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During a breast implant removal procedure, Dr. Maloney removes the breast implants and sometimes the surrounding scar tissue depending on the goal of the operation.
Breast implant removal is performed when someone chooses to have their breast implants removed. Often times this is due to a rupture of an implant, capsular contracture (hardening of the tissue surrounding the implant) or because of a medical condition. Patients who opt to have their implant removed must have realistic goals and expectations as the removal of the implant will leave sagging skin and a decrease in volume since the patient has been accustomed to having implants. Patients may require a mastopexy (breast lift) to reposition the remaining breast tissue and lift the nipple and areola.
When you come in for your initial consultation, you will meet with both Dr. Maloney and one of our experienced patient coordinators. Dr. Maloney will examine you to determine if you are a good candidate for the procedure. He will discuss details of the operation and answer any questions you may have. Our patient coordinator will then review surgical fees, financing options and answer additional questions. If you choose to have surgery with us, you will return for another consultation about three weeks prior to your operation. At this appointment Dr. Maloney will review the surgical plan with you in greater detail and you will both sign the surgical consent forms. An experienced member of our team will take your preoperative photographs, give you your prescriptions and will review all of your surgical instructions. You will be given our after-hours contact information including Dr. Maloney’s personal cell phone number. When you leave this pre-operative appointment you will be fully prepared for your procedure.
Once you have met with Dr. Maloney and have chosen a surgical date for the removal of your breast implants, you should plan for your care and recovery after the procedure. You will need to arrange a ride to and from the procedure as well as arrange for someone to stay with you for the few hours once you arrive at home. You should take one to five days off or work for this operation depending on the type of work you perform. Please speak to one of our clinical coordinators for more specific information regarding your particular job description. If paperwork is required by your employer for time off, please obtain it ahead of time and bring it to our office for us to be completed prior to your procedure. If you smoke, you must quit a minimum of three weeks before surgery. We suggest six to eight weeks, but two weeks is the minimum. Smokers heal more slowly and can have wound healing problems. If you take aspirin or another medication that causes bleeding, you should stop taking it three weeks before surgery. These medications cause increased bleeding which causes more bruising and a longer recovery. All medications, herbs, vitamins and dietary supplements you are taking should be carefully reviewed with Dr. Maloney or our team prior to surgery.
At your preoperative consultation with Dr. Maloney you will be given pre and post-operative instructions and your prescriptions. Please get these prescriptions before surgery, so they are at home when you get home from your procedure.
The day of the procedure you will take your prescribed pain medication one hour before your operation if the operation is to be performed under local sedation in the office. If your procedure is to be performed at the surgery center, you should not have anything to eat or drink 8 hours prior to your arrival. Do not put any lotions or make-up on the day of surgery. Do not wear any jewelry to your procedure. You should wear comfortable clothes that are easy to get on and off. A shirt that zips or buttons up the front is preferable, as are loose workout type pants or sweat pants.
The operation takes about one to two hours. Dr. Maloney will make an incision to expose the implant. The implant itself is removed and in some cases the capsule surrounding the current implant is removed as well. The incisions are closed with sutures that dissolve on their own. Once your procedure is complete, you should be ready to go home within 30 minutes.
Once your procedure is complete, you will be able to return home the same day. You may ooze a small amount of fluid from the incisions which is normal. You should rest and eat a healthy diet high in protein for healing. You should avoid alcohol and refrain from smoking during your recovery. Frequent ambulation after surgery is advised to reduce the risk of blood clot formation in the legs and to speed up your recovery. You may shower the day after surgery. You will return to the office for your first post-operative exam one to three days after surgery. The sutures are removed at seven days. If you have any questions during the recovery phase, please do not hesitate to call the office any time, day or night.
After the removal of breast implants, patients who previously had hard breasts because of a capsular contracture will now have softer breasts. If the implants were removed due to a rupture of one side, though deflated, symmetry will be improved.
Removal of breast implants has both aesthetic and health risks, and it is your personal decision whether the benefits outweigh those risks. The most commonly seen risk is unsatisfactory result because of the excess remaining skin. Additional risks include scaring, bleeding, infection and poor wound healing. There are also very rare, but more complicated risks such as deep vein thrombosis. For a full list of risks, go to www.plasticsurgery.org.
Dr. Maloney is a Harvard trained, board certified plastic surgeon who returned to his home town of Tucson, AZ to open Maloney Plastic Surgery in 2002.