Choosing breast implant removal with a lift (explant-mastopexy) is a profound and empowering step toward your health and peace of mind. Many women seek this procedure due to concerns about Breast Implant Illness (BII), implant rupture, or a desire to return to a natural look. This guide explains why the “En-Bloc” capsulectomy is our non-negotiable standard at Tps Clinic for this procedure.
Why Combine Implant Removal (Explant) with a Lift?
Breast implants stretch the skin and breast tissue over time. When the implant is removed, it often leaves behind loose, excess skin, resulting in a “deflated” or “saggy” appearance (ptosis). A lift (mastopexy) is almost always necessary to correct this. The lift removes the excess skin, repositions the nipple to a higher, more youthful position, and re-shapes your natural breast tissue to create the best possible natural contour.
“En-Bloc Capsulectomy”: The Gold Standard for Removal
When an implant is placed in the body, the body naturally forms a scar tissue lining around it called a “capsule.” For many patients, especially those with BII symptoms, this capsule is considered part of the problem. There are different ways to remove an implant, but we believe only one is the gold standard.
Explant Techniques Compared
| Technique | What is Removed? | Why We Prefer En-Bloc |
|---|---|---|
| Explant (Implant Only) | Implant is removed, capsule is left inside. | Incomplete. Leaves capsule behind (BII risk). |
| Explant + Capsulectomy | Implant removed, then capsule is ‘peeled’ out. | Good, but capsule can break (spillage risk). |
| En-Bloc Capsulectomy (Our Standard) | Implant + Entire Capsule removed as one unit. | Gold standard. No spillage. Most complete removal for BII. |
Tps Clinic Expert Warning
Many patients seek explant due to Breast Implant Illness (BII) symptoms. The source of this inflammation is often the implant and the scar tissue (capsule) around it. Simply removing the implant and leaving the capsule behind is an incomplete surgery. Our standard is a full ‘En-Bloc Capsulectomy’ – we remove the implant and the entire capsule as one intact unit. This is the gold standard for BII/ALCL concerns. This is then always combined with a mastopexy (lift) to remove excess skin and re-shape your natural tissue.
Frequently Asked Questions (FAQ)
What is En-Bloc Capsulectomy?
It is a meticulous surgical technique where the breast implant and the entire surrounding scar tissue capsule are removed together as a single, intact piece.
What is Breast Implant Illness (BII)?
BII is a term used by women who have breast implants and describe a collection of systemic symptoms like joint pain, fatigue, and brain fog.
Will my BII symptoms go away after En-Bloc?
While there is no guarantee, a very high percentage of patients report a significant improvement or complete resolution of their BII symptoms after a proper en-bloc removal.
Will I have a “deflated” look without a lift?
Yes, removing an implant without performing a lift almost always results in significant sagging and loose skin.
What will my breasts look like after explant and lift?
The goal is to create a natural-looking, smaller, and lifted breast shape using only your own tissue; the final size depends on your natural tissue.
What is the recovery for explant with a lift?
The recovery is very similar to that of a standard breast lift, typically requiring about 1-2 weeks off work and 6 weeks of no heavy lifting.
Can you add fat grafting to the explant and lift?
Yes, fat grafting (using your own fat) is an excellent option to restore some natural volume and improve shape during the procedure.
Will my scars be worse with a lift?
The implant removal uses the existing scar, but the lift requires new incisions (typically in an anchor or lollipop shape) to remove excess skin.
How much does breast explant and lift cost in Turkey?
Combining the procedures in Turkey is significantly more affordable than in the UK or US while adhering to the highest medical standards.
Ready for a Safe & Complete Removal?
Your health and peace of mind are the priority. The explant specialists at Tps Clinic are committed to the En-Bloc standard for every patient. Contact us today for a compassionate consultation to discuss your explant-and-lift journey.
