Considering Removing Your Breast Implants?

By Charles A. Messa, III, M.D., F.A.C.S.

Despite the evidence that breast augmentation is the most common cosmetic surgery procedure that results in higher patient satisfaction with their breasts and enhanced psychological well-being, an increasing number of women are electing to remove their breast implants.

In 2017, more than 45,000 breast implant removal procedures were performed – a twenty percent increase over the previous three years. The impetus to undergo breast explantation is multi-factorial ranging from implant related complications like implant rupture, hardening (capsular contracture) or breast pain, to large breasts with size dissatisfaction to autoimmune symptoms which patient’s attribute to their breast implants.

After the implant is removed, the breast can appear empty or “deflated”. To avoid this unaesthetic result, the breast can be lifted (mastopexy) and volume can be restored with the patient’s own fat (autologous fat transfer) or by rearranging or reshaping the breast with adjacent breast tissue, a so-called augmentation. All these techniques have been shown to be successful in plastic surgical literature. When the implants are removed, patients are often pleased with the aesthetic outcome and report very high patient satisfaction rates.

Additionally, in a Journal of Immunologic research in February 2017, it was noted that in numerous studies, patients with symptoms of breast pain, muscle aches, and fatigue, those symptoms were reduced once the implants and capsules were removed. In this same article, blood markers for autoimmune disease were unchanged after implant removal in the majority of patients.

There is an extensive body of medical literature demonstrating that breast augmentation with both saline and silicone implants is safe without a direct link to autoimmune disease. The decision to undergo cosmetic surgery is a highly personal one, and therefore treatment options should be individualized based on each person’s unique aesthetic goals. If you are considering breast augmentation, a breast implant exchange or replacement, or implant removal, it is important to discuss your goals with an experienced board-certified plastic surgeon.

Dr. Messa is board certified by both the American Board of Plastic Surgery and the American Board of Surgery, an active member of the American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and a Fellow of the American College of Surgeons. He is a recognized expert in cosmetic plastic surgery and has achieved Allergan’s Black Diamond Award as one of the top 1% of plastic surgery practices in the country by volume. Dr. Messa has also achieved Chairman status with Medicis and Mentor Corporation. This award honors distinguished leaders in cosmetic surgery for demonstrating expertise and excellence through a high volume of aesthetic product procedures. The certification is awarded to leaders in the field of medical aesthetics and demonstrates their commitment to innovation, excellence, and the highest level of patient care.

To schedule your consultation with Dr. Messa, please call our office at (954) 659-7760.

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