Welcome to the practice of Dr. Giancarlo McEvenue, a renowned board-certified plastic surgeon specializing in breast surgery in Boca Raton, FL. At Dr. Giancarlo Plastic Surgery, Dr. G and our team provide expert breast explant surgery focusing on supporting every step of your surgical journey, from consultation to post-operative care.Â
Understanding Breast Explant Surgery
Breast explant surgery removes breast implants and, when needed, surrounding scar tissue (capsule). The goal is to restore the breast's natural contour and support long-term health.
Reasons Women Choose Breast Explant Surgery
Women seek explant surgery for various reasons, including discomfort, aesthetic preferences, aging implants, or implant complications. Some experience breast implant illness (BII) or autoimmune symptoms. Others wish to return to a natural appearance for emotional or personal reasons. Whatever your reason, it's valid. Dr. G listens to your feelings and concerns, then works closely with you to design a surgery plan that's ideal for your situation.
Types of Explant Procedures
There are several different ways to perform implant removal:Â
- Standard Explant: Implants are removed, and the capsule is left intact if safe.
- En Bloc Capsulectomy:Â The implant and capsule are removed together, often recommended for patients with rupture or BII symptoms.
- Total Capsulectomy:Â Entire capsule removed separately.
- Partial Capsulectomy:Â Only part of the capsule is removed when full removal isn't necessary.
In addition to the implant removal, many women choose procedures to restore breast appearance. The most common add-ons are breast lift to tighten and lift sagging skin and fat transfer to restore volume naturally. Dr. G can perform these procedures at the same time, so you only need one recovery period.
Some women prefer to go all-natural, with no additional procedures. Dr. Giancarlo sets realistic expectations and guides you through long-term healing and cosmetic options.
Consultation and Candidacy For Breast Explant Surgery
Candidates include women with implant issues, health concerns, or personal desire for removal. During your consultation, Dr. G reviews your medical history, implant type, and symptoms and may order imaging, such as an MRI, if a rupture is suspected.Â
Surgery Day: What to Expect
Explant surgery is usually performed at Dr. G's private, AAAASF-certified clinic in Boca Raton. He also performs procedures at Midtown Surgical Centre in Delray Beach and Boca Raton Regional Hospital.Â
Under general anesthesia, surgery typically takes 1–3 hours. This can vary based on which procedures you choose.
After surgery, you'll recover under close supervision. Dr. G limits his patient load, with only two patients on surgery days, to provide highly attentive, hands-on care. Overnight stays with licensed nurses, IV vitamin drips, meals, and snacks are also available. We also offer hotel packages that include lymphatic massage to promote smooth and comfortable recoveries.
Recovery Process and Return to Work
You'll wear a compression garment home. It applies gentle pressure and helps reduce swelling after surgery. Dr. G provides detailed recovery instructions and provides pain medicine as needed. Most patients resume light activity in a few days and return to work within one or two weeks. Full healing takes several months.
Cost and Insurance Considerations
Explant surgery costs depend on the technique, whether additional procedures are performed, and the surgical complexity. Ask about financing and payment plans. Insurance may cover removal for medical reasons, such as a rupture or persistent pain. Proper documentation is needed for insurance consideration.
Frequently Asked Questions (FAQ)
How painful is recovery from breast explant surgery?
Most patients experience manageable discomfort, which can be controlled with medication.
Will I need a lift after implant removal?
Many women schedule a lift at the same time as their explant surgery. If you opt for explant surgery alone, sagging may occur. If you don't choose a combination procedure, Dr. G may advise waiting at least several months after implant removal to see how your body adapts before scheduling a lift.
Can I replace my implants with fat?
Yes, fat transfer can restore natural volume after explant surgery.
Will insurance help pay for explant surgery?
Sometimes, if implant removal is medically necessary.
How do I know if I need my implants removed?
If you have a rupture or symptoms, or if you want removal, schedule a consultation for an evaluation with Dr. G.
What is en bloc in explant surgery?
En bloc removes implant and capsule together. It's recommended for certain health concerns but not always required.
Why Choose Dr. G for Breast Explant Surgery
Dr. Giancarlo McEvenue is a board-certified plastic surgeon known for advanced surgical skills, aesthetic artistry, and warm, personalized care. His health-first approach ensures safe, beautiful outcomes. With his private AAAASF-certified surgical center and attentive post-op care, patients receive world-class results in a private, comfortable setting. We provide white-glove service because our patients deserve it.
Book Your Breast Explant Surgery Consultation in Boca Raton
Call our office at 561-524-9672 to schedule your appointment with Dr. G. We also offer virtual consultations!