Why LA Patients Are Opting for Explant

Side-by-side silhouettes showing fuller chest before explant and natural look after surgery.

In Los Angeles, more women are choosing to remove their breast implants — whether due to health concerns, aesthetic shifts, or simply a desire for a more natural look.

Common reasons include:

  • Breast Implant Illness (BII) symptoms
  • Capsular contracture or rupture
  • Lifestyle change or preference
  • Shift toward natural aesthetics

“Explants have become just as personal and empowering as getting implants used to be,” says one Beverly Hills-based plastic surgeon.


Recovery After Breast Implant Removal

The procedure is typically outpatient and performed under general anesthesia. Patients wake up feeling sore but manageable with prescribed meds.


Week-by-Week Recovery Timeline

  • 1 Week: Soreness, chest tightness, drains (if placed), limited movement
  • 2 Weeks: Swelling begins to decrease; back to light activities
  • 1 Month: Most bruising resolves; scars are still pink
  • 3 Months: Final breast shape begins to settle; scars start fading

Some patients see stretch marks or loose skin if no lift is performed — others opt for a combined lift to tighten tissue.


Scars + Skin Retraction

  • Incision typically placed in old implant scar
  • Silicone gels and strips recommended for 6 months
  • Sun protection (SPF 50) is crucial for fading

With or Without Lift: Which Affects Recovery?

If a breast lift (mastopexy) is done at the same time, recovery may be slightly longer but often delivers a more “complete” aesthetic result.


Tips for a Smooth Recovery

✔ Sleep elevated the first week
✔ Wear compression bras as instructed
✔ Hydrate and eat high-protein meals
✔ Avoid heavy lifting or chest workouts for 4–6 weeks
✔ Consider lymphatic massage if swelling lingers


Choosing an LA Explant Surgeon

Seek:

✅ Experience with en bloc and total capsulectomy
✅ Photos showing natural, symmetrical results
✅ Willingness to individualize recovery plans
✅ ABPS board certification


FAQ

Will I lose volume after explant?
Yes — but your body will adjust. Some patients combine explant with fat transfer.

Will I have excess skin?
Possibly. It depends on skin elasticity, implant size, and whether a lift is done.

Can I go back to implants later?
Yes, but surgeons typically recommend waiting at least 6 months.


Sources:

ASPS Explant Protocol 2025
RealSelf Explant Forums
Beverly Hills Explant Surgeons Roundtable (AestheticMatch)

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