issues.
For patients diagnosed with a possible type of BII, breast implant removal — and, in some cases, the removal of the scar tissue capsules that surround the breast implants — is generally recommended as part of an effective plan for treatment.
In response to BIA-ALCL and BII developments, Dr. Pinsky has directed a significant focus of his practice to assessing women’s breast concerns, examining the breasts for potential complications, suggesting effective diagnostic methods, and performing procedures to remove implants while restoring natural-looking breasts. If you are worried about your breast implants, symptoms of illness, or the appearance of your augmented breasts, you can rely upon our physicians to provide you with the education and treatment you need.
While some of our patients choose to exchange their old implants for new ones, others choose not to have implants any longer, and still other patients desire volume restoration through Simultaneous Implant Exchange with Fat (SIEF).
Dr. Pinsky is also known for his experience in breast revision surgeries. There are literally hundreds of breast implants to choose from when selecting breast implants. Dr. Pinsky has lectured all over the world on choosing breast implants utilizing Bio-Dimensional Planning Principles where the dimensions of the implant are matched to the proportions in each patients’ figure so a patient’s breasts look as natural and beautiful as possible. Dr. Pinsky specializes in using the latest techniques to create natural-looking results for women who no longer want breast implants, or for those who wish to replace their problematic implants with newer more advanced breast implants.
Only you can decide whether breast implant removal is the best course of action for your health and appearance. In general, explantation surgery is recommended if your breasts feel hard to the touch (this may be an indication of capsular contracture), if breast imaging tests confirm a leak, or if you’re experiencing pain from your implants. Alternatively, breast implant removal can also be beneficial if you simply do not have use for your implants anymore. We understand that the choice to remove your breast implants is a major decision, which is why our medical team is here to address your concerns and educate you on all aspects of breast implant removal so you’re well-informed on what to expect from the procedure.
In some cases where signs of BII or BIA-ALCL are observed, breast implant removal surgery may be able to improve your health; however, this varies from patient to patient. Your medical history will be closely evaluated during the consultation process to learn whether you’re a good candidate for breast implant removal. If you feel your breast implants are causing painful or uncomfortable symptoms, we encourage you to discuss your concerns with your doctor or our physicians to determine whether explantation is a potential treatment option. For some (but not all) women, removing breast implants can reduce or completely resolve the symptoms associated with BII.
Your appearance post-surgery will depend on the complete details of your surgical plan, which you and one of our surgeons will discuss at length before your procedure. Keep in mind that years (or decades) of implant use often causes the chest skin to stretch, so your breasts may not look exactly how they appeared before your breast augmentation. The goal with any breast surgery is to achieve a natural-looking outcome, and we offer several techniques to reshape/enhance the breasts after removal surgery. Among these options are Simultaneous Implant Exchange with Fat (SIEF) — a technique that can be performed at the same time as your implant removal — and breast lift surgery to correct a sagging or deflated appearance.
Depending on the exact details of your treatment plan, a breast lift may be able to be completed at the same time as your breast implant removal. The possibility of a combined procedure is contingent on which technique was used to dissect your implants among other factors, so Dr. Pinsky will assess your unique situation during your consultation. Fortunately, our physicians are extensively experienced in the combined procedure and have the skill necessary to achieve a successful outcome.
If you don’t like the way your breasts look after implant removal, your surgeon can perform many procedures designed to refine the outcome of explantation surgery and restore a beautiful, natural-looking aesthetic to the breasts. This may involve restoring a rounder, “perkier” breast shape through mastopexy, replacing your old implants with newer devices, or adding volume using transfers of your own fat. Your doctor will advise you on the best option for your needs, preferences, and aesthetic goals in person.
If you want to remove your breast implants for any reason, we welcome you to contact our practice to schedule a consultation.