All Explants Are Not the Same

It is quite common for women to decide  upon breast implant removal.  Motivation for this varies but includes concerns about breast implant illness, implant related pain, implant malposition, capsular contracture as well as feeling the breast implants are now too big for their body. This often occurs later in life when women have gained some weight.

Performance of a breast lift during implant removal is not straightforward.  Mastopexy involves reshaping the breast through incisions and retaining the nipple areola complex upon a base of tissue that affords blood supply.  This is called a pedicle.  Patients who have had prior sub glandular implants also known as "on top of the muscle " in many cases have had some of the predictable blood supply interrupted during the first operation for their initial breast augmentation. Pedicle design is less predictable with an increased chance of potential loss of the nipple's blood supply, .It is common as women age, to develop more fatty breasts which generally have less blood supply.  Submuscular positioning of implants usually preserves more blood supply and generally breast implant and lift is somewhat safer in this situation. Patients undergoing Breast lifting after sub glandular implant removal are at somewhat higher risk of nipple ischemia or loss which could lead to complete loss of the nipple or partial loss. When this occurs the nipple  changes to a dark purple color eventually turns black and becomes a scab. This is a very serious situation requiring salvage techniques when it is noticed but can results in complete loss of nipple.  Patients are advised to work with Board certified plastic surgeon with extensive experience in these types of cases.

This patient had long-standing breast implants which were sub glandular and desired removal and lift.  She did develop temporary signs of ischemia although both nipples survived and the procedure was successful.

About Dr Lyle - Plastic Surgeon in Raleigh NC

Dr. 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 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 American Society of Aesthetic Plastic Surgeons. 

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

Next Steps

If you’re considering a breast implant removal 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 book a consultation please fill in the contact form or phone the office on 919 307 85 85.