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Dr. Linder's Blog


Category: Implant Removal

Explantation & Breast Reduction With Lift

Pre-Op & Post-Op (day one)

Pre-Op & Post-Op (day one)

The female patient presented was looking to have her breast implants removed and wanting to improve her breast appearance without placing new implants. During her examination, she expressed she was hoping to have a breast lift and reduction. After discussing her expectations, we agreed to perform an explantation (implant removal), mammoplasty (reduction), and mastopexy (breast lift).

The video below shows the pre-op marking where I go over the implant removal, breast reduction, and a full breast lift (mastopexy)  using a wise pattern anchor approach.

During her surgery, I removed the high placed breast implants and performed a breast reduction (removing some tissue and skin to reshape and reduce the size of the breast) and a lift to bring the breasts to a higher and more youthful position.

The post-op (day one) photo shows a drain placed to help decompress the space around the pedicle that was created as well as wearing a Linder Bra to provide support after surgery.  The patient is happy, and she has achieved a nice shape and symmetrical balance.

To schedule your consultation with Dr. Linder and learn more about breast implant removal, breast reduction, or breast lift, call our office at (310) 275-4513 in Beverly Hills or fill out our online contact form today.


Breast Surgeries Prior To Holiday Season

As the holiday season approaches, my Beverly Hills practice always seems to be very busy when it comes to breast surgeries. This year is no exception, as my operating room staff and I performed seven breast surgeries yesterday. Those procedures included two breast implant revision surgeries due to ruptured saline implants, two breast implant revision surgeries due to capsular contracture, two implant removal and exchange procedures, and one primary breast augmentation.

Most patients elect to have this surgery during this time to take advantage of their holiday vacations for their recovery after the procedure. Recovery time varies due to the type of breast procedure ranging from two to three weeks. After surgery, patients are sent home with a Bias wrap and gauze in place. Patients should avoid heavy lifting and raising their arms above their shoulders for three weeks. Postoperative visits are scheduled over the next six weeks as needed.

To schedule your consultation with Dr. Linder or learn more about breast revision or primary augmentation surgery, call our office at 310-275-4513 or fill out our online contact form today.

















Recently, an article on Yahoo.com, July 21, 2016, indicated that Crystal Hefner, wife of Hugh Hefner, and Playboy model in the past, had removed her silicone implants because of debilitating and burning pain of which she stated included, “cognitive dysfunction, incapacitating fatigue, burning bladder, pain and recurrent infections.”  She claims to have removed her implants on June 15th because they were slowly poisoning her and that although she has a diagnosed history of fatigue from Lyme’s disease and toxic mold which she believed that these were specifically due to her implants.  No evidence or studies have shown that there is a positive correlation of saline or silicone implants nor the breakdown of the shell of silicone or saline implants that would lead to Lyme’s disease or mild fatigue, autoimmune disease or any of the specific symptoms that she is describing.

Explantation of implants is a procedure we do perform here in our Beverly Hills Surgery Center on a weekly basis.  Patients have a myriad of reasons for removing the implants, including recurrent capsular contracture, pain throughout the breasts, ruptured implants or a desire to simply downsize and remove the implants altogether.  However, once again, no evidence has been shown or any correlation of saline or silicone implants leading to any form of autoimmune disease or any form of specific symptoms that Crystal Hefner has described.  Women should not be alarmed and remove their implants with this lack of obvious evidence.  Some women may feel better after removing their implants.  Whether this is physiological, psychological or both, must be determined on an individual basis.  It is definitely true that the ruptured silicone implants or saline implants should be replaced as soon as possible and a chronic rupture of silicone for many years can lead to silicone migrating in an extracapsular fashion to the lymph nodes of the axillary region or to any other lymphatic structure in the body.  So removing ruptured silicone implants is definitely warranted, with replacement most often performed at the same time.

For a consultation regarding implant removal give us a call at (310) 275-4513 or feel free to contact us via email for more information.

37 Year Old Female With A Ruptured Implant

A 37-year-old African American female presented with a ruptured implant. The ruptured implant was a lower profile saline and was about ten years old. During the consultation, we discussed not only removing the implants but also what her goals were after her breast revision surgery. After setting the expectation, we decide to replace the old implants with high profile 425cc saline implants and overfill them to 465cc.

As you can see from the 7-week postop photos, she looks great in her clothing and she is very pleased with her size and shape.
To schedule your consultation with Dr. Linder and learn more about breast revision surgery or replacement of ruptured implants replacement. Call our office at 310-275-4513 or fill out our online contact form today.


Breast Implant Removal Procedure

I was presented with a 51-year-old female patient desiring removal of her 300cc silicone breast implants. During the consultation, we discussed her desire to remove the implants, and we determine she would be a good candidate for the explantation no replacement procedure.
After removing her implants, drains were placed for seven days. The pre-op photo to the left shows an excellent example of explantation.






Ruptured Silicone Gel Textured Implant

This is an excellent example of a reconstructive patient with ruptured silicone gel textured implants and an isolated capsule from the parenchyma of the breast. This is a 72-year-old Russian patient presenting from the USSR with specifically severe ruptured silicone Baker IV capsular contracture and a double-bubble breast deformity.

Upon entering into the breast pocket, the entire implant was notably isolated with the capsule and was detached from the parenchyma of the breast tissue. Notice the white capsule attached to the silicone gel implant. This is more likely in textured silicone cases. Why there was no longer contiguity of the capsule with the breast tissue is unknown. In any case, this is an interesting case of a free-floating silicone textured implant with the capsule completely isolated freely and mobile in the breast pocket. Capsules are made out of three components. Notice the white glistening of the capsules made out of high collagen levels, fibroblastic tissues and blood vessels. This extremely thick capsule was most notably interesting because of its contiguity with the silicone implant and its free-floating nature within the pocket.

For a consultation regarding breast implant surgery call us at (310) 275-4513 or feel free to contact via email for more information. 


Introducing Our New Website www.ImplantRemoval.net

I am very excited to announce the launch of our new website, www.ImplantRemoval.net. Over the years in my Beverly Hills practice, women have been considering the option of removing their breast implants, and I felt compelled to provide a place where this information can be available.

My goal of this new site was to address why women may consider implant removal and explain the two surgical approaches available: implant removal with lift and implant removal without lift.

Why Women May Consider Breast Implant Removal


Here in my Beverly Hills plastic surgery practice I see patient everyday who choose to enhance their breast for a variety of personal reasons; likewise, there are women who decide to remove their breast implants. Over the years women have explained why they have been considering this option and I thought I would share there thoughts.

If you wish to have your implants removed rather than undergo breast implant revision, feel free to give us a call so we can review your options. (310) 275-4513)

Wants to Feel Healthier

Weight Gain

Uncomfortable and Heavy

Breasts Begin to Sag

Stay Implant Free

Much Too Large

Feel Normal Again

It’s Just Time

Never Looked or Felt Right

Finally Want to be Myself

Looking so Unnatural.

No Longer Needed for Appearance in Clothing

Implants Have Become Deformed


Patients present desiring implant removal without a breast lift. Certain patients are candidates for this operation where implants can be removed, drains placed for seven to 10 days without a full breast lift. This is an excellent example of a patient who has severe scar tissue with a Baker IV capsular contracture and a rupture of the left implant. From my experience and judgment, this patient will do well without a full breast lift and for her the scars would not be worth the tradeoff of a further tightening procedure.

Her preop photos show severe right breast hardening with a double-bubble deformity, scar tissue contracture with implant raised superiorly. The left breast shows ruptured implant. Patient has already had a periareolar lift by a previous surgeon. In any case, the implants were removed and drains were placed.

She was placed in a Dr. Linder Compressive Bra for six weeks. Notice, there is good position of the nipple areolar complex and there is contracture of the tissue with excellent position of the breast itself. This is an excellent example of explantation without a breast lift for a patient that desired implant removal after 14 years.