Key Takeaways
Regain Comfort: Explant surgery relieves issues like capsular contracture and implant-related pain.
Natural Shape Restoration: Combining removal with breast lift reshapes breasts for a proportional, confident look.
Health & Wellness: Address symptoms of breast implant illness (BII) and prevent future complications.
Advanced Miami Care: Dr. Carlos Spera offers safe, personalized techniques including en bloc capsulectomy.
Quicker Recovery: Optimized protocols help most patients resume light activities within a week.
A growing number of women are choosing breast implant removal in Miami, seeking relief from discomfort, complications, or simply a return to their natural bodies. Dr. Carlos Spera, a board-certified plastic surgeon in Miami, specializes in explant surgery—removing implants and often combining a breast lift (mastopexy)—to ensure your body looks and feels like you. Known as “Breast Explant” or capsulectomy, this process can include an en bloc capsulectomy—removing the implant and its surrounding scar tissue in one piece—especially important in cases of capsular contracture or suspected breast implant illness (BII) youtube.com+14carlosspera.com+14lampertmd.com+14carlosspera.comcarlosspera.com+3careagaplasticsurgery.com+3lampertmd.com+3.
Women decide on this journey for many reasons. Some experience pain, tightness, or implant rupture. Others report symptoms potentially linked to BII—like fatigue or brain fog—and report relief after removal talroudnerplasticsurgery.com+2carlosspera.com+2theguardian.com+2. Whether implants have reached their lifespan (10–15 years), aren’t the right fit anymore, or create complications, Dr. Spera tailors explant surgery to your unique needs carlosspera.com+15carlosspera.com+15carlosspera.com+15.
Explant patients often want a smoother breast shape post-removal—especially if implants stretched the skin over time. A combined breast lift in Miami can restore firmness and contour, ensuring that your body doesn’t just feel better, but looks right too carlosspera.com+1carlosspera.com+1. Whether you’re looking to go flat or restore perkiness and shape, Dr. Spera offers options such as auto fat transfer, mastopexy, or implant exchange tailored to your vision verywellhealth.com+14carlosspera.com+14carlosspera.com+14.
Who’s a Good Candidate?
Good candidates for breast implant removal with lift include women who:
Experience implant-related pain, capsular contracture, rupture, or BII symptoms carlosspera.com+15carlosspera.com+15lampertmd.com+15
Want to return to a natural look after aging, pregnancy, or implants that have “bottomed out”
Enjoy an active lifestyle and prefer no implants
Have realistic expectations and good overall health
In your private consultation, Dr. Carlos Spera reviews your health history, examines your breast shape and elasticity, and discusses options such as en bloc capsulectomy, capsulectomy, and breast lift surgery to align with your goals
Procedure Details: How Breast Implant Removal & Lift Are Performed
Breast implant removal—often called an explant—can be as straightforward as taking the implants out, or as advanced as removing the surrounding scar capsule (capsulectomy) in one piece, a method known as en-bloc capsulectomy. Surgeons choose an en-bloc approach when they suspect implant rupture, capsular contracture, or when a patient is worried about breast-implant illness because it takes the entire capsule and implant out together, reducing the chance that silicone, bacteria, or inflammatory fluid will spill into surrounding tissue dr-petti.com.
After the implants are out, many women benefit from a breast lift (mastopexy), which tightens loose skin, reshapes stretched tissue, and re-positions the nipple-areola complex to a more youthful point on the breast mound. Research shows simultaneous explant-and-lift surgery prevents the “deflated” or “droopy” look that can follow implant removal pmc.ncbi.nlm.nih.govpmc.ncbi.nlm.nih.gov. Dr. Carlos Spera frequently combines a lift with auto-augmentation or fat transfer, using a woman’s own tissue to restore upper-pole fullness without inserting a new implant bajajplasticsurgery.comsyplasticsurgery.com.
Step-by-step overview with Dr. Spera
Pre-op planning – During your consultation, Dr. Spera reviews health history, breast shape, skin elasticity, and explains options such as simple explant, partial or total capsulectomy, and en-bloc removal, tailoring the plan to your goals and concerns.
Anesthesia & incision – Surgery is performed under general anesthesia. Incisions are typically made in your old implant scars or along the inframammary fold to minimize new marks.
Implant & capsule removal – Implants are removed; if there is capsular contracture (the painful tightening that affects up to 5 % of breast-augmented patients plasticsurgery.org) or BII concerns, Dr. Spera removes the capsule too.
Breast lift & reshaping – Excess skin is trimmed, internal support sutures recreate youthful projection, and the nipple-areola is moved higher. Techniques such as the vertical bipedicle, omega, or dermoglandular-flap mastopexy let Dr. Spera keep as much native tissue as possible for volume academic.oup.comjournals.lww.comeurjmedres.biomedcentral.com.
Optional fat grafting – Harvested fat from the abdomen or flanks can be placed in the breast to soften contours and add subtle fullness syplasticsurgery.com.
Closure & dressings – Skin edges are closed in layers for thin scars, then a gentle support bra is applied before you wake in the recovery suite.
Patients often ask whether implants “must” be replaced every ten years. The answer is no: removal is only required if there’s a problem such as rupture or hardening greerplastics.org. For many, taking implants out brings peace of mind and eliminates future maintenance surgeries.
Recovery, Results & Long-Term Benefits
Most women go home the same day. Expect mild pressure or soreness for a few days, easily managed with oral pain medicine. Cleveland Clinic notes that tenderness can last up to six weeks, but most normal activities resume after the first week my.clevelandclinic.org. Keeping arms below shoulder height for a few days, sleeping on your back, and wearing the surgical bra speed healing and reduce swelling dreyfussplasticsurgery.com. Light exercise—like walking—can start in a week, while strenuous workouts wait four to six weeks, depending on Dr. Spera’s guidance.
By three months, swelling is largely gone and lifted breasts settle into a natural teardrop shape—as shown in before-and-after galleries of explant-and-lift patients goldcoastplasticsurgery.com.au. Studies following women who removed implants because of BII report significant improvement in fatigue, joint pain, and brain fog within months of surgery pmc.ncbi.nlm.nih.gov. Long term, you avoid future capsular contracture risk and implant-related MRI or replacement costs, while enjoying softer breasts that move and feel like your own.
Tips for the Best Outcome
Follow Dr. Spera’s after-care plan—medication, incision care, and activity limits.
Stay smoke-free; nicotine slows healing and worsens scarring.
Maintain a stable weight; major weight swings can change breast shape.
Protect scars from sun for at least six months to keep them thin and pale.
Frequently Asked Questions
1. How long is downtime after breast implant removal with lift?
Most patients are back to desk work in about a week and gym workouts by six weeks, though minor swelling can linger for a few months my.clevelandclinic.orgdreyfussplasticsurgery.com.
2. Will I need drains?
Drains are not always necessary; Dr. Spera decides case-by-case, often skipping them when tissue dissection is minimal.
3. Does en-bloc capsulectomy cost more?
Yes—it’s more complex and longer in the OR, but invaluable for removing ruptured silicone or reducing BII anxiety dr-petti.com.
4. Can fat grafting replace my lost volume?
Yes. Fat transfer can restore up to one cup size using your own tissue, avoiding new implants syplasticsurgery.com.
5. Are results permanent?
Breasts will continue to age naturally, but once implants are gone, you avoid future implant complications. Lift results generally last 10+ years when weight is stable.
6. How do I start?
Schedule a private consult through Dr. Spera’s implant-removal page. He’ll examine you, discuss goals, and design a custom plan that may include a breast lift for the best shape.
Choosing Miami Breast Implant Removal & Lift with Dr. Carlos Spera means expert explant care, advanced lift techniques, and a thoughtful path back to comfort and natural confidence. Book your consultation at CarlosSpera.com today—embrace a future free from implant worries and full of self-assurance.
