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Top Breast Reconstruction Specialists in Charleston, SC

Internal Mastopexy Following En Bloc Explant

As far back as the early 1990s, leading plastic surgeons were researching the best way to manage the empty skin pockets that remain after breast implant removal. The en bloc explant procedure was developed as a way to remove the implant and the entire surrounding scar tissue capsule in one piece. This procedure can result in misshapen or uneven breasts that often require revision surgery.

An internal mastopexy can help reshape, lift, and even out your breasts. This surgical procedure reconstructs the skin pockets resulting from en bloc explanation, helping to create a more natural-looking breast shape.

At The Center for Natural Breast Reconstruction, our expert team is experienced in this procedure and can help you achieve the results you desire. If you’re interested in learning more about internal mastopexy following en bloc explant, our specialists can provide the best possible information and care. Contact us now to discuss how we can help you!


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What Is Internal Breast Lift or Internal Mastopexy?

In the abstract of their 1996 article(opens in a new tab), Dr. Hagerty and Dr. Scioscia described a technique for internal mastopexy:

"Controversy over the theoretical complications from silicone gel breast prostheses has led many patients to pursue explantation or removal of the implants. Consequently, the breast is often misshapen. An internal mastopexy can be performed in conjunction with explantation, requiring little additional operative time and no additional scars. Although limited by tissue availability, the procedure can minimize ptosis and improve projection.”

Following growing concerns around silicone breast implants, the internal mastopexy procedure was used to help women who were having their implants removed restore their natural breast shape.

The internal mastopexy procedure works by placing sutures within the breast tissue at specific points and tightening them. This compresses the loose skin and underlying tissues, resulting in a tighter, more natural breast shape.

The procedure leaves no additional scarring, making it a popular option for women who want to have their implants removed without compromising the appearance of their breasts. 

Our specialists are highly experienced in both the en bloc explant and internal mastopexy procedures, and they can provide comprehensive care to help you achieve your desired results.

Frequently Asked Questions

Is the internal mastopexy technique available to all women who are undergoing implant removal?

Yes, most women can have this performed at the same time as their explant surgery.

What are the benefits of having these procedures done at the same time?

When these procedures are done at the same time, the patient only needs one surgery time with a single round of anesthesia. Internal mastopexy can also decrease the risk of developing a seroma (fluid collection) within the skin pocket after removing the implant.

Can I just have the en bloc explant done without a mastopexy?

Yes, and many women do choose that option to save money. To achieve the best results after explantation, we often recommend having an internal mastopexy to fully restore the breast's shape. Our experienced surgeons can help you choose the best option for you based on your unique situation.

What is the average cost of en bloc explant with and without the internal mastopexy?

At The Center for Natural Breast Reconstruction, the cost ranges from $8,495 to $11,245. These costs include all pre-op and post-op care, surgeon fees, anesthesiologist fees, hospital operating room fees, and a CosmetAssure policy to cover you during your procedure and post-operative period. The only other costs may be pre- and post-operative medications and pathology fees for the tissue and implant removed to be examined.

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