How explantation is performed
Explantation removes the implant and, depending on the clinical situation, some or all of the surrounding scar tissue capsule. In selected cases Dr. Sahar may perform an en bloc capsulectomy to remove the implant and capsule together; in others the capsule is intentionally left in place. The choice follows an individualized assessment of rupture, infection, prior surgery, and patient goals.
Surgical planning focuses on safely addressing the reason for removal—rupture, pain, exposure or infection—and minimizing additional tissue trauma. Decisions about anesthesia, incision placement and whether to add concurrent procedures are made in consultation with you, taking into account your breast shape, scarring, and any symptoms attributed to the implants.
Combining removal with lift
A breast lift (mastopexy) can be added after implant removal to restore shape and address sagging. Dr. Sahar has over a decade of experience combining explantation with mastopexy using an inferior breast flap technique to help optimize nipple position and maintain projection when needed.
Adding a lift changes the surgical plan and recovery because tissue is reshaped and excess skin removed. During your consultation you'll review trade-offs: how much lift is appropriate, scar patterns, and whether staged procedures might offer a safer or more predictable cosmetic outcome based on your anatomy and goals.
Planning and recovery considerations
Consultations and follow-up occur in our Beverly Hills office near North Bedford Drive and Santa Monica Boulevard, where appointments fit conveniently into workdays, shopping trips or hotel stays. The practice’s location offers nearby parking and Metro D Line access, which many patients find helpful for coordination with daily schedules.
Recovery and aftercare are individualized: your incision care, activity limits, and follow-up schedule depend on the extent of capsule removal and whether a lift was performed. Dr. Sahar will review wound care, signs of complications, and the follow-up plan so you can make an informed decision about timing and support at home.
