Breast surgery
Breast Implant Removal (Explant)
Dr. Cassileth specializes in implant removal with results that still look and feel like you.
Overview
More women are choosing to remove their breast implants — whether due to lifestyle changes, health concerns, or simply wanting a more natural look. The challenge is that removing implants without a plan can leave breasts deflated, saggy, or misshapen.
Dr. Cassileth approaches explant surgery with aesthetics in mind. She removes the implant (and capsule when appropriate), then reshapes the remaining tissue using lift techniques and fat grafting to create a natural, proportional result — even without implants.
Who it's for
The right candidate.
- Women who want their implants removed permanently
- Patients experiencing breast implant illness symptoms
- Women who want a more natural look and feel
- Patients with aging implants who don't want replacements
Technique
How it's done.
Aesthetic explant. Removal alone can leave breasts looking deflated. Dr. Cassileth combines explant with lift and fat grafting techniques to maintain shape and fullness.
Capsule removal when needed. En bloc capsulectomy (removing the capsule intact with the implant) is performed when indicated — particularly for patients with BII concerns or textured implants.
No judgment. Whatever your reason for explant, it's valid. We're here to help you feel comfortable in your body again.
What to expect
From consultation to recovery.
Before Surgery
- Consultation — Discuss your reasons, evaluate your tissue, and plan for post-explant aesthetics.
- Imaging — MRI may be used to assess capsule and implant condition.
During Surgery
- Implant + capsule removal — Removed intact when appropriate.
- Reshaping — Breast tissue is lifted and reshaped. Fat grafting added to restore volume if desired.
After Surgery
- Recovery — Most patients return to light activity within a week.
- Final results — Tissue continues to settle over several months.
“I had an incredible experience with Dr. Cassileth and her team! Everything was easy and comfortable from the very beginning - Dr. C answered all my questions and explained all the options available to me in detail, including the pros and cons of each possible approach. My results are everything I've dreamed of and more.”
— Abbey Via Google My Business
Patient results
Real cases.
Insurance
Read about coverage & financing →Explant for documented complications may qualify for partial coverage. Elective removal is typically out-of-pocket.
FAQ
Common questions.
What is a breast implant removal procedure?
Breast implant removal is a surgical procedure to remove saline or silicone implants. It is often combined with techniques like en bloc capsulectomy or total capsulectomy to remove the implant and the surrounding scar tissue.
Why would someone choose to remove their breast implants?
Common reasons include discomfort, breast pain, implant malposition, changes in breast shape, or health concerns such as anaplastic large cell lymphoma (ALCL). Some patients also wish to downsize their breast size, address asymmetry, or revise previous breast augmentation results.
What is an en bloc capsulectomy?
An en bloc capsulectomy involves removing the implant and the surrounding scar tissue as a single unit. This approach minimizes the risk of contamination and is often recommended for certain health conditions or concerns.
Will I need general anesthesia for breast implant removal?
Yes, all breast implant removal procedures, including en bloc capsulectomy, are performed under general anesthesia for patient safety and comfort.
Can breast implant removal improve issues like asymmetry or excess skin?
Yes, the procedure can address asymmetry and excess skin. Additional breast lift or fat grafting techniques may be recommended to restore natural breast shape and volume or the position of the areola and nipple.
How much does breast implant removal cost?
The breast implant removal cost varies depending on factors such as the complexity of the procedure and additional treatments like a lift or implant replacement. During your initial consultation, we will provide a personalized estimate.
What is the recovery like after breast implant removal?
Thanks to Exparel, a long-acting local anesthetic placed during surgery, patients experience minimal discomfort during the healing process. Patients can expect swelling and may need to wear a supportive garment. Sutures are removed within 1-2 weeks, and most patients resume normal activities after several weeks.
Will I need a breast lift with my implant removal?
Each case is unique. Some women maintain excellent shape after removal alone. During your consultation, Dr. Cassileth will evaluate your tissue quality and discuss whether additional cosmetic surgery procedures might benefit you.
How is capsule removal approached?
The approach is customized to each patient's situation. For ruptured implants, BII symptoms, or certain complications, complete capsule removal is typically recommended. Each case is evaluated individually to determine the best approach.
What can I expect my breasts to look like after removal?
Results vary based on natural breast tissue, implant size, and skin quality. Some women's breasts spring back beautifully, while others may benefit from additional techniques like fat transfer or lifting. Dr. Cassileth will show relevant before and after photos during your consultation.
How soon can I return to exercise?
Most patients return to light activities within a week and resume full exercise by 4-6 weeks. You'll receive specific guidance based on your healing and activity goals.
Will my breast size or shape change significantly after removal?
Yes, removing implants can affect breast size and breast shape. Your surgeon will discuss options like fat grafting or a breast lift to achieve your desired aesthetic.
What should I expect during the initial consultation?
During your initial consultation, we’ll review your medical history, discuss your concerns, and develop a personalized treatment plan. You’ll be able to ask questions about your options, the healing process, and potential results.
Where can I find breast implant removal near me?
The Practice Healthcare offers expert breast implant removal to patients in Beverly Hills and the greater Los Angeles area of California. Our experienced team provides personalized care to ensure your procedure aligns with your unique goals and health needs. Schedule a consultation today to explore your options and achieve natural, beautiful results.
Related reading
From the journal.
Sources
Cited research.
- 1Cleveland Clinic. Breast Implant Illness. Available: https://my.clevelandclinic.org/health/diseases/23366-breast-implant-illness my.clevelandclinic.org · Accessed December 12, 2024
- 2Mayo Clinic. Women’s Health. Available: https://www.mayoclinic.org/healthy-lifestyle/womens-health/expert-answers/breast-implants-and-cancer/faq-20057774. mayoclinic.org · Accessed December 12, 2024
- 2American Society of Plastic Surgeons. What is breast implant removal surgery? https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal. plasticsurgery.org · Accessed December 12, 2024
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