What is breast implant removal or explantation?

Breast implant removal or explantation is a surgical procedure to remove breast implants, either saline or silicone. Dr. DeRosa also evaluates and removes scar tissue (capsulectomy) when indicated to reduce tightness, discomfort, or other symptoms.

Why do patients choose breast implant removal?

Patients choose breast implant removal for many reasons including discomfort, capsular contracture, changes over time, health concerns, or personal preference. Some travel internationally to see Dr. DeRosa because of her specialization and published expertise.

Does Dr. DeRosa place implants?

No. Dr. Amy DeRosa focuses exclusively on breast implant removal, explantation, and related procedures. She does not place breast implants and has performed thousands of explant surgeries.

Will I need a breast lift after removal?

Some patients choose a breast lift after implant removal to improve shape. Dr. DeRosa evaluates this during consultation based on skin elasticity and your aesthetic goals.

How long is recovery after breast implant removal?

Recovery depends on whether capsulectomy or a lift is included. Most patients notice swelling improvement in early weeks and continued settling over several months.

Breast Implant Removal (Explantation) With Dr. Amy P. DeRosa

Are you searching for expert breast implant removal surgery? Breast implant removal, also called breast explantation, removes saline or silicone implants and addresses the surrounding scar tissue known as the capsule. At DeRosa Plastic Surgery in West Bloomfield, Michigan, Dr. Amy DeRosa specializes exclusively in this field. She DOES NOT place implants or perform breast augmentation, and she has performed thousands of breast implant removal procedures with exceptional results.

Dr. DeRosa is recognized as a world-renowned expert on explant surgery and en bloc removal techniques. She has published peer-reviewed studies and lectured internationally on capsular outcomes and en bloc methods. Patients travel from across the United States and around the world for her expertise.

Breast implants removed with total, intact, capsulectomy

Why Patients Choose Breast Implant Removal

Women choose explant surgery for many reasons. Your goals are personal, and Dr. DeRosa takes time to understand them and advise you clearly.

Capsular contracture with tightness or discomfort.
Rupture or implant integrity concerns.
Breast implant illness or BII symptoms.
Changes due to pregnancy, weight fluctuations, or aging.
Preference for a natural breast feel and appearance.
Desire to avoid future implant maintenance or replacement.

For patients with sagging skin after implant removal, Dr. DeRosa may discuss a breast lift to achieve a natural and balanced result.

How Dr. DeRosa’s Expertise Helps You

Dr. DeRosa’s focused practice on explantation sets her apart. She has studied outcomes, techniques, and patient safety in published research. Because she does not place implants, her entire practice is dedicated to removal and associated shaping procedures. Patients tell us they appreciate the clarity, structure, and evidence-based planning she provides.

Many patients come from outside Michigan, including other states and countries. Clear communication, comprehensive care, and detailed recovery planning help patients feel confident before, during, and after explant surgery.

Procedure Details: What to Expect

Your procedure plan is built in consultation and based on your anatomy and goals. In general, breast implant removal involves:

A Ruptured Implant

Removal of the implant (saline or silicone).
Total, intact, capsulectomy
Incision planning based on your anatomy and past surgeries.
Optional reshaping such as breast lift for aesthetic balance.

Your Consultation Matters

Before surgery, your consultation will include:

A detailed medical history review.
Evaluation of implant type, placement, and age.
Discussion of symptoms and goals.
Review of imaging if available.
A tailored surgical plan with recovery expectations.

Recovery After Breast Implant Removal

Recovery varies based on your plan. Here’s what most patients want to know:

Downtime: Patients often take time off work, especially in the first one to two weeks.
Activity: Lifting restrictions and gradual activity progression are common.
Swelling: Early swelling is normal. Most swelling reduces over weeks, and final settling may take several months.
Follow up: You will have scheduled visits to monitor healing and incision care.

Tips to Support Recovery

Prepare your rest area before surgery.
Arrange for an adult to drive you home and stay with you initially.
Follow garment and activity instructions closely.
Keep follow up appointments to optimize healing and scar care.

FAQ: Breast Implant Removal

Do I need a breast lift after implant removal?

Some patients choose a lift after removal to restore breast shape. This depends on skin elasticity, implant size, and your goals. Dr. DeRosa discusses this during consultation.

How long does recovery take?

Most patients take one to two weeks off work and limit lifting and strenuous activity. Swelling resolves gradually over weeks and months as tissues settle.