Considering having your breast implants removed in Miami? Understanding the cost involved is an essential part of planning your procedure. Based on current data as of April 2025, breast implant removal (also known as explant surgery) in Miami typically ranges from $2,000 to $13,000, with the most recent 2023 American Society of Plastic Surgeons reporting a national average of $3,979, but this only represents the surgeon’s fees.
The final price depends on multiple variables including the surgeon’s experience and reputation, procedure complexity, anesthesia fees, and facility costs. Another factor is whether additional procedures such as a breast lift are performed simultaneously.
Miami’s reputation as a hub for cosmetic surgery means patients have access to highly skilled surgeons like Dr. K (Bart Kachniarz), whose Harvard and Johns Hopkins training ensures exceptional expertise in breast procedures.
Florida regulations require transparency in surgery pricing, making it easier for patients to understand costs before committing to a procedure. Dr. K Miami offers various financing options to help manage these expenses. His boutique approach to patient care provides tremendous value thanks to his personalized attention and surgical expertise.
What is Breast Implant Removal?
Breast implant removal, or explantation, is a surgical procedure to extract previously placed breast implants. The fundamental goal is to remove the implants and any scar tissue that formed around them, restoring the breast to a more natural state.
Patients undergo breast implant removal for various reasons including medical concerns, aesthetic preferences, or lifestyle changes.
4 Types of Implant Removal Options
Patients considering breast implant removal Miami have several distinct options:
- Permanent implant removal: For those wishing to return to their natural breast aesthetic, involving removal of implants and tightening of breast pockets.
- Implant removal with breast lift: Often recommended for patients who had large implants or experienced tissue stretching to address potential sagging.
- Implant removal and replacement: Particularly beneficial when the primary concern is a damaged implant rather than dissatisfaction with augmented breasts.
- Implant exchange: In recent years, more younger patients seek breast implant exchange specifically for downsizing or upgrading their implants, reflecting changing aesthetic preferences.
While initial breast implants can last many years, they are not lifetime devices. Saline and silicone implants typically have a lifespan of 10-15 years, with newer ‘gummy bear’ implants potentially lasting up to 20 years.
Saline implants have different removal considerations than silicone implants. If a saline implant ruptures, the breast will noticeably decrease in size within a week, making removal necessary sooner than expected.
While the body can safely absorb the saline solution, the implant shell still needs to be surgically removed.
When Should You Get Your Implants Removed?
Women choose to remove their implants for numerous reasons, which can be categorized as medical, aesthetic, or lifestyle-related.
Medical Indications
- Capsular contracture: This occurs when scar tissue that develops around breast implants contracts and squeezes the implant, causing hardening and potential discomfort. Women with smooth implants placed above the pectoral muscle typically have a higher risk of developing this condition.
- Implant rupture: A rupture happens when the silicone shell weakens and tears.
- Implant displacement: This is when situations where the implant moves out of the intended breast pocket, creating asymmetry or an unnatural appearance.
- Symmastia: This condition, colloquially known as ‘uniboob,’ where the tissue between the implants above the sternum detaches, causing the implants’ pockets to merge.
- Infection: An infection though rare, can necessitate implant removal.
Aesthetic and Lifestyle Considerations
- Changing preferences: Some patients experience changes in their aesthetic preferences over time and no longer desire the appearance of implants.
- Age-related body changes: Weight fluctuations or pregnancy can alter the appearance of augmented breasts.
- Dynamic distortion: Particularly common with implants placed under the pectoral muscle, where muscle contraction causes visible implant displacement during physical activity.
- Self-image evolution: Many women report feeling that their implants no longer align with their self-image or lifestyle.
Breast Implant Illness (BII) Overview
Breast Implant Illness refers to various symptoms some women report experiencing after receiving breast implants. While not officially recognized as a medical diagnosis, many patients report symptoms including chronic fatigue, cognitive issues like brain fog, and joint pain.
Additional symptoms may include autoimmune-like manifestations, anxiety and depression, and sleep disturbances. Some patients also experience hair loss, skin rashes, and gastrointestinal problems.
Many patients describe significant improvement in symptoms following implant removal. Recent clinical studies show promising results, with one study finding that approximately 97% of women experiencing BII symptoms reported feeling better after explantation.
It’s important to distinguish BII from BIA-ALCL (breast implant-associated anaplastic large cell lymphoma), which varies in incidence based on implant type. The FDA estimates the lifetime risk for patients with textured breast implants ranges from 1 in 3,817 to 1 in 30,000, with different rates reported internationally and by specific implant manufacturers.
Unlike breast cancer, BIA-ALCL typically presents with pain, firmness, swelling, and fluid collection around the implant, and is generally treated effectively with en bloc capsulectomy.
While BIA-ALCL has been associated primarily with textured implants (which have been recalled), the FDA continues to investigate this connection. Currently, the FDA does not recommend preventative surgery to remove implants in the absence of symptoms.
Ideal Candidates
The good candidate for breast implant removal at Dr. K Miami typically includes women who are physically healthy and at a stable weight. Patients should have realistic expectations about results and be non-smokers (or willing to quit several weeks before and after surgery).
Candidates often include those experiencing discomfort or pain related to their implants or patients unhappy with the size, placement, or asymmetry of their breast implants. Women feeling their breasts are too heavy for their frame are also good candidates.
Patients with capsular contracture (hardening of the scar tissue) or implant rupture or leakage should consider removal. During your consultation, Dr. K will assess your candidacy based on these and other individual factors.
How Much Does Breast Implant Removal Cost in Miami?
The cost of explant surgery at Dr. K Miami varies from $2,000 to $13,000 depending on several key factors. Understanding these cost variables helps patients prepare financially for their procedure.
Cost Variables Affecting Your Final Price
- Surgeon’s Experience and Reputation: As a Harvard and Johns Hopkins-trained plastic surgeon, Dr. K brings exceptional expertise to each procedure. This ensures both safety and optimal aesthetic outcomes.
- Procedure Complexity: Simple procedures to remove breast implants cost less than those requiring capsulectomy or en bloc removal. The specific technique used significantly impacts your final cost:
- Simple implant removal (lowest cost)
- Total capsulectomy (moderate cost)
- En bloc capsulectomy (higher cost due to increased surgical complexity)
- Facility and Anesthesia Fees: Costs vary based on whether the procedure is performed in a hospital, surgical center, or private clinic. Anesthesia costs depend on the type used and procedure duration.
- Additional Procedures: Combining breast implant removal and replacement or procedures like a breast lift or fat transfers to restore volume will increase the total cost. These additional procedures may be necessary to achieve desired aesthetic outcomes.
Typical Cost Breakdown Components
- Surgeon’s fee
- Anesthesia
- Facility fee
- Post-operative care
- Additional costs: prescriptions, post-surgery garments, required medical tests or imaging
Dr. K Miami offers personalized pricing for breast implant removal based on individual patient needs. Free initial consultations allow Dr. K to discuss your specific requirements and provide an accurate estimate tailored to your unique situation.
Financial Options and Insurance Considerations
Several financial options are available to help manage the cost of breast implant removal:
- Payment Plans: Dr. K Miami offers plans that allow patients to make monthly installments, making the procedure more accessible.
- Medical Financing: Third-party companies like CareCredit, Alphaeon Credit, and Prosper Healthcare Lending provide specialized healthcare credit cards or loans. These often include promotional interest-free periods ranging from 6-24 months for qualified applicants.
- Health Insurance Coverage: Insurance rarely covers the cost of breast implant removal if it’s done for cosmetic purposes. However, if removal is deemed medically necessary due to complications like capsular contracture or implant rupture, insurance may cover part of the costs.
Insurance companies typically consider breast implant removal medically necessary when there is documented leakage from silicone-gel implants or other complications. - Health Savings Accounts: Some patients opt to use HSA (Health Savings Account) or FSA (Flexible Spending Account) funds to pay for medically necessary implant removal procedures. This provides tax advantages.
Dr. K’s team can help prepare the specific documentation required by insurance companies to maximize your chances of coverage approval.
Implant Types and Surgical Techniques
Implant Types:
- Saline implants: Contain sterile salt water and cause fewer complications if rupture occurs, as the body safely absorbs the saline.
- Silicone gel implants: Have a more natural feel but present different considerations for removal. If a silicone implant ruptures, the gel may remain within the capsule (silent rupture) or leak into surrounding tissues.
Surgical Techniques:
- Standard capsulectomy: Most implant removal surgeries are performed by making an incision in the capsule around the implant, removing the implant, and then removing the capsule tissue separately.
- En bloc capsulectomy: The implant and surrounding capsule are removed together as a single unit without opening the capsule. This approach is particularly beneficial when there are concerns about implant rupture or BIA-ALCL, as it prevents the contents from contacting surrounding tissues.
- Partial capsulectomy: Only a portion of the scar tissue is removed.
As a plastic surgeon in Miami specializing in breast procedures, Dr. K primarily performs en bloc capsulectomy when medically indicated and possible. For patients with submuscular implants, he also recommends surgical reattachment of the pectoralis major muscles to the chest wall.
This minimizes the risk of visible muscle deformity and significantly improves blood flow and healing outcomes.
Selecting the Best Breast Implant Removal Plastic Surgeon in Miami
When considering breast implant removal, selecting the right surgeon is crucial for your safety and results. Dr. K (Bart Kachniarz) offers a combination of world-class credentials, surgical expertise, and personalized care.
These qualities significantly impact both safety outcomes and aesthetic results.
Credentials and Expertise to Consider
Dr. K has received multiple clinical awards for his excellence, including the Clifford C. Snyder Award and the Frank L. Coulson, Jr. Award for clinical excellence.
- Board Certification and Specialized Training: Dr. K’s exceptional training includes education from Harvard Medical School and plastic surgery training at Johns Hopkins Hospital. He completed his Chief Residency in Plastic and Reconstructive Surgery at Johns Hopkins Hospital/University of Maryland Shock Trauma Center.
- Professional Affiliations: Membership in the American Society of Plastic Surgeons (ASPS) represents a quality indicator when choosing a surgeon. An ASPS member must be a board-certified plastic surgeon who adheres to strict ethical guidelines and safety standards.
The ASPS requires members to operate only in accredited facilities and follow evidence-based practices.
- Hospital Privileges: Dr. K holds privileges at several prestigious hospitals in the Miami area. These include Memorial Regional Hospital, Memorial Hospital Miramar, HCA Florida Kendall Hospital, and Baptist Health South Miami Hospital.
This further attests to his recognized expertise and standards of care.
- Patient Testimonials: Reviews from Dr. K’s breast procedure patients consistently highlight his attention to detail, expertise, and the exceptional results they’ve experienced. As one patient, Anita Cole, notes: “I recently underwent a breast augmentation at Dr. K’s Miami Plastic Surgery, and I couldn’t be happier with the entire experience. From the initial consultation to the follow-up appointments, Dr. K and his team were exceptional.”
As a boutique practice, Dr. K Miami offers a personalized approach to breast procedures. This ensures each patient receives individualized care tailored to their unique needs and concerns.
His expertise in explantation techniques, including en bloc capsulectomy when needed, provides patients with confidence in their surgical outcomes.
Dr. K offers free breast implant removal consultation to discuss your specific concerns and needs for breast implant removal. During these meetings, he thoroughly explains the procedure, addresses all questions, and develops a customized surgical plan.
Consultation to Recovery – The Complete Process
Breast implant removal surgery requires careful planning and execution to ensure optimal results. The procedure at Dr. K Miami involves several key phases that patients should understand before committing to surgery.
1. Initial Consultation
During your free initial consultation, Dr. K will evaluate your medical history and current implant status. He will examine the condition of existing implants, breast tissue quality, and skin elasticity.
He’ll discuss your goals and expectations for the procedure and present options for addressing potential cosmetic concerns following removal. The consultation also includes reviewing anesthesia options, potential risks, and realistic recovery expectations.
You’ll need to arrange for a responsible adult to drive you home after surgery. This is necessary because the procedure is performed under general anesthesia and you will not be permitted to drive yourself.
2. Pre-Surgical Preparation
To prepare for your breast implant removal surgery, quit smoking several weeks before and after the procedure. Smoking impairs circulation and healing.
Complete household tasks in advance and prepare meals that can be easily reheated. Arrange for help with childcare and household responsibilities during initial recovery.
Create a comfortable recovery space with necessary items within easy reach. Avoid eating or drinking after midnight before your procedure.
Take a thorough shower the night before surgery. Avoid lotions, fragrances, or deodorants on the day of surgery.
3. Explant Surgery: Procedure Details
Dr. K typically makes incisions along the same lines as the original implant placement to minimize additional scarring. The breast implant removal procedure follows a clear sequence:
- Incision: An incision is made along the inframammary fold (the natural crease beneath the breast) or around the areola. Ideally, this uses the same incision as the original augmentation to minimize scarring.
- Implant and Capsule Removal: The implant and surrounding scar tissue are carefully removed from the breast pocket. For saline implants, Dr. K may first deflate the implant by removing the saline with a syringe before extracting the silicone shell.
This approach can minimize internal scarring. - Pocket Repair or Replacement: If implant replacement is planned, the new implant is inserted at this stage. Otherwise, the breast pocket is repaired and tightened.
- Closure: The incisions are closed using meticulous suturing techniques to optimize healing and aesthetic outcomes.
Medical Indications for Capsulectomy:
- Capsular contracture causing pain, discomfort, or visible breast distortion
- Prevention of complications during implant removal or replacement
- Implant rupture or leakage to prevent further complications
Combining with Additional Procedures:
For patients unhappy with sagging after implant removal, Dr. K may recommend combining the procedure with:
- Breast Lift (Mastopexy): Repositions breast tissue and nipples for a more youthful appearance.
- Fat Transfer: Uses the patient’s own tissue harvested from other body areas to restore volume.
Anesthesia is typically local with sedation, though general anesthesia is available as an option. For eligible candidates, Dr. K also offers minimally invasive techniques that use smaller incisions.
These can potentially result in less visible scarring and faster recovery times.
4. Recovery Timeline and Aftercare
Most patients can return home the same day as surgery, as implant removal is an outpatient procedure, though continuous monitoring for 24 hours is advised. Recovery follows a predictable pattern:
Recovery Timeline:
- Days 1-3: Managing inflammation and discomfort while resting completely. Most patients will need prescription pain medication for only 2-3 days. After this initial period, over-the-counter NSAIDs are typically sufficient.
- Week 1: Patients with low-intensity jobs can typically return to work. Once you’ve stopped taking narcotic medications, you can generally resume driving.
- Weeks 2-3: Resume daily tasks while avoiding pressure on incisions.
- Weeks 4-5: Most patients can switch from compression garments to soft sports bras and begin light exercise with surgeon approval.
- Week 6: Resume normal daily activities and exercise routines. Full results continue to develop over several months.
Post-Surgical Care:
Immediately following surgery, your chest will be wrapped in a specialized compression garment. This reduces swelling, promotes healthy circulation, helps maintain the new breast contour, and provides comfortable support.
Drainage tubes may be placed temporarily to reduce fluid buildup. Sleep on your back or side to avoid pressure on the surgical site.
Most patients experience moderate discomfort for 3-7 days post-surgery. Many patients report experiencing less pain with breast implant removal with Dr K than with their original breast augmentation.
This is typically because there is less muscle manipulation during the explantation procedure.
Follow-up Appointments:
You can expect a minimum of three follow-up appointments after your surgery:
- Approximately one week post-surgery
- One month after surgery
- Three months after surgery
- Possibly a final appointment at six months post-procedure
These appointments are included in your surgical package. Dr. K’s team is available for additional appointments if needed during your recovery journey.
Final Results:
While you’ll notice immediate changes in breast shape following surgery, the final aesthetic results develop gradually. Initial results will be visible right away.
It typically takes several weeks to months for your final breast appearance to fully emerge as swelling resolves completely. Any scarring at the incision sites will fade over time and can easily be concealed with bathing suits or bras.
5. Long-Term Care and Maintenance
Following your recovery from breast implant removal, establishing healthy routines supports long-term well-being. Perform regular breast self-exams to monitor any changes in breast tissue.
Wear properly fitted, supportive bras to maintain comfort and breast appearance. Maintain a healthy lifestyle including balanced nutrition and regular exercise.
Schedule annual follow-up appointments to monitor long-term results and ensure timely breast imaging as needed.
Physical Complications
Breast implant removal, while generally safe, presents several potential complications. These include bleeding, infection, or adverse reactions to anesthesia during or after the procedure.
Scarring is inevitable, though visibility varies based on surgical technique and individual healing factors. Hematomas or seromas (collections of blood or fluid) may develop and require additional drainage procedures.
Other risks include unfavorable scarring, breast asymmetry, difficulties removing capsular contracture tissue completely, and potential nerve damage.
Nerve damage may result in temporary or permanent changes in breast or nipple sensation. This risk increases with complex cases involving extensive scar tissue or implant complications.
Emotional and Psychological Adjustment After Implant Removal
Many women experience significant emotional responses following implant removal:
- Physical Changes: When implants are removed, the breasts typically return to approximately their pre-implant size and shape. This varies based on how long the implants were in place and their original size.
Some degree of sagging may occur, particularly with longer-term or larger implants. This happens because the stretched skin and tissue may not fully retract. - Mixed Feelings: Some patients report mixed feelings of relief and loss after surgery. Those who experienced chronic fatigue, autoimmune symptoms, or anxiety related to their implants often note improvement in these conditions following removal.
- Body Image Adjustment: Many patients experience a significant shift in body image following implant removal. While some women report feeling more comfortable and confident with their natural appearance after removal of the breast implants, others may initially struggle with the change.
The adjustment period varies greatly among individuals. Support from friends, family, or counseling often proves beneficial. - Breast Appearance Concerns: Many patients have concerns about their breasts appearing deflated after implant removal. While some degree of change in breast appearance is expected, Dr. K uses advanced techniques to minimize this effect.
For patients concerned about significant deflation or sagging, a simultaneous breast lift can be performed. This repositions the breast tissue and achieves a more youthful appearance.
Dr. K’s caring approach helps patients navigate this adjustment period, which varies considerably between individuals. His artistic touch and attention to aesthetic outcomes help women embrace their natural appearance and adjust to their changed body contour.
Importance of Post-Operative Follow-Up
Consistent post-operative follow-up is crucial for optimal recovery outcomes. Dr. K personally monitors each patient’s healing progress and addresses any complications promptly.
Follow-up visits provide opportunities to discuss any physical discomfort or emotional concerns that arise during recovery. Patients should maintain open communication about any unusual symptoms like persistent pain, swelling, or signs of infection.
Recent FDA statements acknowledge that implanted medical devices, including breast implants, may cause inflammatory reactions and tissue changes in some patients. This information reinforces the importance of ongoing monitoring and open communication with your surgeon regarding any symptoms or concerns.
Frequently Asked Questions
Will I be satisfied with how my breasts look after implant removal?
This is a common concern among patients considering explantation. Dr. K takes every measure to ensure patient satisfaction with their results.
Some patients may experience sagging or loose skin after implant removal, particularly if the original implants were relatively large. To address these concerns, Dr. K can recommend complementary procedures such as a breast lift or fat transfer breast augmentation to achieve your desired aesthetic outcome.
How long does the breast implant removal procedure take?
The breast implant removal performed by Dr. K typically takes between 1-3 hours to complete, depending on the complexity of your case. Factors that can extend the implant surgery duration include the presence of leaking implants, excessive scar tissue, or implant rupture.
Dr. K will provide a more accurate time estimate based on your specific situation during your consultation.
Does insurance cover the expenses for breast implant removal procedures?
Insurance coverage for breast implant removal surgery in Miami depends on the reason for the procedure. Most insurance companies consider the removal medically necessary if complications like capsular contracture, implant rupture, or breast implant illness occur.
Documentation from healthcare providers about medical symptoms is usually required for insurance approval.
Most major insurance companies typically consider breast implant removal medically necessary when there is documented leakage from silicone-gel implants or other complications. Dr. K’s team can help prepare the specific documentation required by insurance companies to maximize your chances of coverage approval.
Without medical necessity, insurance typically classifies the procedure as cosmetic and does not provide coverage.
Will removing implants increase my breast cancer risk?
No, studies have not found any correlation between implant removal and increased breast cancer risk. In fact, removing implants can sometimes make breast cancer screening more effective.
Will breast implant removal affect my ability to breastfeed in the future?
No, breast implant removal typically doesn’t negatively impact future breastfeeding abilities. In fact, some women find breastfeeding becomes easier after implant removal.
Dr. K can discuss any specific concerns regarding breastfeeding during your consultation based on your unique anatomy and surgical history.
Will my breasts look flat after implant removal?
Some degree of flattening or sagging is normal after implant removal, depending on factors like skin elasticity, implant size, and natural breast tissue. Patients with good skin elasticity often retain some of their breast shape.
Many women choose to combine implant removal with a breast lift to address potential sagging concerns.
Your Plastic Surgery Journey: Next Steps with Dr. K Miami
Are you ready to learn about breast implant removal options with Miami’s premier plastic surgeon? Dr. K brings his Harvard and Johns Hopkins training, artistic approach, and personalized care to every procedure.
This ensures exceptional results tailored to your unique needs.
Take advantage of our free initial consultation to discuss your concerns, goals, and questions about breast implant removal. During this one-on-one meeting, Dr. K will evaluate your specific situation, explain your options, and develop a customized treatment plan.
Don’t wait to take the first step toward feeling comfortable and confident in your body again. Contact Dr. K Miami Plastic Surgery today at (305) 370-5002 or email info@drkmiamiplasticsurgery.com to schedule your free consultation.
Let us help you get the body you deserve with the boutique care and exceptional results you can trust. Our dedicated team is ready to guide you through every step of your breast implant removal journey.
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