Breast Implant Removal/Explantation
A minority of patients will experience ‘decision regret’ about their implant procedure. Others will seek removal because of health concerns, or they may have textured implants which have been associated with a rare form of lymphoma called Anaplastic Large Cell Lymphoma (ALCL). ALCL is NOT a risk with smooth-walled breast implants.**
With regards to ALCL, the most recent evidence suggests a near 1/3,000 to 1/20,000 risk for women with textured implants. The range is wide and manufacturer dependent. Most patients with ALCL present an average of 9 years after implantation typically with swelling and a fluid collection in one or both breasts.
Because of the low risk, Health Canada does not recommend removal in the absence of clinical concern (unilateral or bilateral swelling, palpable mass).
** we use smooth-walled breast implants at the GHA.
Your Initial Consultation with Dr. Avram
At the time of your initial consultation, you will sit down with Dr. Avram to discuss the details of your previous implant procedure(s) and current symptoms (if any). The nature of explantation will be reviewed including removal of the surrounding capsule and possible implant replacement (for those seeking removal of textured implants but wishing to maintain their breast volume).
The most common incision lines for explantation surgery are your existing breast scars which may be extended depending on the type of implant removal procedure you choose. Every effort is made to conceal the extended incision lines within natural skin folds.
An anesthetist will be present during your surgery to administer a general anesthetic. You will be very comfortable and asleep during your explant procedure.
Dr. Avram suggests that you take at least 2 to 3 weeks off work for recovery. You will receive specific return to work and post-operative care instructions to follow as you heal.
Explantation surgery may be combined with other cosmetic procedures such as a breast lift. If you are interested in getting combination surgery, please let Dr. Avram know during your initial consultation.