Dr. Jeffrey Feiner
Feiner Plastic Surgery2020 Oakley Seaver Dr. Ste. 1, Clermont, FL 34711
(407) 349-8500 · feinerplasticsurgery.com
Surgeons in Florida who list Breast Implant Removal among their services. Paid tiers appear first — Featured, then Enhanced — with ABPS-verified surgeons first within each tier. Paid placement is labeled.
9 listings explicitly name this procedure — 8 ABPS-verified — in Clermont, Destin, Gainesville, Ponte Vedra Beach, Santa Rosa Beach, Sarasota. Generic category tags are not counted. Always check the badge on each profile.
Removes breast implants, with or without the surrounding scar capsule, for patients who no longer want implants or have a complication such as rupture or contracture.
Breast implant removal, or explant surgery, takes out silicone or saline implants. Reasons include personal preference, lifestyle change, capsular contracture, rupture or leak, asymmetry, pain, or symptoms a patient attributes to implants. Removal alone does not lift the breast: after years with implants, skin and tissue may sag, so many patients discuss a lift, fat transfer, or replacement implants at the same operation.
Surgery is usually outpatient under general anesthesia and takes about one to two hours for removal alone, longer with capsule work or a lift.
The surgeon usually reopens a prior incision, removes the implant, and inspects the capsule — the scar-tissue shell the body forms around every implant. Saline implants are typically deflated and removed; ruptured silicone implants require careful removal of free gel. The surgeon then decides, based on the plan and findings, whether to remove capsule tissue, reshape the remaining breast tissue, or add a lift. Drains are sometimes used, and a surgical bra is worn during healing.
Removal alone. Implants out, capsule left in place. The simplest operation, suitable when the capsule is thin, healthy, and symptom-free.
Partial capsulectomy. Part of the capsule is removed, often the portion that is thickened or contracted.
Total capsulectomy. The entire capsule is removed, usually in pieces, after the implant is out.
En bloc capsulectomy. The implant and its intact capsule are removed together as one unit, without opening the capsule. En bloc means the capsule is not cut open during removal; it is not always possible or necessary, it requires an adequate incision and suitable anatomy, and availability varies by surgeon — it should be discussed explicitly rather than assumed.
Removal plus lift, fat transfer, or replacement. A lift reshapes sagging skin, fat transfer can restore some volume without an implant, and replacement implants restart the implant cycle with new devices.
| option | note |
|---|---|
| Removal alone | Implants out, capsule left in place; simplest operation, suitable when the capsule is thin, healthy, and symptom-free. |
| Partial capsulectomy | Part of the capsule is removed, often the portion that is thickened or contracted. |
| Total capsulectomy | The entire capsule is removed, usually in pieces, after the implant is out. |
| En bloc capsulectomy | Implant and intact capsule removed together as one unit without opening the capsule; not always possible or necessary, and availability varies by surgeon. |
| Removal plus lift, fat transfer, or replacement | A lift reshapes sagging skin, fat transfer can restore some volume without an implant, and replacement implants restart the implant cycle. |
The scope drives the quote: removal alone is the simplest operation, while total or en bloc capsule work, an added lift, or new implants each add time and fees. Insurance sometimes covers removal for rupture or severe capsular contracture, but rarely covers removal for preference alone or replacement implants — confirm coverage with the plan and check whether the implant manufacturer's warranty contributes. Ask for an itemized written quote that includes pathology examination of removed tissue where applicable.
Expect soreness, swelling, and bruising for the first days to weeks, with a surgical bra worn during healing. Many patients return to desk work in about one week and to full activity in about four to six weeks, with heavy lifting avoided until cleared; recovery is longer with total capsulectomy or a lift. Breasts typically look flatter and may sag after removal, and the final shape settles over several months as tissue retracts.
Some patients report improvement in symptoms they attributed to implants, but symptom outcomes cannot be promised and should be discussed honestly before surgery.
Risks include infection, bleeding or fluid collection, poor wound healing, asymmetry, scarring, and changes in nipple or breast sensation. Capsule removal adds risks of its own, including injury to the chest wall or lung lining in rare cases, especially with capsules adherent to ribs. If a textured implant or its capsule is involved, the surgeon should discuss pathology examination of removed tissue. Explant surgery does not guarantee resolution of systemic symptoms attributed to implants, and the causes of those symptoms are still being studied.
Sources: American Society of Plastic Surgeons patient information and procedure guidance; U.S. Food and Drug Administration guidance where applicable. General information only, not medical advice. Confirm details with a board-certified surgeon at consultation.
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