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En Bloc Capsulectomy With Implant Removal and Mastopexy with Fat Grafting, NC*

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This is a 66-year-old woman who had prepectoral silicone gel breast implants placed 28 years prior. Over the years, she developed firmness of both breasts with distortion and discomfort of the implants. This was considered a Baker IV encapsulation. The patient had a pacemaker preventing her from having an MRI to confirm implant rupture however she had all the classical findings of rupture, including progressive encapsulation. Breast implants placed in the 1980s and early 90s had a fairly high rate of rupture with an estimated 50% rupture rate at the 10 year mark. When she was evaluated it was strongly felt that the implants were ruptured. Regardless of rupture status, she required implant removal with capsulectomy owing to the severe contracture. She did not want replacement but was concerned about the loose skin and drooping that would occur after explantation. She underwent en bloc capsulectomy with removal of bilateral ruptured implants which were contained within the capsule. The capsules were heavily calcified. She did undergo mastopexy although she had very little tissue left. Some fat grafting was performed just over 130 cc per side. Fat grafting during implant removal with mastopexy can be effective in improving results but is unlikely to ever achieve the volume of the prior implant. The patient was quite pleased with her smaller lifted new breasts. Despite having textured implants she did not have any evidence on pathology of ALCL .

Explantation/Lift , Raleigh

Before

After

Explantation/Lift , Raleigh

Before

After

Explantation/Lift , Raleigh

Before

After

About Breast Implant Removal

Dr Lyle offers a wide range of surgery options after Breast Implant Removal / Explantation surgery – remove only, remove with a lift/mastopexy, additional fat grafting or an implant exchange.

Find out more about Breast Implant Removal and visit our Breast Implant Removal before and after photo gallery to see different options.

Meet Dr Lyle - Plastic Surgeon in Raleigh NC

 Meet Dr Lyle - Plastic Surgeon in Raleigh NC - Dr Glenn Lyle HeadshotDr. Glenn Lyle is a board-certified plastic surgeon serving the Raleigh, NC community at Lyle Plastic Surgery & Aesthetics Center since 2002. With over 30 years of experience, he specializes in breast surgery and body contouring, to enhance patients' appearance after weight loss, pregnancy, and the effects of aging. 

Dr. Lyle completed his medical degree at Wayne State University School of Medicine, followed by a general surgery residency at the University of Massachusetts and a plastic surgery residency at the University of Texas Medical Branch.

He is certified by the American Board of Plastic Surgery and is a member of both the American Society of Plastic Surgeons and The Aesthetic Society (Aesthetic Plastic Surgeons society).

Throughout his career, Dr. Lyle has contributed to the field of plastic and cosmetic surgery through research, publications, and presentations at national meetings. His practice emphasizes patient safety and personalized care to achieve natural results.

Next Steps

To find out more about our procedure price ranges – visit the pricing page – please note that our practice no longer takes insurance patients. We can help you find low-interest medical financing to make your surgery more affordable.

If you’re considering surgery in Raleigh NC and want personalized advice about your suitability, recovery, risks and results, I’d be happy to meet with you for a consultation.

Let’s work together to help you achieve your best results—safely and beautifully.

To make an inquiry or book a consultation please fill in the contact form or phone the office on  919 307 85 85.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.