Breast Implant Removal

Breast Implant Removal/Capsulectomy in Nashville, TN, with Dr. Cash

Breast implant removal is surgery to remove breast implants, whether for reasons of personal preference or medical need. Capsulectomy combines implant removal with removal of the scar tissue (a capsule), which naturally, and usually harmlessly, forms around implants. When this scar tissue thickens and hardens (capsular contracture), it can cause discomfort and distort the breast’s shape. If the implant removal surgery is done because a silicone breast implant has ruptured, it will include removal of any leaked material and the tissue into which it has spread.

Breast implant removal can be combined with a breast lift to improve the shape and appearance of the breasts. The surgery can also replace the original implants with new implants of a different size, shape, or type, a procedure known as implant revision.

To learn more about breast implant removal or capsulectomy, contact Nashville Plastic Surgery today to schedule a consultation with Dr. Michael Cash, M.D. Dr. Cash has attained double certification from the American Board of Plastic Surgery and the American Board of Surgery. He has the training and expertise to perform complex reconstructive surgery and customized cosmetic procedures with remarkably natural-looking results.

Why Might I Consider Breast Implant Removal in Nashville?

You might choose to have breast implants removed for personal reasons, such as:

  • A desire to have a slimmer or more balanced figure
  • Discomfort from larger breasts, especially when exercising or leading an active lifestyle
  • Desire to change implant type (from silicone to saline, for example)

You might also consider implant removal if there is a problem with the original implants, such as:

  • A shift in the position of one or both implants
  • Pain from the implants or your body’s reaction to them, as can happen when scar tissue thickens and hardens into capsular contracture
  • Implant leak or rupture
  • Improper healing after implant placement, with evidence of infection or bleeding
  • Difficulties in obtaining accurate cancer screenings using mammography, especially if you are at higher risk of breast cancer because of family history
  • Evidence of BIA-ALCL, a form of lymphoma that can develop, in rare cases, around certain textured implants.

Why Choose Dr. Cash for Breast Implant Removal or Capsulectomy?

If you are having implants removed because of a problem with recently placed implants, it’s best to work with your original surgeon to correct the problem. If that is not an option for you, if time has passed since your augmentation surgery, or if you would prefer to work with a different plastic surgeon, your choice of surgeon is the paramount decision you’ll make in the process. Ample experience with this procedure is crucial. Always choose a surgeon who is board-certified through the American Board of Plastic Surgery, which is the only valid board certification for a plastic surgeon. Dr. Cash has earned certification from the ABPS and the American Board of Surgery (for his other medical work).

Choose a surgeon who listens and whose results demonstrate a flexible and customized approach. A skilled surgeon will tailor the details of each cosmetic procedure to your unique needs and desires. As one of the best cosmetic and reconstructive breast surgeons in Nashville, Dr. Cash will spend time with you to understand the problem you want to correct and the results you hope to achieve. He’ll explain what you should realistically expect, plus the risks and costs. He equips his patients with the knowledge they need to confidently make decisions, always treating everyone with respect and attention.

Am I a Good Candidate for Breast Implant Removal Surgery?

Dr. Cash can tell you if you are a good candidate for breast augmentation in your consultation. You may be a good candidate for the procedure if you:

The FDA recommends women be 18 or older for saline implants and 22 or older for silicone implants.

Note that breast augmentation does not correct significant breast sagging. A breast lift is the solution for sagging breasts, and you can combine the two procedures as needed.

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Meet Dr. Michael Cash

At Nashville Plastic Surgery, our mission is to treat you with the utmost respect, help you make an educated decision, and provide you with the finest medical services in a safe and professional environment. 

Dr. Cash, our board-certified plastic surgeon, specializes in breast augmentation, tummy tuck, liposuction, and more. Schedule a consultation today to learn more!

How Is Breast Implant Removal Performed?

Depending on the reasons for the removal and the cosmetic results you hope to achieve, Dr. Cash will take one of four approaches to the surgery:

Simple Breast Implant Removal

Incisions are made along the lines of the original incisions and the implants are removed without any surrounding tissue. This approach is used when the tissue around the implants is normal and healthy and silicone implants have not leaked or ruptured. Simple removal may be done when a saline implant has ruptured, creating breast asymmetry, and you choose to have both implants removed. Leaked saline does not affect surrounding tissue.

Simple Breast Implant Replacement

When you wish to have new implants of a different size, shape, or type, and when the tissue around the original implants is healthy and there has been no leakage of silicone gel, the surgery to remove the original implants adds a step to place new implants in the same pockets.

Breast Implant Removal with Capsulectomy

Incisions are made as they are for simple implant removal, but surrounding tissue is removed along with the implants. This approach is used when implants are removed to correct capsular contracture or when silicone has leaked from an implant into the surrounding tissue. When the implant and the surrounding tissue are removed together, the procedure is known as en bloc breast implant removal.

Breast Implant Removal and Lift

Implant removal can leave the breasts in a flattened or hollowed shape and can make breast sagging more noticeable. In this combined procedure, the implants are removed and then the breast tissue is reshaped and raised into a naturally attractive shape and position. The nipple and areola may be repositioned higher on the breast and the areola may be reduced in size.

What Does Breast Implant Removal Surgery Involve?

Breast implant removal surgery is performed under general anesthesia. Dr. Cash will make incisions along the lines of the original incisions to minimize additional scarring. He will then remove the implant along with any damaged or inflamed capsular tissue. Tissue within the breasts may be repositioned to improve breast shape. A temporary drain may be placed to minimize swelling in recovery.

If implant removal is combined with a breast lift, a strip of excess skin will be removed, and the breasts raised and reshaped to correct sagging. The nipple and areola may be repositioned higher on the breast. Dr. Cash will place his incisions thoughtfully to minimize the appearance breast implant removal scars.

Breast implant removal surgery usually takes two to three hours.

When the anesthesia has worn off and you are fully alert, you can go home. You’ll need a friend or family member to drive you and stay with you for the first night.

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What to Expect in Recovery

You’ll need some time for rest and recovery at home after your surgery and should plan to take about a week off from work. You may experience some discomfort in the first few days, which you can manage with pain medication. You may also have some swelling and bruising in your breasts, which will gradually resolve as your tissue heals.

Dr. Cash will provide you with detailed instructions on how to take care of yourself as you recover, when to see him for follow-up appointments, and how to reach him with any concerns. You can resume low-impact activities and exercise after about two weeks, gradually building up to your typical activity level by about six weeks after surgery.

What Will My Breasts Look Like After Implant Removal?

After the initial swelling from the surgery goes down, your breasts will gradually return to the size they were before augmentation, with some changes as a result of weight gain or loss or the effects of pregnancy. It can take a year, though, for your breasts to return to a rounded shape. For the first few weeks, they will appear to be deflated or flat, and may have sunken or hollowed areas where the implants were. Gradually, the tissue within the breasts will adjust to fill in where the implants have been removed.

If your skin has stretched with age or as a result of the implants, your breasts may sag more than they did before you had your augmentation surgery. The skin on your breasts may also be wrinkled. If you’re unhappy with the appearance of your breasts after implant removal, a breast lift can correct this sagging and wrinkling and create a more rounded form. Fat grafting can also be used to replace some of the lost volume and improve breast shape.

Planning Your Breast Implant Removal

Your breast implant removal procedure at Nashville Plastic Surgery starts with a consultation with Dr. Cash. He will examine you and ask questions to learn your medical history and understand your reasons for wanting the implants removed. He will seek to understand your hopes for the procedure, listen to your concerns, and answer your questions.

When he fully understands your needs and hopes, he will recommend an approach for the surgery to correct any problems and obtain the best results. He will describe what the procedure entails, its risks and cost, and what you can expect in recovery as you heal from the surgery.

Dr. Cash’s goal in every surgical procedure is to produce the most natural-looking results with the least discomfort and lowest level of risk for the patient. With breast implant removal, he often has the added goal of correcting a health problem caused by the original implants.

Schedule Your Nashville Breast Implant Removal Consultation Today

Contact Nashville Plastic Surgery online or by calling (615) 454-2271 to schedule a consultation for breast implant removal with Dr. Cash. He will examine you, ask questions to understand your goals for the procedure, and give his recommendations for the best and safest approach. Patients in metro Nashville and throughout Middle Tennessee choose Dr. Cash as their cosmetic surgeon because of his ability to create stunning results and for the caring attention he and his staff provide.

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2201 Murphy Avenue, Suite 301,
Nashville, TN 37203

At Nashville Plastic Surgery, we have a deep understanding of the important role that physical image plays in life, yet we never lose sight of emotional well being. Our approach to plastic and reconstructive surgery integrates these fundamental principles to promote overall health.