Breast Implant Removal

Advanced Explant Surgery with Dr. Puyana

A New Chapter. Designed with Precision.

Breast implants may represent one stage of life – and choosing to remove them can be an equally deliberate and empowering decision. Today, breast explant surgery is increasingly sought by women who want to improve comfort, address implant-related concerns, or transition to a breast appearance that better reflects where they are now.

Modern breast explant surgery is no longer limited to removing implants alone. Advances in surgical technique now allow for lifting, reshaping, and restoring volume using the patient’s own tissue. In certain cases, additional surgical steps may be required to address changes in the implant capsule, ensuring the breasts are well-supported, proportionate, and intentionally designed.

At Puyana

Plastic Surgery

Dr. Salomon Puyana approaches breast implant removal with the same level of technical precision, judgment, and aesthetic control as any advanced breast procedure. Every explant surgery is carefully planned based on implant history, tissue quality, capsule condition, and the patient’s goals – with a clear focus on achieving a stable, well-contoured result for the future.

What Is Breast Implant Removal(Explant Surgery)?

Breast implant removal, also known as breast explant surgery, is a procedure in which existing breast implants are surgically removed. Depending on the patient’s anatomy, implant history, and surgical findings, explant surgery may also involve reshaping the breast tissue, lifting the breasts, and addressing the implant capsule.

In certain situations – such as capsular contracture, implant malposition, or thickened scar tissue – a capsulectomy may be performed. Capsulectomy involves partial or complete removal of the capsule surrounding the implant and is performed when medically or surgically appropriate. Not all patients require capsulectomy, and the decision is made based on individual evaluation.

Breast explant surgery may be performed for a variety of clinical or personal reasons, such as implant aging, implant-related changes, physical discomfort, or a patient’s decision to transition to implant-free breasts.

Dr. Salomon Puyana evaluates each patient individually to determine the safest and most effective explant approach, ensuring the breasts are not only implant-free, but also well-shaped and proportionate.

Why Choose Breast Implant Removal?

Choosing to remove breast implants is a personal decision that deserves careful planning and surgical expertise.

Patients often choose breast implant removal because they want to:

Improve physical comfort and ease of movement
Address capsular contracture or implant-related changes
Redefine breast shape without implants
Enhance breast position and contour
Transition to a different aesthetic aligned with their current lifestyle

With the appropriate surgical strategy, breast explant surgery can be a positive, forward-looking decision that supports comfort, confidence, and long-term satisfaction.

Types of Breast Implant Removal

Dr. Salomon Puyana offers advanced breast explant options that go far beyond basic implant removal. The surgical approach is customized based on tissue quality, skin elasticity, breast volume, capsule condition, and desired outcome.

1. Breast Implant Removal with Breast Lift

This approach combines explant surgery with mastopexy (breast lift) to elevate and reshape the breasts after implant removal. It is ideal for patients who want improved position, firmness, and contour, particularly when skin laxity or sagging is present.
2. Breast Implant Removal with Breast Lift and Auto-Augmentation

Auto-augmentation uses the patient’s own breast tissue to restore shape and upper pole fullness after implants are removed. During surgery, Dr. Puyana repositions existing tissue internally to create a lifted, fuller breast contour without implants. This technique requires advanced planning and precise execution.
3. Breast Implant Removal with Breast Lift and Fat Transfer

This is one of the most complex and technically demanding forms of breast explant surgery and is performed only by highly skilled, top-tier plastic surgeons.
In this procedure, implants are removed, the breasts are lifted, and carefully processed fat - harvested from another area of the body - is transferred to the breasts to restore volume and contour. Achieving safe, predictable, and aesthetically refined results with fat transfer requires exceptional surgical judgment, experience, and technical mastery.

This approach combines explant surgery with mastopexy (breast lift) to elevate and reshape the breasts after implant removal. It is ideal for patients who want improved position, firmness, and contour, particularly when skin laxity or sagging is present.

Auto-augmentation uses the patient’s own breast tissue to restore shape and upper pole fullness after implants are removed. During surgery, Dr. Puyana repositions existing tissue internally to create a lifted, fuller breast contour without implants. This technique requires advanced planning and precise execution.

This is one of the most complex and technically demanding forms of breast explant surgery and is performed only by highly skilled, top-tier plastic surgeons.

In this procedure, implants are removed, the breasts are lifted, and carefully processed fat - harvested from another area of the body - is transferred to the breasts to restore volume and contour. Achieving safe, predictable, and aesthetically refined results with fat transfer requires exceptional surgical judgment, experience, and technical mastery.

Dr. Salomon Puyana is among the select surgeonswith the expertise required to successfully perform breast explant surgery with lift and fat transfer.

Internal Bra with GalaFLEX®

The Internal Bra with GalaFLEX® is an advanced surgical support technique designed to reinforce the breast’s internal structure and provide added long-term support. GalaFLEX® is a bioresorbable surgical scaffold that is placed internally during breast surgery to strengthen soft tissue and help maintain breast position over time.

Dr. Salomon Puyana uses the Internal Bra with GalaFLEX® in select patients who would benefit from additional internal support. The scaffold acts as a temporary framework, supporting the breast as the body gradually replaces it with the patient’s own collagen.

By reinforcing the breast from the inside, the Internal Bra with GalaFLEX® helps improve stability, shape retention, and durability of results.

What to Expect Before, During, & After Surgery

Pre-Surgery Planning
Dr. Salomon Puyana conducts a comprehensive consultation, reviews implant history, evaluates breast tissue and capsule condition, and designs a personalized surgical plan based on your goals.
Surgery Day
Breast explant surgery is performed in our fully accredited surgical facility with experienced anesthesia care and strict safety protocols. All patients return home the same day. Surgical time varies depending on the complexity of the procedure and whether additional techniques – such as capsulectomy, lift, or fat transfer – are included.
Recovery
Swelling, tightness, and temporary discomfort are expected initially, with gradual improvement over the following weeks. Recovery timelines vary depending on the surgical approach. Dr. Puyana provides detailed post-operative guidance to support safe healing and optimal long-term results.

Frequently Asked Questions

About Breast Implant Removal

1. Can breast explant surgery improve breast shape?

Yes. When combined with lifting or reshaping techniques, explant surgery can significantly improve breast contour.

2. Will my breasts look flat after implant removal?

Not necessarily. Options such as breast lift, auto-augmentation, or fat transfer can restore shape and volume.

3. Is capsulectomy always required?

No. Capsulectomy is performed only when medically or surgically indicated.

4. Are scars unavoidable?

Scars are necessary but are placed strategically and typically fade over time. At Puyana Plastic Surgery, we also offer advanced scar-improvement treatments, including microneedling and laser therapy, to help optimize scar appearance as healing progresses.

5. How long does recovery take?

Initial recovery occurs over several weeks, with continued refinement over months.

6. Is breast explant surgery safe?

Yes, when performed by an experienced plastic surgeon with appropriate planning.

7. Can fat transfer be combined with explant surgery?

Yes, in select patients and when performed by a highly skilled surgeon.

8. Will my breasts be lifted automatically after explant?

A breast lift is often recommended to optimize shape after implant removal.

9. Am I a good candidate for breast explant surgery?

Most patients with breast implants are candidates pending evaluation.

10. When will I see final results?

Results continue to refine over several months as healing progresses.

Why Choose Puyana Plastic Surgery?

Breast explant surgery requires advanced expertise, judgment, and technical control.

Advanced Breast Surgery Experience: Including complex explant cases
Elite Surgical Options: Lift, auto-augmentation, fat transfer, and capsulectomy when indicated
Customized Surgical Planning: No one-size-fits-all approach

Patient-Centered Care: From consultation through recovery

Dr. Salomon Puyana is trusted by patients seekingexpertly planned and precisely executed breast explant surgery.

Crafting the Most Beautiful Version of You.

Breast explant surgery offers the opportunity to reshape and redefine the breasts without implants, using advanced techniques tailored to your anatomy and goals.

With Dr. Puyana’s experience and surgical expertise, results are designed to enhance breast shape, support comfort, and create a well-balanced, elevated contour for the future.

Schedule Your Private Consultation

Schedule your private consultation with Dr. Salomon Puyana to explore your explant options and design the breast shape that best fits your next chapter.