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West Palm Beach Plastic Surgeon

Implant Explantation (Total Capsulectomy)

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Implant Explantation (Total Capsulectomy)

Removal of Breast Implants – Total Capsulectomy Dissection

Breaking News:

Dr. Barr announced today, Thursday June 27th 2019 – “Due to ongoing FDA and Clinical Investigation along with heightened patient concerns and reports regarding breast implants, I have chosen NOT to perform Breast Implants.”

Breast Implant Explantation & Concerns

If you have breast implants and you are experiencing any of the following unexplained symptoms or illnesses:

  • Brain Fog
  • Unexplained fatigue
  • Thyroid problem
  • Rheumatoid arthritis
  • Autoimmune Illness
  • Hair loss
  • Skin allergies
  • Muscle weakness or joint pain

We recommend a Complimentary consultation with Dr. Barr.

Every woman’s experience with breast implants is unique to them and the best way to gain knowledge and ask personal questions would be to schedule a consultation with Dr. Barr.

Patients requesting removal of their implants need a doctor who understands their BII (Breast Implant Illness), allergy, auto immune, illnesses that have been occurring. Thyroid hormone, allergy, or autoimmune issues have been reported. Symptoms include, but are not limited to, fatigue, low energy, brain fog, memory loss, headaches, joint and muscle pain, hair loss, repeated infections, swollen lymph nodes and glands, rashes, gastrointestinal upset, weight loss, insomnia, anxiety and depression.

Find A Doctor That Will Listen

“My advice to anyone is if there is any issue at all with your breasts, go see your physician, and if you don’t get the information that you are thinking should be appropriate, then go find somebody else. You need to be listened to and heard and evaluated,” says Barr.

Total Capsulectomy Dissection

The terminology used when talking about breast implants and scar tissue can be quite confusing:

  • Implant – Refers to the breast implant itself – can be saline or silicone.
  • Capsulectomy: The capsule around the implant is removed. This procedure is usually done when the capsule feels hard or when an implant is being permanently removed.
  • Total Capsulectomy Removal: In this procedure, both the capsule and implant are removed in one piece, with the implant remaining contained within the capsule.

Smaller … but safer

One month after Amy’s breast explant surgery, “My thyroid is functioning properly for the first time in years. My hormones are coming back into balance. My posture is better, my neck and spine don’t hurt all the time, my complexion is clearer and I have more energy,” she says.

The Choice Is Yours

It is important to remember the choice to get implants and to remove them is ultimately the patient's. Regardless of future definitive scientific silicone implant adverse associations, it is abundantly clear some women genuinely feel their bodies are being adversely affected by their implants and deserve to have their concerns acknowledged. For this subset of patients, Dr. Barr has advocated for women to consider the removal of their implants and surrounding scar tissue in hopes of freeing these women from the adverse reactions they believe their bodies are suffering. Cosmetic options after implant removal are either no further treatment or mastopexy – a procedure where breast tissue is reshaped to give a pleasant cosmetic breast appearance.


Talk to Your Surgeon

Today people are often influenced by the trends and information that is seen on social media. In truth, much of the information being circulated is based on personal opinions and not backed by scientific research. Although we all have a right to form our own opinions, it is a surgeon’s job to listen to a patient’s preferences and wishes and educate them regarding their options. It is also every surgeon’s responsibility to inform patients about possible complications based on the most up-to-date scientific evidence and do the best job possible to avoid any such complications. Every person heals and potentially reacts differently to surgery, and it is impossible to “ guarantee” the avoidance of every possible predictable or unpredictable complication. Patients need to weigh the benefits as well as the potential risks of breast implants and make their own choices. In turn, surgeons should listen carefully to their patients and help guide them with these most personal options.

The Food and Drug Administration (FDA) has been regulating the use of silicone breast implants since 1976. The FDA lifted their previous 14-year ban on silicone gel-filled implants approving the newly created more cohesive gel implants in 2006.

FDA Statement Regarding Breast Implants

Read the latest statement from The American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons have been working collaboratively to keep plastic surgeons informed of the latest information on breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).

Remember, every woman’s experience with breast implants is unique to them and the best way to gain knowledge and ask personal questions would be to schedule a consultation with Dr. Barr.

Call for FREE Consultation with Dr Barr – (561) 833-4122

*Join the discussion:
Follow us on Facebook for upcoming events and discussions on Total Capsulectomy Link


Please understand Dr. Barr will do his very best to achieve a pleasing result – HOWEVER, due to the unknown effects of tissue damage caused by the implant and its removal, cosmetic results are unpredictable and cannot be guaranteed.

Available Medical Studies About Breast Implant Illness

1. Sclerodermalike esophageal disease in children breast-fed by mothers with silicone breast implants.
2. Immune functional impairment in patients with clinical abnormalities and silicone breast implants.
3. Suppressed natural killer cell activity in patients with silicone breast implants: reversal upon explantation.
4. Silicone-induced modulation of natural killer cell activity.
5. An association of silicone-gel breast implant rupture and fibromyalgia.
6. Antibody to silicone and native macromolecules in women with silicone breast implants.
7. Cellular immune reactivities in women with silicone breast implants: a preliminary investigation.
8. Breast implant-associated anaplastic large cell lymphoma: a systematic review.
9. Silicone breast implant rupture presenting as bilateral leg nodules.
10. Intrapulmonary and cutaneous siliconomas after silent silicone breast implant failure.
11. Silicon granuloma mimicking lung cancer.
12. Neck lymphadenitis due to silicone granuloma.
13. Silicone Toxicology.
14. Locoregional silicone spread after high cohesive gel silicone implant rupture.
15. Silicon granulomas and dermatomyositis like changes associated with chronic eyelid edema.
16. Demonstration of silicon in the sites of connective-tissue disease in patients with silicone gel breast implant.
17. Systemic sclerosis after augmentation with silicone breast implants.
18. Human adjuvant disease following augmentation mammoplasty.
19. Increase urinary NO3(-) + NO2- and neopterin excretion in children breast fed by mothers with silicone breast implants: evidence for macrophage activation.
20. Espophageal dysmotility in children breast-fed by mother with silicone breast implants. Long term followup and response to treatment.
21. Silicone gel breast implant rupture, extracapsular silicone, and health status.
23. Microscopic Polyangiitis following silicone exposure from breast implants.
24. Left unilateral breast autoinflation
25. The semi-permeability of silicone: a saline-filled breast implant with Aspergillus flavus (fungus).
26. Paecilomyces variotii contamination in the lumen of a saline filled breast implant.
27. Microbial growth inside saline filled breast implants.
28. Detection of subclinical infection in significant breast implant capsules
29. Infections in breast implants.
30. Vertical Transmission of Babesiosis Microti, US
31. Current management of human granulocytic anaplasmosis, human monocytic ehrlichiosis and Ehrlichia ewingii ehrlichiosis
32. Importance of histological analysis of seroma fluid to check for ALCL.
33. Promotion of variant human mammary epithelial cell outgrowth by ionizing radiation: an agent-based model supported by in vitro studies.
34. Implant infection after augmentation mammaplasty: a review of the literature and report of a multidrug-resistant Candida albicans infection. https://pubmed.ncbi.nlm.nih.gov21717259
35. Stimulation of T lymphocytes by silica after use of silicone mammary implants.
36. Severe Asia Syndrome associated with lymph node, thoracic and pulmonary penetration by silicone
37. Rupture and intrapleural migration of Cohesive Silicone Gel Implant
38. Lipogranulomatosis and hypersplenism induced by ruptured silicone breast implants
39. The spectrum of ASIA: ‘Autoimmune (Auto-inflammatory) Syndrome induced by Adjuvants’
40. Intrapulmonary and cutaneous siliconomas after silent silicone breast implant failure
41. Silicone breast implant rupture presenting as bilateral leg nodules
42. Microbial Growth Inside Saline Implants:
43. Endocrine activity of persistent organic pollutants accumulated in human silicone implants–Dosing in vitro assays by partitioning from silicone.
44. Residual silicone detection using mri following previous breast implant removal: Case reports
45. Complications related to retained breast implant capsules
46. TILT – Toxicity Syndrome Introduced by Metals and Chemicals including Breast Implants
47. Silicone breast implants and autoimmunity: causation, association, or myth?
48. Adjuvant Breast Disease: An Evaluation of 100 Symptomatic Women with Breast Implants Or Silicone Injections and a picture of silicone in breast milk ducts from a ruptured silicone breast implant.
49. Anti-collagen autoantibodies are found in women with silicone breast implants.
50. Silicone Review:
51. Silicone breast implant associated musculoskeletal manifestations
52. Silicone breast prosthesis and rheumatoid arthritis: a new systemic disease: siliconosis. A case report and critical review of the literature.
53. Breast implant associated anaplastic large cell lymphoma: a case report and reconstructive option.
54. Radiological trap and oncological precautions in a patient who has undergone a permanent withdrawal of PIP breast implants.
55. Late massive breast implant seroma in postpartum.
56. Late seroma during pregnancy, a rare complication in prosthetic breast augmentation a case report:
57. Talc deposition in skin and tissues surrounding silicone gel-containing prosthetic devices.
58. Silicone breast implants, autoimmunity and the gut.
59. Silicone breast implant-induced lymphadenopathy: 18 Cases
60. Is explantation of silicone breast implants useful in patients with complaints?
61. Seroma in Prosthetic Breast Reconstruction
62. Severe manifestation of autoimmune syndrome induced by adjuvants (Shoenfeld’s Syndrome)
63. Hypercalcemia as a consequence of modern cosmetic treatment with liquid silicone
64. Endocrine activity of persistent organic pollutants accumulated in human silicone implants:
65. The Dark Side of Breast Implants by Frank Vasey: MD.cfm
66.The Breast Implant Working Groups Breast Implant Black Box Warning and Patient Checklist
67. Talking Points
68. Breast Implant Illness: A Way Forward
69. FDA proposes “black-box warning” for breast implants – its strongest form of caution

Breast Explant + Lift Before and After Photos

Breast Explant Before and After Photos


As a result of the Total Capsulectomy procedure there may be negative cosmetic consequences such as but not limited to the following: scaring, contour irregularities, asymmetry, volume loss and indentations.
There are no guarantees that BII symptoms will be resolved after Total Capsulectomy procedure.

Implant Explantation (Total Capsulectomy) | West Palm Beach Plastic Surgeon

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Serving All Of The Palm Beaches & Treasure Coast, Including West Palm Beach, Palm Beach, and Surrounding Areas

At Palm Beach Plastic & Cosmetic Surgery, we view Plastic Surgery procedures in a direct and honest manner using the principles of either addition, subtraction or a combination of both.

For additional treatments and procedures not listed, please complete the form to the right to request more information or call (561) 833-4122.

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Our Faqs


If I am seeking to undergo a combination of procedures, will they be done together or consecutively? What is the timeline for multiple procedures?


The answer depends on multiple factors, including the specific combination of procedures, your recovery rates, your age and health status, and your behaviors or habits. More invasive surgeries typically require recovery time ranging between 6 and 12 weeks to 6 months, and surgeries to the same area of your body will also generally require recovery time between procedures.

However, if you are in good health and the combination of procedures in question will be performed on different parts of your body and are not especially invasive, a combination of procedures could potentially be approved together on a case-by-case basis. It is imperative that the combination of procedures does not compromise your healing, and your attention to prescribed pre-operation and recovery habits also plays a significant role. Schedule a consultation for an assessment and guidance regarding the procedures you are considering.


Will it be obvious that I “got work done” after my procedure?


While aging affects us all, there are steps we can take to put forth a more vibrant appearance. We seek to perform subtle adjustments to address imperfections and the wear of time while retaining your natural look. While you should notice an improvement, the glaring changes or distortions in appearance you are concerned about and may have seen from other surgeons’ work do not meet the standard of quality plastic and cosmetic surgery we perform in our office.

Dr. Frederic M. Barr is a board-certified Plastic & Cosmetic Surgeon with over 30 years of experience performing Plastic Surgery in South Florida. We enhance and refine your appearance according to your goals. Review our Gallery of Before & After Photos to see some examples of our work.


What does Breast Explant Surgery entail, and will my breasts be “back to normal” after the surgery?


For patients with Breast Implant Illness (BII), which can include allergy, auto-immune, and thyroid hormone issues, this has been an emerging topic with significant press coverage in recent years. Although numerous medical professionals have demonstrated varying responses to these women’s concerns, we believe in addressing these women’s experiences and symptoms. In response to this phenomenon, we have also chosen not to perform new breast implant surgeries. We perform Total Capsulectomy on patients with breast implants, which involves the removal of both the saline or silicone implant and the capsule around it.

Removal of the implants and surrounding scar tissue has been shown to improve women’s health concerning these symptoms. While some women choose no further procedure following Breast Explant Surgery, some patients elect to have a Mastopexy procedure that involves reshaping the breast tissue for a pleasant cosmetic breast appearance. We welcome your specific questions regarding these procedures and their anticipated effects for your situation. See our Breast Implant Explantation (Total Capsulectomy) page for more detailed information, including before-and-after photo examples.

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