Explantation: Techniques and Outcomes

As the demand for breast implant removal continues to rise, surgeons need to consider whether to remove the surrounding capsule at the time of explantation and what type of capsulectomy should be performed. Following explantation, post-explantation deformities such as ptosis, nipple retraction, skin laxity, and soft tissue deficits may require aesthetic contouring with tissue rearrangement and/or fat grafting. The risks and benefits of these procedures should be discussed with each patient and the most appropriate procedures should be selected based on the patient's desires and surgeon's clinical judgment.