Breast implant removal, also known as explantation, is a surgical procedure that has become increasingly common in recent years. There are various reasons why someone might choose to have their chest implants removed. Maybe they’ve experienced complications, their body has changed over time, or their aesthetic preferences have shifted. One of the most pressing questions for those considering this procedure is, “How much does it cost to remove chest implants?” In this article, we’ll explore the factors that influence the cost of breast implant removal, what the procedure entails, and what to expect during the recovery process.
Reasons for Chest Implant Removal
Complications
Capsular Contracture
This is one of the most common reasons for implant removal. Capsular contracture occurs when the scar tissue (capsule) that naturally forms around the implant tightens. It can cause the breast to feel hard, change shape, and may be painful. Mild cases might not require removal, but severe cases often do. The longer the implant has been in place, the higher the risk of developing capsular contracture.
Implant Rupture
Both saline and silicone implants can rupture. Saline implants usually deflate relatively quickly when they rupture, and the body absorbs the saline solution without much harm. However, silicone implants can be more problematic. A ruptured silicone implant may lead to silicone leakage, which can cause local inflammation, pain, and changes in breast appearance. Detecting a silicone implant rupture can sometimes be difficult, and imaging tests like MRI may be needed.
Infection
Infection around the implant is a serious complication. It can occur shortly after the initial implant surgery or even years later. Symptoms include redness, swelling, pain, and fever. If an infection is not treated promptly with antibiotics, implant removal may be necessary to clear the infection completely.
Change in Aesthetic Preferences
Desire for a Natural Look
Over time, a person’s perception of beauty may change. Some women who initially got implants for a more voluptuous look may later decide they prefer a more natural breast appearance. They may feel that the implants no longer fit their body image or lifestyle, and removing them can help them achieve a more “au – naturel” look.
Body Changes
Weight gain or loss, pregnancy, and the natural aging process can all affect the appearance of the breasts with implants. For example, after pregnancy, the breasts may sag more, and the implants may not look as harmonious with the new breast shape. In such cases, women may choose to have the implants removed to address these body – related changes.
The Breast Implant Removal Procedure
Pre – operative Evaluation
Medical History Review
Before the explantation surgery, your plastic surgeon will review your entire medical history. This includes any previous surgeries, allergies, current medications, and any pre – existing medical conditions. If you’re taking medications like blood thinners, your doctor may ask you to stop taking them a certain number of days before the surgery to reduce the risk of excessive bleeding.
Physical Examination
A thorough physical examination of your breasts will be conducted. The surgeon will assess the size, shape, and position of the implants, as well as the condition of the surrounding breast tissue. They’ll also check for any signs of existing complications, such as capsular contracture or infection.
Imaging Tests
In some cases, imaging tests like mammograms, ultrasounds, or MRIs may be ordered. These tests can help the surgeon determine the integrity of the implants (especially important for detecting silicone implant ruptures) and the condition of the breast tissue beneath the implants.
The Surgery
Anesthesia
Breast implant removal is typically performed under general anesthesia, which means you’ll be asleep during the entire procedure. This ensures that you don’t feel any pain or discomfort. In some cases, local anesthesia with sedation may be an option, but this is usually reserved for less complex cases.
Incision Placement
The surgeon will make an incision to access the implants. The location of the incision depends on several factors, including the type of implant (sub – glandular or sub – muscular), the previous incision location (if applicable), and the surgeon’s preference. Common incision sites include the inframammary fold (the crease under the breast), the periareolar area (around the areola), or the axilla (underarm).
Implant Removal
Once the incision is made, the surgeon carefully dissects the scar tissue around the implant to free it. For saline implants, the fluid may be drained first to make removal easier. Silicone implants are usually removed intact. In cases where there is significant capsular contracture, the surgeon may also need to remove some or all of the scar tissue capsule.
Closure
After the implant is removed, the incision is closed with sutures. Sometimes, a drain may be placed temporarily to remove any excess fluid that could accumulate in the surgical site. The drain is usually removed within a few days.
Factors Affecting the Cost of Chest Implant Removal
Surgeon’s Fee
Experience and Expertise
Surgeons with extensive experience in breast implant removal generally charge higher fees. Their years of training, knowledge of different implant types, and ability to handle complex cases justify the cost. A board – certified plastic surgeon who has performed numerous explantation surgeries may charge more than a less – experienced surgeon.
Geographic Location
The cost of living in different areas plays a significant role in determining the surgeon’s fee. In major cities or areas with a high cost of living, such as New York, Los Angeles, or London, surgeons may charge more compared to those in smaller towns or regions with a lower cost of living. This is because they have to account for higher overhead expenses, such as rent for their offices and surgical facilities.
Facility Fees
Type of Facility
The cost of using a surgical facility can vary widely. Outpatient surgical centers may be less expensive compared to hospitals. However, if your case is more complex and requires hospital – level care, the facility fee will be higher. Hospitals have more comprehensive resources and staff to handle any potential complications during or after the surgery.
Length of Stay
If you need to stay in the facility overnight or for an extended period, additional charges will apply. This is more likely to occur if you have complications during the surgery or if your overall health requires close monitoring.
Anesthesia Fees
Type of Anesthesia
General anesthesia is usually more expensive than local anesthesia with sedation. The anesthesiologist has to closely monitor your vital signs throughout the surgery, ensuring your safety and comfort. The cost of the anesthesiologist’s services, including the medications used, contributes to the overall cost of the procedure.
Duration of Anesthesia
The longer the surgery takes, the higher the anesthesia fee. Since more complex implant removal cases may take longer to complete, the cost of anesthesia will be affected accordingly.
Additional Procedures
Capsulectomy
If the surgeon needs to remove the entire capsule around the implant (a capsulectomy), this will add to the cost. Capsulectomy is often necessary in cases of severe capsular contracture or when there is a concern about the integrity of the capsule due to implant rupture.
Breast Lift or Reduction
Some patients may choose to have a breast lift or reduction at the same time as implant removal. These additional procedures increase the complexity of the surgery and, therefore, the cost. A breast lift can help improve the shape of the breasts after implant removal, especially if the breasts have sagged due to the implants or other factors.
Cost Range
The cost of breast implant removal can vary significantly. On average, in the United States, the cost can range from $3,000 to $10,000. However, this is a very broad estimate. In some cases, simple implant removals in an outpatient setting with a less – experienced surgeon may cost closer to the lower end of the range. On the other hand, complex cases that involve additional procedures like capsulectomy, breast lift, and are performed in a hospital by a highly – experienced surgeon can cost well over $10,000.
In Europe, the cost can also vary depending on the country and the region. In countries like the United Kingdom, the cost may be similar to the US range, while in some Eastern European countries, it may be slightly lower, but still within a few thousand euros.
Insurance Coverage
Medical Necessity
In some cases, insurance may cover the cost of breast implant removal. If the removal is due to a medical complication, such as implant rupture, capsular contracture, or infection, the insurance company may consider it a medically necessary procedure. However, you’ll need to provide detailed documentation from your surgeon, including a diagnosis and a letter explaining why the removal is necessary.
Cosmetic Reasons
If the implant removal is purely for cosmetic reasons, such as a change in aesthetic preferences, insurance is unlikely to cover the cost. Insurance companies generally do not cover procedures that are considered elective and not related to medical health.
Recovery After Chest Implant Removal
Immediate Post – operative
Pain and Discomfort
You can expect to experience some pain and discomfort after the surgery. Your surgeon will prescribe pain medications to help manage this. The pain is usually most intense in the first few days after the surgery and gradually subsides.
Dressings and Drains
Your breasts will be covered with dressings, and if a drain was placed during the surgery, it will need to be emptied regularly. You’ll be taught how to do this at home. The drain is usually removed within 1 – 5 days, depending on how much fluid is draining.
Short – term Recovery (1 – 2 weeks)
Activity Restrictions
During the first week or two, you’ll need to limit your physical activity. Avoid lifting heavy objects, strenuous exercise, and any activity that could put stress on your chest muscles. This helps prevent complications and allows the surgical site to heal properly.
Swelling and Bruising
Swelling and bruising are common in the breast area. The swelling may take a few weeks to fully subside, and the bruising may fade within 1 – 2 weeks. Applying ice packs as directed by your surgeon can help reduce swelling.
Long – term Recovery (2 – 6 months)
Scar Healing
The scar from the incision will take time to heal. It may initially be red and raised, but over several months, it will gradually fade and flatten. Your surgeon may recommend using scar – reducing creams or silicone sheets to help improve the appearance of the scar.
Breast Tissue Changes
Your breast tissue will continue to change and adjust over the long – term. The shape and size of your breasts may be different from before the implants were inserted, and it may take several months for the final appearance to become apparent.
Conclusion
Removing chest implants is a significant decision that involves careful consideration of many factors, not least of which is the cost. Understanding the reasons for removal, the surgical procedure, the factors affecting cost, and the recovery process is essential. Whether you’re dealing with complications or simply have a change in aesthetic preferences, it’s important to consult with a qualified plastic surgeon. They can provide you with personalized information about the procedure, including an accurate cost estimate based on your specific situation. Remember, your health and well – being should be the top priority when making this decision.
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