Yes. This is one of the most common combinations and often produces the best cosmetic result.

When performed by a double board-certified plastic surgeon in an accredited facility, breast implant removal is a safe and highly successful procedure. Because this is a reconstructive surgery rather than a purely cosmetic one, safety is built into every layer of our protocol, from initial surgical planning to long-term recovery.

While every surgical procedure carries inherent risks, such as infection, bleeding, or reaction to anesthesia, we minimize these through a "Safety-First" methodology:

• Accredited Excellence: All procedures are performed in our state-of-the-art, accredited surgical center that meets the highest standards for sterile technique and emergency preparedness.
• Meticulous Surgical Judgment: Dr. Dev prioritizes your anatomical integrity. For example, if a capsule is densely adherent to the ribs or lungs, he utilizes a "controlled total capsulectomy" to ensure the entire scar tissue is removed without compromising your chest wall safety.
• Specialized Expertise: Because Dr. Dev focuses exclusively on restorative and explant surgery, his familiarity with complex breast anatomy and the nuances of capsule management significantly reduces the likelihood of complications.

Ultimately, the safety of your procedure is rooted in a plan tailored specifically to your health history and anatomy. During your consultation, Dr. Dev will review your individual risk profile and the steps we take to ensure your well-being remains the primary metric of success.

Your anatomy, implant history, symptoms, and goals guide the surgical plan. Consultation is essential for proper recommendations. We will walk you through all available options and make sure you are comfortable and well informed as you consider your breast implant removal.

Many patients return to desk work within 7-10 days, depending on their procedure.

Appearance depends on skin quality, implant size, volume of breast tissue remaining and how long implants were present. Many patients benefit from a breast lift and/or fat transfer alongside implant removal.

Many patients in Dr. Dev Vibhakar’s practice report meaningful improvement in systemic symptoms after explant surgery. Based on clinical experience within the practice, approximately 95% of patients describe partial to significant improvement in their symptoms within one year following explantation.

It is important to understand that each patient’s experience is unique. Symptom improvement can depend on multiple factors, including overall health, duration of implantation, underlying medical conditions, and postoperative recovery.

For this reason, patients are counseled thoughtfully and honestly: while improvement is commonly reported, outcomes cannot be guaranteed, and the decision to pursue explant surgery should always be individualized and well-informed.

No. En bloc removal is reserved for specific oncologic indications, such as breast implant–associated lymphoma or other capsule-related malignancies. Technique selection should be based on individualized clinical judgment rather than routine application.

A total capsulectomy means removal of the entire capsule (scar tissue) surrounding the implant. In most cases, the implant and capsule can be removed together in one intact piece, which is referred to as a total intact capsulectomy. This allows for complete
capsule removal while preserving surrounding healthy tissues.

An en bloc capsulectomy is a more specific oncologic surgical technique. It involves removal of the implant, capsule, and a margin of surrounding normal tissue together in one piece. This technique is primarily indicated when there is concern for implant-
associated cancer (such as BIA-ALCL), where obtaining negative margins is important for diagnosis and treatment. En bloc removal is not medically necessary for most patients.

A technique sometimes used in complex cases is a controlled total capsulectomy. In this approach, a small, deliberate incision is made in the capsule to remove the implant in a controlled manner without contaminating the surrounding breast pocket. The capsule is then carefully closed and removed entirely in one piece. This maneuver is often chosen when the capsule is densely adherent to critical structures such as nerves, blood vessels, or the rib cage—where patient safety takes priority over forcing an en bloc technique.

The safest and most appropriate surgical approach depends on your anatomy, implant history, clinical findings, and overall goals.

Drains are typically removed within 3-7 days depending on output and healing.