Why do women undergo breast explantation?

Hi everyone it’s Dr. Effie Politis and I’d like to talk about a great article on the April edition of the PRS called

“Contemporary Strategies in Breast Explantation Surgery”. So what is explantation surgery? It is a surgery in which someone proceeds with removing their implants and not replacing them. I’m seeing quite a few patients that are interested in the surgery for various reasons. We all know that implants are man-made devices.

The first reason that women would opt to undergo the surgery is because of implant rupture.

I tell women that breast implants are not a one and done device. They are prosthetics that are placed in your body, so you need surveillance and you likely will need one or several surgeries in the future if you opt for breast implants. There is a small chance of them rupturing, we can discuss more on the differences between saline and silicone ruptures in the future. 

Is breast implant associated with ALCL

This is a rare lymphoma associated with texture implants, which I do not use, so it’s not really an issue with my practice but I do see patients with prior history of textured implants. 

Is breast implant illness?

This is a large topic that’s often discussed on social media. It’s the name given to patients for a wide range of symptoms. The current data shows there’s no cause and effect relationship between implants and the symptoms. However we certainly are proponents of what women want to do with their body, so if they want their implant removed they certainly have the right to have that done. However, the data based on long term studies does not show whether explantation surgery reliably reduces these symptoms. 

The last reason why women want their implants removed is for non-medical reasons, like the effects of aging, weight changes, pregnancy and shifting perspectives in aesthetic beauty. 

As we know there is a movement towards a smaller breast. So women seeking explantation surgery just need to be aware of the risk and benefits and any adjunct surgeries that can be done to enhance their breast. We look at each woman on an individual basis. It’s a woman’s choice to have her implants removed and we consider the patient’s risk profile, patient preference as well as safety when guiding them on whether explantation surgery is the right surgery for them. I would advise you all to always consult with a board-certified plastic surgeon with a specialty in breast surgery when considering these types of procedures. You can always DM me or look at my website, I’ll have more information. Thank you so much 

What is Breast Explantation Surgery

Hi everyone, this is Dr. Effie Politis and I’d like to talk about a great article on the April edition of the PRS called contemporary strategies in breast explantation surgery.

So, what is explantation surgery? It is a surgery in which someone proceeds with removing their implants and not replacing them. I’m seeing quite a few patients that are interested in this surgery for various reasons. We all know that implants are man-made devices.

The first reason that women would opt to undergo the surgery is because of implant rupture. I tell women that breast implants are not a “one and done” device, they are a prosthetic that is placed in your body so you need surveillance and you likely will need one or several surgeries in the future if you opt for breast implants. There is a small chance of them rupturing. We can discuss more the difference between saline and silicone ruptures in the future.

Number two is Breast Implant-Associated ALCL (anaplastic large cell lymphoma), this is a rare lymphoma associated with textured implants which I do not use. So it’s not really an issue with my practice but I do see some patients with prior history of textured implants.

Number three is breast implant illness. This is a large topic that’s often discussed on social media. It’s a name given to patients for a wide range of symptoms. The current data shows that there is no cause and effect relationship between implants and these symptoms, however, we certainly are proponents of what women want to do with their bodies. So if they want their implants removed they certainly have the right to have that done. However, the data based on long term studies does not show whether explantation surgery reliably reduces these symptoms.

The last reason women want their implants removed is for non-medical reasons like effects of aging, weight changes, pregnancy, and shifting perspective in aesthetic beauty, as we know there is a movement towards smaller breasts. So women seeking explantation surgery just need to be aware of the risks and benefits in any adjunct surgeries that can be done to enhance their breasts. We look at each woman on an individual basis. It’s a woman’s choice to have their implants removed and we consider the patient’s risk profile, patient preference as well as safety when guiding them on whether explantation surgery is the right surgery for them. I would advise you all to always consult with a board-certified plastic surgeon with a specialty in breast surgery when considering these types of procedures. You can always DM me or look at my website as I’ll have more information. Thank you so much.

What to consider before you get a breast augmentation

 

 

 
 
 
 
 
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Considering breast augmentation?

Whether your reasons are for the enhancement of your appearance, correction of uneven breasts, or following a mastectomy procedure, there are several things you have to keep in mind.

When considering breast augmentation, it is important to speak with a plastic surgeon who will help you decide whether the procedure is right for you. At Politis Plastic Surgery, we will conduct a physical exam, get your medical history, listen to your concerns, consider your aesthetic goals, and offer options for how to proceed. We only recommend this surgical procedure to patients in good health who have realistic expectations. This is why the consultation is critical.

While your surgeon may use implants, fat transfer, or both to augment your breasts, the decision primarily depends on your existing breast tissue, body mass, and frame, as well as your desired body shape. The surgeon will create a personalized plan and provide you with pre-operative instructions to ensure the experience is as easy, safe, and comfortable as possible.

There’s more info on breast augmentation in our website. You can check the link in our bio.

Here is a sneak peek of our recent breast augmentation patient. Will share a full before & after soon, along with the behind-the-scenes of the procedure! Stay tuned!

Breast Implant Removal

 

 
 
 
 
 
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A breast implant removal or explantation of a ruptured 35-year-old silicone implant. ⁣⁣
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“Signs that your silicone implant has ruptured can include changes in breast shape and size, and increasing pain, firmness, and swelling over a period of weeks. ⁣⁣

When a saline or silicone gel-filled implant has ruptured, the implant should be surgically removed. In some cases, your plastic surgeon will also remove the capsule of scar tissue surrounding the implant.” (breastcancer.org) ⁣⁣

Bioengineered Breast: Hybrid Breast Reconstruction

 
 
 
 
 
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𝘋𝘦𝘷𝘦𝘭𝘰𝘱𝘪𝘯𝘨 𝘢 𝘩𝘺𝘣𝘳𝘪𝘥 𝘤𝘰𝘯𝘤𝘦𝘱𝘵 𝘪𝘯 𝘪𝘮𝘮𝘦𝘥𝘪𝘢𝘵𝘦 𝘴𝘵𝘢𝘨𝘦 𝘣𝘳𝘦𝘢𝘴𝘵 𝘳𝘦𝘤𝘰𝘯𝘴𝘵𝘳𝘶𝘤𝘵𝘪𝘰𝘯. ⁣⁣⁣

I was first introduced to the concept of “bioengineered breast” in 2009 by Dr. Pat Maxwell and colleagues. He originally coined this term to describe an enhanced breast form consisting of a combination of cohesive gel breast implant, regenerative scaffold, and regenerative cells. ⁣⁣⁣

The implant and the soft tissue covering it can both be enhanced to achieve the optimal female breast form.

Enhancing the soft-tissue cover not only supplements volume and shape but also further alters how the recipient’s host tissue responds to the foreign body implant. ⁣⁣⁣

This powerful combination of constructs better allows us to achieve the ultimate goal of breast reconstruction: to recreate a breast that appears and feels like the natural breast. ⁣⁣⁣

This patient had large breasts and underwent bilateral skin-sparing mastectomies. She opted for one-stage reconstruction to minimize downtime. This was achieved using a hybrid concept after the mastectomy flap perfusion was evaluated. ⁣⁣⁣

I was able to pair an anterior acellular dermal matrix sheet with a posterior stable Galaflex base to provide the patient with both softness and stability. ⁣⁣⁣

She plans on having fat grafting during her nipple-areolar reconstruction to further augment her soft tissue envelope and soften her breast borders.⁣⁣⁣
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Breast Revision Case: Before and After

 
 
 
 
 
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𝐁𝐫𝐞𝐚𝐬𝐭 𝐑𝐞𝐯𝐢𝐬𝐢𝐨𝐧 𝐂𝐚𝐬𝐞 ⁣⁣

⁣⁣
Before: ⁣⁣
Saline implants, dual-plane⁣⁣
– Breast and nipple-areolar ptosis⁣⁣

After: ⁣⁣
– Removal and replacement of saline implants for Sientra 385cc moderate profile hsc+⁣⁣
– GalaSHAPE 3D ace

Breast Implant Removal with Lift

Breast implants don’t last forever, eventually they need to be removed and replaced. When replacing implants, many patients opt to get mastopexy, or breast lift, in conjunction with placing new implants. During consultation, Dr. Effie Politis can evaluate the condition of your implants and advise if they should be removed and replaced, or removed altogether if you wish to return to a more natural look, with your natural breast size restored. When your breast implants are completely removed, this can make your breasts look saggy and deflated. But, fret not! This can be fully resolved with a custom breast lift. This procedure involves the removal of excess skin and reshaping your breast to make them plump, shapely, and round, while restoring the natural breast tissue to youthful position on your chest. If your nipples have drooped or sagged, their position and size can be altered in the same surgical procedure. If you have more questions regarding this procedure, don’t hesitate to reach out to us and schedule a consultation. You can call us at: (813) 542-2587. Looking forward to hear from you!