Breast explant surgery is the removal of breast implants, often combined with the removal of surrounding scar tissue (known as the capsule), to restore the natural breast. At The Maercks Institute in Miami, this procedure is approached with a focus on structural preservation—not simply implant removal. Depending on your needs, your procedure may include: Implant removal alone Total or partial capsulectomy (removal of scar tissue) En bloc capsulectomy, where the implant and capsule are removed together in one piece A breast lift to reshape and support the natural breast Fat transfer to restore subtle volume and contour The goal is to create a natural, balanced result while protecting the integrity of your breast tissue.

Capsulectomy refers to the removal of the scar tissue that forms around a breast implant. En bloc capsulectomy removes the implant and capsule together in one piece. This may be recommended in cases of rupture or certain medical concerns. Total capsulectomy removes the entire capsule, but not necessarily in one piece. Partial capsulectomy removes only a portion of the capsule when full removal is not necessary or would create unnecessary risk. The most appropriate technique depends on your anatomy, implant history, and clinical findings. Not every patient requires an en bloc approach, and a personalised surgical plan is essential.

After explant surgery, it is normal for the breasts to appear less full, particularly if implants were large or had been in place for many years. However, the final outcome depends on several factors: Skin elasticity Natural breast tissue volume Implant size and placement Duration of implantation To optimise results, many patients choose to combine explant surgery with: A breast lift to restore position and shape Fat transfer to add subtle, natural volume With the right approach, the result can look soft, natural, and proportionate—not simply “deflated.”

Breast implant illness (BII) is a term used to describe a range of symptoms that some patients associate with their implants. These may include: Fatigue Brain fog Joint or muscle pain Skin issues or inflammation While BII is not yet fully understood in medical literature, many patients report improvement in symptoms after implant removal. If you are experiencing unexplained symptoms, a detailed consultation is essential to determine whether explant surgery may be appropriate as part of your care.

Recovery after breast explant surgery is typically smoother than many patients expect, particularly when modern, tissue-preserving techniques are used. Most patients can expect: Return to light activity within a few days Return to work within approximately one week Gradual resolution of swelling over several weeks Final results developing over a few months If combined with a lift or capsulectomy, recovery may be slightly longer, but remains manageable.

The cost of breast explant surgery in Miami varies depending on the complexity of the procedure. Factors that influence pricing include: Type of capsulectomy (partial, total, or en bloc) Whether a breast lift is performed Use of fat transfer Surgical time and complexity At The Maercks Institute, each patient receives a personalised treatment plan and detailed quote following consultation.

You may be a candidate for breast explant surgery if you are experiencing: Capsular contracture (tightness, hardness, or distortion) Implant rupture or leakage Discomfort, heaviness, or pain Aesthetic dissatisfaction with size, shape, or position Concerns related to breast implant illness In some cases, revision (replacement) may be an option—but many patients today are choosing explant for a more natural, long-term solution. A consultation is the best way to determine the most appropriate approach for your goals.