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Breast Explant Surgery in Beverly Hills

Breast explant surgery has become one of the fastest-growing procedures in cosmetic plastic surgery, especially in Beverly Hills, where patients seek the highest level of expertise, safety, and natural results. Many women who previously chose breast implants are now opting for implant removal due to changes in lifestyle, aesthetics, health concerns, or implant-related complications.

If you are searching for the top breast explant surgeon in Beverly Hills, experience, surgical judgment, and advanced training matter. Breast explantation is not simply “removing implants.” It is a complex procedure that requires an understanding of breast anatomy, scar tissue, implant behavior, and reconstruction techniques to restore a natural, balanced breast shape. Our office focuses on mitigating the lifestyle drawbacks of breast implants in patients who have had recurrent or chronic breast implant problems. 

At Kare Plastic Surgery, Dr. Raffy Karamanoukian is widely recognized for his expertise in breast explant surgery, capsulectomy, and complex implant removal, serving patients from Beverly Hills, Santa Monica, and across Southern California.

What Is Breast Explant Surgery?

Breast explant surgery, also called breast implant removal, is a procedure designed to safely remove breast implants and address the surrounding tissues to restore breast health, comfort, and appearance.
There is no one-size-fits-all approach. The surgical plan depends on the patient’s anatomy, implant type, skin quality, and personal goals. If you have had recurrent problems from breast implants, including capsular contracture or years of implant asymmetry, breast explant surgery with revision may be an option for you. Our office is also very experienced in correcting the autoimmune drawbacks of Breast Implant Illness that may be caused by implant rejection by the body. 

Implant Removal Only

In some patients, breast implants can be removed without additional procedures. This option may be appropriate for women who:
  • Have smaller implants
  • Have good skin elasticity
  • Do not have significant breast sagging
While implant removal alone is the simplest approach, it may result in loose skin or loss of volume depending on how long the implants were in place. There is some level of urgency in revision in this case, as our goal is to reduce the longterm effects of droopy, sagging skin. 

Implant Removal with Breast Lift

A breast lift (mastopexy) is commonly performed with explant surgery. Over time, implants stretch the skin and breast tissue, leading to drooping once implants are removed.
Combining explantation with a lift:
  • Removes excess skin
  • Raises the nipple to a natural position
  • Creates a firmer, more youthful breast shape
This is one of the most popular options for patients seeking natural-looking results after implant removal.

Implant Removal with Fat Transfer Reconstruction

Some patients want to maintain volume without implants. Fat transfer breast reconstruction uses the patient’s own fat, typically harvested from the abdomen or thighs, to restore breast fullness.
Benefits include:
  • No foreign materials
  • Soft, natural feel
  • Subtle volume enhancement
Fat transfer can be performed alone or combined with a breast lift for optimal contour.

Capsulectomy (Removal of Scar Tissue)

All breast implants form a capsule of scar tissue. In certain cases, this capsule must be partially or completely removed.
Types of capsulectomy include:
  • Partial capsulectomy
  • Total capsulectomy

  • En bloc capsulectomy (implant and capsule removed together)

Dr. Karamanoukian is known for his expertise in free silicone removal and advanced capsulectomy techniques, which are especially important when implants rupture or silicone leakage occurs. Peer-reviewed data shows that free silicone, in cases of implant rupture, can cause longterm health problems. 

Breast Implant Problems

Many women consider breast explant surgery due to implant-related concerns that develop over time.

  • Aging Implants

  • Breast implants are not lifetime devices. Most implants are designed to last 10–20 years. As they age, risks increase, including rupture, leakage, and changes in shape.

  • Droopy Breasts

  • Implants add weight to the breasts, which can stretch skin and ligaments. Once implants are removed, sagging often becomes noticeable, making a breast lift an important consideration.

  • Implant Malposition

  • Implants can shift over time, leading to:
    • Bottoming out
    • Lateral displacement
    • Asymmetry
  • These issues can affect comfort, clothing fit, and confidence.

  • Capsular Contracture

  • Capsular contracture occurs when scar tissue tightens around the implant, causing:
    • Breast hardness
    • Pain
    • Distorted appearance
  • Advanced capsulectomy is often required to fully address this problem.

  • Lifestyle Changes

  • Many patients choose explant surgery due to:
    • Athletic or fitness goals
    • Preference for a natural body
    • Changes after pregnancy or weight loss
    • Desire for easier movement and comfort

  • Breast Asymmetry

  • As implants age, asymmetry can develop due to uneven settling, rupture, or capsular changes. Explant surgery allows correction and reshaping of the breasts.

Goals of Breast Explant Surgery

Every patient has unique goals, but common objectives include:
  • Removing implants safely and completely
  • Restoring natural breast shape
  • Improving comfort and physical freedom
  • Addressing scar tissue and silicone leakage
  • Achieving symmetry and balance
  • Supporting long-term breast health
Dr. Karamanoukian emphasizes customized surgical planning to ensure each patient’s goals are met with precision and care.

Consultation with Dr. Karamanoukian

A thorough consultation is the most important step in breast explant surgery.
During your consultation at Kare Plastic Surgery, Dr. Karamanoukian will:
  • Review your implant history
  • Evaluate breast anatomy and skin quality
  • Assess for capsular contracture or rupture
  • Discuss symptoms and aesthetic concerns
  • Review imaging if needed
  • Explain all surgical options in detail
Patients consistently describe Dr. Karamanoukian as attentive, professional, and transparent, ensuring they feel informed and confident in their decision.

Am I a Candidate for Breast Explantation?

You may be a candidate for breast explant surgery if you:
  • Have aging or ruptured implants
  • Experience implant-related discomfort
  • Are unhappy with breast appearance
  • Have capsular contracture
  • Want a more natural lifestyle
  • Prefer to avoid future implant maintenance

Good overall health and realistic expectations are important for optimal outcomes.

Reconstruction Options After Breast Implant Removal

Breast explantation does not mean sacrificing aesthetics. Modern techniques allow for beautiful, natural reconstruction.

Breast Lift

A lift reshapes the breast and removes excess skin, creating a youthful contour.

Fat Transfer

Fat transfer restores softness and volume using your own tissue.

Combination Approach

Many patients benefit from combining a lift with fat transfer for the most natural and balanced result.
Dr. Karamanoukian carefully guides patients through these options to achieve results that align with their body and lifestyle.

Choosing Dr. Karamanoukian for Breast Explant Surgery

When searching for the top breast explant surgeon in Beverly Hills, credentials and experience are critical.

Over 20 Years of Experience

Dr. Raffy Karamanoukian has more than 20 years of experience in aesthetic and reconstructive plastic surgery, including complex breast implant removal cases.

Double Board-Certified

Dr. Karamanoukian is double board-certified, reflecting advanced training and commitment to surgical excellence.

Expertise in Free Silicone Removal

Ruptured silicone implants require meticulous technique. Dr. Karamanoukian is highly skilled in free silicone removal, minimizing inflammation and tissue damage.

Professionalism and Patient Trust

Patients consistently praise Dr. Karamanoukian for:
  • Clear communication
  • Ethical recommendations
  • Compassionate care
  • Natural, refined results
With locations in Beverly Hills and Santa Monica, Kare Plastic Surgery offers a discreet, state-of-the-art environment for breast explant surger

Final Thoughts on Breast Explantation in Beverly Hills

Breast explant surgery is a personal and empowering decision. Choosing the right surgeon ensures not only safe implant removal but also a thoughtful approach to restoring natural beauty and confidence.
If you are looking for the top breast explant surgeon in Beverly Hills, Dr. Raffy Karamanoukian at Kare Plastic Surgery offers unmatched experience, advanced techniques, and patient-centered care.