Top New York plastic surgeon Dr. Darrick Antell is board certified in plastic surgery, emphasizing cosmetic surgery. One of the plastic surgery procedures he performs is textured breast implant removal for patients affected by the FDA’s (Food and Drug Administration’s) requested recall of certain types of textured breast implants.
Textured breast implant surgery involves the removal of implants due to the heightened risk of BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma). If you are affected by this breast implant recall and are considering textured breast implant removal, this section will give you a basic understanding of the procedure.
Patients with textured breast implants may consider removal due to the increased risk of BIA-ALCL. Breast Implant-Associated Anaplastic Large Cell Lymphoma is a type of non-Hodgkin lymphoma. This cancer can occur in the scar tissue that surrounds the breast implant and, if left untreated, can spread to nearby lymph nodes. Treatment typically involves surgically removing the breast implant and the surrounding scar tissue; in more serious cases, chemotherapy or radiation may also be used.
Though BIA-ALCL is considered a rare condition, there has been a link between certain types of textured breast implants and a higher rate of BIA-ALCL. Patients who have textured implants on the FDA recall list may be at a greater risk of developing BIA-ALCL than patients with other types of breast implants not on the list.
The best candidates for textured breast implant removal are patients who currently have textured implants that are on the FDA recall list. If you are experiencing the symptoms of BIA-ALCL, then you should talk to your health care provider for a full evaluation. Symptoms of BIA-ALCL include pain or swelling around the breasts. Some patients may notice a difference in the size or shape of their breasts.
Textured breast implant removal is typically safe when performed by a qualified plastic surgeon. As with any surgery, however, there is always a possibility of complications. Risks include bleeding, infection, numbness, and adverse reactions to anesthesia. Patients can greatly reduce their risks by making sure to follow their surgeon’s instructions as closely as possible.
During your consultation for textured breast implant removal, your surgeon will discuss your expectations, as well as the specifics of your procedure. Your surgeon will examine and measure your breasts in preparation for textured breast implant removal. There are many different factors that can influence your procedure, such as the size and shape of your breasts, your age, and your overall health.
Insurance plans will frequently cover breast implant removal for medical reasons, though breast implant replacement is not typically covered. Patients are encouraged to bring any questions they may have to their consultation so they can discuss further with their plastic surgeon.
Patients are given guidelines to follow before and after their surgery; these instructions include dietary restrictions, as well as information regarding medications and supplements. Your surgeon may require a mammogram, or breast x-ray, before your procedure.
All patients should arrange for transportation to and from surgery. You will need to be driven home following your procedure.
Textured breast implant removal is usually performed on an outpatient basis at an ambulatory surgical facility. The overall time of the surgery will vary from patient to patient; typically, the procedure takes 2-4 hours to complete.
Twilight anesthesia is utilized for textured breast implant removal. Patients are monitored by a board certified anesthesiologist during their surgery.
During textured breast implant removal, your surgeon will make a small incision and remove your textured breast implants, as well as the surrounding scar tissue. The specific placement of your incision will depend on your surgeon’s recommendation.
Additional breast enhancement procedures may be recommended following the removal of your textured breast implants. Patients may opt to replace their textured breast implants with smooth saline or silicone implants. A breast lift may also be performed to restore youthful-looking shape; in some cases, the nipples and surrounding areolas can be resized to improve overall breast symmetry.
You may be sent home from your surgery with an elastic support to hold your breasts in the correct position to optimize healing. You can expect to have some bruising and swelling around your breasts for a few weeks. While rarely necessary, medication prescribed by your surgeon can help to minimize any discomfort following the procedure if needed.
Patients usually return to work and most daily activities within a few days. You should avoid any strenuous movements (especially heavy lifting or pushing) as you recover. Make sure to follow your surgeon’s instructions as far as resuming exercise and other daily activities. Dr. Antell will discuss timetables, restrictions, and the specifics of your recovery with you.
You can expect natural-looking, symmetrical results following your textured breast implant surgery. It may take months before you see your final results, so it is important to be patient with yourself as you recover and adjust to your new image.
Dr. Darrick E. Antell and his staff will be happy to discuss Textured Breast Implant Removal Surgery with you. Please call for a private consultation or schedule an appointment online at our office.