Kent V. Hasen, MD: Aesthetic Plastic Surgery & Med Spa of Naples
3699 Airport Pulling Road North
Naples, FL 34105
Phone: (239) 262-5662
Monday-Friday: 9 a.m.–5 p.m.

Breast Implant Removal

Few women considering breast augmentation think about removing their breast implants at some point in the future. At our Naples-Fort Myers practice, however, Dr. Kent V. Hasen sees patients who either want or need to have their implants removed. It’s important that an experienced, highly trained, board-certified plastic surgeon performs this procedure—called explant surgery—because it can be more complicated than primary breast augmentation.

Reasons for Breast Implant Removal

Nearly 50,000 women underwent surgery in 2018 to have their breast implants removed for various reasons. Some patients decide several years after getting breast augmentation that their implants are too large or heavy, or that having breast implants no longer fits their lifestyle. The primary reasons for explant surgery include:

  • Complications such as capsular contracture
  • Desire to change appearance
  • Asymmetry or visible implant rippling
  • Implant rupture or leak

In some cases, women believe breast implants are the cause of physical symptoms ranging from fatigue, joint pain, food intolerance, hair loss, and other autoimmune diseases. This collection of physical ailments are often referred to generically as breast implant illness, a condition that at this point isn’t supported by medical research. Despite the lack of proof connecting the implants to the symptoms, some women decide to have explant surgery for the peace of mind it can bring.

We Support Your Decision

Dr. Hasen collaborates with patients to help them choose the treatment path that meets their goals. Ultimately, the decision to remove implants is the patient’s and our entire team supports that choice. This includes women who have textured breast implants who may want them removed based on research showing that a rare cancer called anaplastic large cell lymphoma (ALCL) is related to biofilm as well as textured implants. The number of women with the specific implants linked to breast implant-associated ALCL (BIA-ALCL) is extremely low, but some patients with textured implants are choosing the remove them even if they’re not the exact model identified by the FDA.

Capsular contracture has also been linked by multiple studies to biofilm that coats breast implants. Capsular contracture is the most common complication associated with breast augmentation and occurs when the capsule of scar tissue that naturally forms squeezes the implant. In moderate to severe cases, it can cause discomfort, distort the breast’s appearance, and make it feel hard and unnatural.

For patients with capsular contracture who choose to replace their implants, Dr. Hasen offers breast revision surgery and a nonsurgical procedure.

Click here to see examples of implant removal and en bloc resection with capsulectomy.

Warning: this video contains graphic content.

Extra Safety Precautions

Dr. Hasen goes to great lengths during the breast augmentation procedure to minimize the risks of post-op complications. That includes extra steps designed to prevent infections caused by bacteria that normally live on the skin or in the breast. To limit the chances of bacteria contaminating the area around the implant during breast augmentation surgery, Dr. Hasen:

  • Bathes the implants and the implant pocket with a diluted betadine solution which has been shown to decrease capsular contracture and eradicate bacteria in the pocket.
  • Inserts the implants using the revolutionary Keller Funnel® (sometimes called “touch-free” breast augmentation), which can possibly reduce the risk of capsular contracture.
  • Covers the nipple-areola complex with an anti-microbial dressing to help prevent contamination.

Dr. Hasen performs all breast augmentation procedures in our state-of-the-art surgical center, which opened in 2016, to ensure a completely sterile environment.

Our Surgery Center

Tour Our Surgery Center

We'll admit it: We love our surgical center as much as our patients do. The 7,600-square-foot facility, opened in 2016, reflects the blend of aesthetics, technology, and attention to detail at the heart of Dr. Hasen's world-class plastic surgery practice.

Tour the Facility

“Dr. Hasen and his staff are amazing! I am almost 4 months out from surgery and I am thrilled with my results!…When it comes to plastic surgery I’d rather pay for the best and have great results than go with someone cheaper and risk not so great results and as far as I’m concerned Dr. Hasen was the best choice!”

Implant Removal Techniques

Dr. Hasen tailors each implant removal procedure to the specific needs of the patient. The most straightforward explant surgery involves using the scars from the original augmentation procedure to make new incisions. A few patients have implants inserted using incisions in the underarm area and new incisions are necessary in these cases.

Some women who have saline implants can have them removed under local anesthesia if Dr. Hasen doesn’t remove the capsule along with the implant. Typically, however, explant surgery is combined with a breast lift to give the breasts a more attractive shape. Implants stretch the breast skin and breasts will look significantly different once the implants are removed.

You can have the implants removed, the implants and part of the capsule removed, or the implants and all the capsule removed—a procedure called “en bloc resection.” Dr. Hasen prefers the en bloc technique for capsulectomy procedures, removing the fibrous capsule surrounding the implant and the implant itself as one. Because the capsule can sometimes be firmly attached to the ribs and chest wall, it may be necessary to remove it in multiple pieces and then thoroughly irrigate the pocket with an antibiotic solution.

If there is a diagnosis of BIA-ALCL, an en bloc capsulectomy is the only option.

Cost of Breast Implant Removal

The cost of breast implant removal surgery varies from patient to patient, depending on each situation. In South Florida, the average cost of the procedure according to RealSelf is between $7,000 and $8,000. Keep in mind that is an average and each procedure is different. For example, an en bloc capsulectomy will cost more than only removing the implants. We offer financing options and your health insurance may pay some or all of the cost if a primary care physician determines removing the implants is a medically necessary procedure.

Take the First Step

Getting breast implants removed is a significant decision. To learn more about your options, request a consultation with Dr. Hasen using the online form, or call (239) 262-5662 to schedule an appointment. Women considering cosmetic breast surgery travel from throughout southern Florida, including North Naples, Bonita Springs, and Punta Gorda, to have Dr. Hasen perform their procedures.

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