For some patients, the best step forward is the decision to have their breast implants removed. Whether due to concerns about long-term health, dissatisfaction with the implant-related aesthetic, or the diagnosis of capsular contracture, The Plastics Atelier in Omaha provides expert surgical care for safe and effective breast implant removal.

Our practice is committed to supporting patients through this process, focusing on the meticulous removal of both the implant and the surrounding scar tissue (capsule) to restore breast health and optimize the remaining natural contour.

Why Choose Implant Removal and Capsulectomy?

Implant removal, often referred to as an "Explant," is performed for several key reasons, and the necessity of an accompanying Capsulectomy (removal of the scar tissue capsule) depends on the patient's specific symptoms and medical history.

Common Reasons for Explant:

• Health Concerns: Patients may seek removal due to concerns related to Breast Implant Illness (BII) or other systemic symptoms.

• Cosmetic Changes: Desire to return to a more natural, smaller size, or dissatisfaction with the aesthetic changes that have occurred over time.

• Implant Issues: Removal is required in cases of implant rupture, chronic pain, or migration.

The Role of Capsulectomy:

Capsulectomy is the surgical removal of the firm, fibrous capsule of scar tissue that forms naturally around every breast implant. This procedure is crucial when:

• Capsular Contracture is Present: This is the primary reason for a capsulectomy. Contracture involves the capsule hardening and tightening, causing pain, distortion, and firmness in the breast. Removal of this tissue is necessary to alleviate symptoms and correct the shape.

• Addressing BII Concerns: Many patients seeking removal due to health concerns prefer a Total Capsulectomy, where the implant is removed in addition to the surrounding capsule. This ensures all associated scar tissue is removed.

The Procedure: Total Capsulectomy vs. Subtotal

At The Plastics Atelier, Dr. Hall tailors the capsulectomy technique to your specific needs:

• Total Capsulectomy: This involves removing the entire capsule of scar tissue surrounding the implant. This is often recommended for capsular contracture or for patients concerned about BII.

• Subtotal Capsulectomy: Removing only a portion of the capsule, typically performed in cases where the capsule is not contracted and removal of the entire capsule would cause unnecessary trauma to vital structures like the chest wall muscle.

What Happens After Implant Removal?

Removing implants can leave the breast skin loose, flattened, and with an aged or deflated appearance, especially after years of having implants. To achieve the best possible aesthetic outcome, we often recommend a concurrent procedure:

• Breast Lift (Mastopexy): A lift is typically recommended to remove excess skin, tighten the remaining tissue, and reshape the breast mound for a lifted, more youthful appearance without the implant volume.

• Fat Grafting: Utilizing your own fat to add subtle volume, soften contours, and fill out areas that may look empty after the implant is removed.

We will discuss these options during your consultation to develop a comprehensive plan that meets both your health goals and aesthetic desires.

Schedule Your Consultation in Omaha

If you are considering breast implant removal and capsulectomy in the Omaha, Nebraska area, we invite you to consult with Dr. Hall. We prioritize patient safety, meticulous surgical technique, and delivering a result that supports your long-term comfort and confidence.