A small percentage of patients who have had breast implants may request their removal at some point in their lives. The reasons for implant removal vary by individual, but the desire to remove a saline or silicone breast implant should always be approached with a protocol-based surgical treatment plan. Los Angeles plastic surgeon Dr. Raffy Karamanoukian removes breast implants with or without capsulectomy using an inframammary or peri-areolar incision. Usually, breast implant removal is an outpatient surgical procedure without the need for prolonged recovery.
There are two variables that dictate the extent of surgical breast implant removal, the presence of a capsule and the amount of breast droopiness before implant removal. If there is significant breast implant capsular contracture, it may be a good idea to remove the breast implant capsule at the time of implant removal. If the breasts are droopy before surgery, there is a strong chance that a combined breast lift or staged breast lift is needed.