While the goal of breast augmentation is to give patients ideal breasts, implants do not last forever. At some point, implants need to be replaced or removed. Many patients are concerned that their breasts will sag or look deflated after breast implant removal. Beverly Hills' Cassileth Plastic Surgery is an industry leader in breast explant surgery, and our surgeons use highly specialized techniques to restore breasts to a full, youthful state.
Browse our gallery of plastic surgery results to see the real-life difference our work has made on patients just like you, who came to us for help and care.
*Individual results may vary
Every surgery will yield unique results, but before-and-after images are an excellent way to see the quality of natural-looking outcomes our experienced plastic surgeons are capable of providing.
Your surgical expertise, concern, artistry, and true listening to my desires have left me happier. The breast augmentation results I received are more natural-looking and beautiful than I ever hoped. Thank you for all of it, and for your compassion and time. I am so truly grateful.
Implants unfortunately don't last forever. At some point, they will need attention due to implant rupture, age, or suspicion of leaking. Many women are concerned that their breasts will look unattractive and deflated if they have their implants removed without getting new implants—yet at the same time, they don't really want implants anymore. When a world-class breast surgeon with more than a decade of experience performs your breast implant removal, it is not necessary to put a new implant in, as they will support the breast internally and can add volume, if needed, using your own fat.
Our breast specialists see patients traveling from such distant countries as China and Saudi Arabia for breast implant removal. We have perfected an internal breast lift technique that gives patients beautiful, full, natural breasts, with the option of using fat grafting instead of silicone or saline implants. For patients who want to decrease the size of their implants or need to replace ruptured implants, Dr. Lisa Cassileth and Dr. Kelly Killeen utilize an internal lift technique in their breast implant revision surgery to ensure the implants are correctly positioned to create natural, lifted breasts.
Cassileth Plastic Surgery uses an innovative "internal lift" technique to put the hanging breast tissue back where it belongs. Depending on the amount of loose skin that you have, you may also need a lift, known as a mastopexy, to enhance the appearance of breasts after breast implant removal.
Most plastic surgeons perform a removal and lift using a full lollipop incision. Dr. Cassileth and Dr. Killeen, however, perform implant removal surgery through a tiny incision hidden in the inframammary crease (the fold below the breast). The internal lift is performed through the a small incision hidden below the breast
The skin of the lower breast is first separated from the breast tissue, allowing the breast to be lifted without cutting the skin. Depending on the degree of the lift, tissue is taken from the lower half of the breast and tucked under the central breast to create an "autoaugmentation" of the breast. This creates volume for the upper half of the breast.
Then the lower half of the breast is brought together, creating a neat breast that is pulled up above the level of the natural crease under the breast for a perky, lifted breast. This is just one of the methods we use to leave our breast implant removal patients with tiny incisions and beautiful, natural results.
If you have symptoms of breast implant illness (BII), or if you have capsular contracture, you may want to have your breast implant capsule removed in a procedure called a "capsulectomy." This is performed during breast implant removal to address any implant-related complications and restore breasts to a more appealing state while minimizing health risks. For patients who have biofilms or free silicone, it is important to remove the entire capsule. The capsule is sent for pathology, microbiology, and for PCR.
Many of our patients with breast implant illness autoimmune problems find that that their symptoms improve as early as one week after surgery.
Fat grafting can be performed after breast implant removal for patients who want to restore their natural breast to a fuller shape. This grafting can be performed during the breast implant removal surgery and can double the native breast size. For excessive skin, a mastopexy can be performed that can raise the nipple position and remove the loose skin.
Breast implant removal is a breast surgery procedure that removes implants from previous augmentation procedures and corrects a variety of implant-related issues, such as leakage, capsular contracture, breast implant illness such as autoimmune issues, or excess scar tissue. The Cassileth Plastic Surgery team uses innovative, highly detailed techniques during breast explant surgeries to ensure patients' breasts look beautiful and implant-related issues are corrected.
Actress and Little House on the Prairie star Melissa Gilbert opens up on her decision to have her implants removed. Good Morning America asked Dr. Lisa Cassileth to discuss why breast implant removal, also known as an explant surgery, is becoming a growing trend among women. Dr. Cassileth sees many patients who want to go back to their natural breasts. Her patients regularly report feeling like they have their own body back again after having their implants removed, making this a very fulfilling procedure to perform. We wish Melissa a very happy recovery!
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