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In my experience of over 26 years as a plastic surgeon in the Scottsdale and Phoenix Metropolitan area, I have noted that a vast majority of women who have had breast implants placed either for a breast enlargement or breast lift with implants, don’t at some point in time elect to have them permanently removed (explantation). They are usually very happy with their outcomes and the multitude of benefits that breast enlargement and/or rejuvenation provides them and can’t and don’t want to envision living without them. This is less true in women who have undergone breast reconstruction and are experiencing problems.

A previous post on breast revision, entitled Explantation: Permanent Breast Implant Removal in Breast Revision Surgery, listed some of the most common reasons that women with breast implants would elect to have them explanted (permanently removed). The following patient of mine is an example of a combination of reasons for breast implant removal.

This patient underwent a breast augmentation with 360 cc moderate profile saline breast implants placed above the muscle performed by an out of state plastic surgeon 3 years previously. The resultant breast size was far larger than she had wanted to be resulting in her needing to wear a 32DD bra (Photos A, C and E). To compound the problem, she began experiencing both back and shoulder pains which had not been present prior to the surgery. Consequently, she underwent treatments from a chiropractor who told her that at least part of her symptoms could be attributable to the breast implants.

During her plastic surgery consultation with me, I offered her a few choices based on her concerns. The two most sensible options for her were either an implant exchange employing a smaller breast implant placed in a submuscular pocket (one or two stages) or an explantation. For a variety of reasons, she elected the latter.

The explantation was performed without any untoward issues and virtually no discomfort so that there was no need for her to take any postoperative pain medication. Subsequently, she also happily shared with me the fact that she no longer experienced any neck or back pain. Her results a few months later are seen in photos B, D and F

If you would like more information on breast revision surgery such as explantations or on any other plastic surgery procedure that I perform, or to schedule a consultation with me, please call my office at 480-451-3000.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

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A Message Regarding Coronavirus/COVID-19

In light of the coronavirus/COVID-19 pandemic, we would like to let you know of some of the major precautions we are taking in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. Our highest priority is always to ensure the safety of every individual who sees us and we are taking extreme infection-control measures to maintain cleanliness and “sterility” of surfaces and the overall environment.

We will be limiting dates and times for office appointments and consultations due to safety and other issues. Consequently, if you have already made an office appointment or consultation prior to March 18, 2020 to occur at a later time, this may need to be changed.

For anyone considering plastic surgery, we are now offering Virtual Consultations and Telemedicine through Skype. A great number of aesthetic or insurance-related issues can be evaluated via pictures and online video conferencing, making this an excellent way to find out more about particular procedures, determine candidacy for treatment, receive answers to questions and facilitate being able to move forward with care once the government lifts all restrictions.

In an abundance of caution, we are asking all current patients who are experiencing a fever, cough, chills, fatigue or any type of respiratory illness to please delay any upcoming appointments at our practice. We can talk with you by phone or email to establish a new date and time for the appointment.

We are all in this together. Our team urges everyone to follow the guidelines recommended by local health authorities and the Centers for Disease Control and Prevention, which include frequent handwashing for a minimum of 20 seconds, social distancing, staying home if you are feeling sick, and contacting your healthcare provider if you feel you are experiencing symptoms.

For more information, please read our blog – Coronavirus and You: Important Information

For further updates, please check our blog.

If you have any questions or concerns, please contact us by phone or email.