Are your breast implants making you sick? Or are you just done with them? In this episode of In the BEST of HANDS: The Plastic Surgery Podcast, Board-Certified Plastic & Reconstructive Surgeon Dr. Jason Rosenberg and his co-host Meredith Reis tackle the growing trend of explant surgery.
Dr. Rosenberg explains why so many of his patients are looking to have their breast implants removed. Some are simply "over" their implants after several decades. But there’s another growing group who suspect their implants may be connected to a constellation of symptoms including fatigue, like hair loss, low libido, rashes, GI issues and more. It's what is commonly known as Breast Implant Illness. The two dig into how Dr. Rosenberg approaches patients who feel dismissed by their doctors, the evolution of his "Silhouette Reset" procedure that combines implant removal with a breast lift, fat grafting, and a tummy tuck plus the keys to recovering successfully from surgery and the best practices for minimizing scarring.
In this episode, we'll cover:
• Why so many patients come to Dr. Rosenberg wanting implants out, not in
• The myth that implants "need" to be changed every 10 years vs. what kind of maintenance you should expect to undertake
• The two types of patients seeking explant surgery: those who are "sick and tired" of their implants, and those who think their implants are making them sick
• Breast Implant Illness: why it’s being taken very seriously, despite there being test or official diagnosis for it
• The FDA's black box warning on breast implants, and what it does and doesn't tell you
• Dr. Rosenberg's "Symptom Scorecard," and what years of patient data are showing
• Capsules explained: the scar tissue that forms around every implant, the four-grade scale for capsule severity
• Why some patients specifically request their capsule be removed along with the implant, and what Dr. Rosenberg tells them
• What microsurgery is, and why explant patients often seek out surgeons trained in it
• Insurance and explant surgery: why it's rarely covered for breast implant illness, and rare exception in which it might be
• The "Silhouette Reset": how implant removal, a breast lift, fat grafting, and a tummy tuck evolved into one combined procedure
• What recovery really looks like: drains, soreness, and realistic timelines for getting back to work and back to the gym
• Diastasis recti, extra skin, and why tummy tucks have become common after alongside explants as well as after major weight loss (including GLP-1-related loss)
• Scarring 101: what determines scar quality, and the products and treatments that can help
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