Breast Implant Removal & En Bloc Explant Surgery in Beverly Hills

Personalized, compassionate surgical care focused on your health, comfort, and peace of mind

A Personal Message from M. Ryan Khosravi, MD, FACS

If you are experiencing unexplained systemic symptoms and evaluating breast implant removal, having a surgeon who listens without judgment is essential. Every patient’s journey with Breast Implant Illness (BII) is unique, and our priority is providing clear, honest, and evidence-based guidance.

Whether you need a total capsulectomy, an en bloc removal, or are exploring post-explant reconstruction options like a breast lift or fat transfer, we tailor every surgical plan to your specific goals and anatomy.

Specialized Explant & Reconstruction Care

• Comprehensive Consultation: Detailed physical evaluation of your implant type, placement, and current concerns.

• Implant Removal & Total Capsulectomy: Precise surgical techniques designed to remove the implant and surrounding scar tissue capsule cleanly.

• Restorative Reconstruction: Options for natural reshaping, including mastopexy (breast lift) or autologous fat transfer, performed during the same procedure if desired.

• Private Accredited Facility: All procedures are performed in our QUAD A accredited on-site surgery center, ensuring strict safety standards and maximum privacy.

Understanding Breast Implant Illness (BII)

Breast Implant Illness (BII) is a term used to describe a range of systemic symptoms reported by some women with breast implants. These symptoms may include fatigue, joint or muscle pain, difficulty concentrating or “brain fog,” sleep disturbance, headaches, and other nonspecific symptoms.

There is currently no single laboratory test or imaging study that confirms BII. Because many of these symptoms can also occur with other medical conditions, a thoughtful evaluation is important. When appropriate, patients should be evaluated for other potential causes before deciding on surgery.

At Dr. K Plastic Surgery, we take these concerns seriously. Our approach combines careful medical evaluation, evidence-based surgical guidance, and respect for each patient’s individual experience and decision regarding her implants.

How We Evaluate Breast Implant Illness

Because BII symptoms can overlap with many other medical conditions, our evaluation begins with a careful review of your symptoms, medical history, implant history, and any previous testing or treatment.

BII is generally considered a diagnosis of exclusion. When appropriate, we may recommend evaluation by your primary care physician or another specialist to investigate other possible causes of your symptoms.

Imaging such as MRI may be useful when implant rupture or another implant-related problem is suspected, but imaging does not diagnose BII itself. Routine capsule biopsy or immunosuppressive treatment is not generally indicated unless there is a specific medical reason or diagnosed condition.

Explant Surgery, Total Capsulectomy & “En Bloc” Removal

When breast implant removal is chosen, the surgical approach should be individualized. In many patients, Dr. Khosravi prefers removal of the implant together with a total capsulectomy when it can be performed safely.

The term “en bloc” comes from cancer surgery and technically refers to removing a tumor together with a margin of surrounding normal tissue. In breast implant surgery, the term is often used differently to describe removal of the implant and capsule together as one unit. For BII, we do not routinely remove normal breast tissue, muscle, or lymph nodes simply to achieve an “en bloc” removal.

Patient safety remains the priority. Depending on the capsule, implant position, surrounding anatomy, and operative findings, removing the implant and capsule completely intact may not always be appropriate or possible. The surgical plan is tailored to each patient rather than using a single technique for everyone.

Breast Shape After Explant: Lift & Fat Transfer Options

After implant removal, the appearance of the breast depends on several factors, including implant size, skin elasticity, existing breast tissue, age, and how long the implants have been in place.

Some patients are comfortable allowing the breast to heal naturally after explant surgery. Others may benefit from a mastopexy (breast lift) to reshape and reposition the remaining breast tissue. Fat transfer may also be considered in selected patients to restore some natural volume without replacing the implant.

These decisions are highly individualized. Because the breast can continue to change as the tissues settle after implant removal, reconstruction can sometimes be a “moving target.” Dr. Khosravi will discuss whether a lift or fat transfer is best performed at the time of explant surgery or considered later after healing.

What to Expect After Explant Surgery

Explant surgery is typically performed as an outpatient procedure. Depending on the extent of capsulectomy and reconstruction, surgical drains are commonly used to help remove fluid during the early healing period.

Recovery varies depending on the procedure performed. Patients undergoing implant removal alone may have a different recovery from those having a total capsulectomy, breast lift, or fat transfer at the same time. Dr. Khosravi will provide individualized postoperative instructions and follow-up throughout the healing process.

Some patients report improvement in systemic symptoms after implant removal, while others may experience partial improvement, no change, or symptoms that evolve over time. Because BII symptoms are nonspecific and may have multiple causes, surgery cannot guarantee that systemic symptoms will resolve. Our goal is to provide realistic expectations so that each patient can make an informed decision.

Why Choose Dr. K Plastic Surgery for BII & Explant Surgery

Patients considering explant surgery deserve to feel heard, informed, and respected. At Dr. K Plastic Surgery, the decision to remove breast implants is approached without judgment and without pressure toward a particular choice.

M. Ryan Khosravi, MD, FACS, is a board-certified plastic surgeon with extensive experience in breast surgery. Each patient receives an individualized surgical plan based on her symptoms, implant history, anatomy, goals, and findings during evaluation.

Explant and reconstructive procedures are performed in our private, QUAD A-accredited surgical facility in Beverly Hills, allowing continuity of care from consultation through surgery and postoperative follow-up.