Breast En Bloc Explant
Newport Beach | Dr. Jed Horowitz

Overview of En Bloc Explant Surgery
Breast implant removal with en bloc capsulectomy is a specialized procedure designed to remove breast implants along with the surrounding scar tissue capsule. Patients may choose this procedure for a variety of reasons, including personal preference, changes in aesthetic goals, or concerns related to implants.
At Pacific Center for Plastic Surgery in Newport Beach, Dr. Jed Horowitz performs breast implant removal and capsulectomy procedures with a focus on safety, precision, and natural-looking results. Each procedure is tailored to the patient’s anatomy and goals, whether that involves implant removal alone or in combination with additional reshaping procedures.
Patients from Newport Beach, Orange County, and throughout Southern California — as well as those traveling from across the country — seek out Dr. Horowitz for his experience in breast surgery and revision procedures.
What Is En Bloc Explant Surgery?
En bloc explant surgery refers to the removal of a breast implant together with the surrounding capsule of scar tissue in one intact piece.
This technique may be considered in certain situations, particularly when:
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The capsule is thickened or contracted
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There are implant-related concerns
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Removal of the entire capsule is desired
It is important to note that en bloc removal is not always necessary or appropriate in every case. In some situations, other types of capsulectomy or implant removal techniques may be recommended.
Dr. Jed Horowitz carefully evaluates each patient to determine the most appropriate surgical approach.


What Concerns Does Explant Surgery Address?
Breast implant removal and capsulectomy may be performed to address:
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Capsular contracture
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Implant rupture or deflation
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Implant malposition
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Discomfort or tightness
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Changes in aesthetic preferences
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Desire to remove implants without replacement
Some patients also seek explant surgery due to general concerns about implants or to return to a more natural appearance.
Benefits of En Bloc Explant Surgery
Patients choose breast implant removal in Newport Beach because it offers:
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Removal of implants and surrounding capsule
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Relief from implant-related concerns
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Restoration of a more natural breast appearance
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Personalized surgical approach
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Option to combine with reshaping procedures
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Peace of mind
When performed by Dr. Jed Horowitz, the procedure is focused on safety, careful technique, and achieving a natural result.
Who Is a Good Candidate for Explant Surgery?
You may be a good candidate for breast implant removal if you:
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No longer wish to have breast implants
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Are experiencing implant-related complications
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Have capsular contracture or discomfort
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Want to change your breast appearance
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Are in good overall health
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Have realistic expectations
During your consultation in Newport Beach, Dr. Jed Horowitz reviews your surgical history, implant type, and goals to determine the best approach.
Explant Surgery Options
Not all implant removal procedures are the same. Options may include:
En Bloc Capsulectomy
Removal of the implant and capsule together in one piece when appropriate.
Total Capsulectomy
Removal of the entire capsule separately from the implant.
Partial Capsulectomy
Removal of a portion of the capsule when clinically indicated.
Implant Removal with Breast Lift
A breast lift may be recommended to restore shape and contour after implant removal.
Each option is tailored to your individual anatomy and goals.
How Explant Surgery Works
Breast implant removal is performed on an outpatient basis under general anesthesia.
Step 1: Evaluation and planning
Dr. Horowitz reviews your prior surgery and determines the safest approach.
Step 2: Implant and capsule removal
The implant is removed, with or without the capsule depending on the surgical plan.
Step 3: Tissue management
The breast pocket is carefully addressed, and tissue is reshaped if needed.
Step 4: Additional procedures
A breast lift or contouring procedure may be performed if desired.
Step 5: Closure
Incisions are closed using precise techniques to support optimal healing.
Recovery After Explant Surgery
Recovery varies depending on the extent of surgery and whether additional procedures are performed.
First week
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Swelling and discomfort
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Limited upper body activity
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Initial healing begins
Weeks two to three
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Return to daily activities
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Continued improvement
Weeks four and beyond
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Gradual return to exercise
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Ongoing healing and refinement
Dr. Horowitz provides detailed aftercare instructions for a smooth recovery.
Explant Surgery Results
As healing progresses, patients notice:
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Removal of implants
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Improved comfort
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A more natural breast appearance
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Enhanced contour (especially if combined with a lift)
Results vary depending on the patient’s anatomy and whether additional procedures are performed.
Combination Procedures
Breast implant removal is often combined with:
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Fat grafting
These combinations can improve overall shape and aesthetic outcome after implant removal.
Cost of Breast Explant Surgery in Newport Beach
The cost of breast implant removal varies depending on:
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Type of capsulectomy performed
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Surgical complexity
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Anesthesia
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Facility fees
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Combination procedures
A personalized quote is provided during your consultation with Dr. Jed Horowitz.
Schedule a Consultation
If you are considering breast implant removal or en bloc explant surgery in Newport Beach or Orange County — or traveling to Southern California for care — we invite you to schedule a consultation with Dr. Jed Horowitz to discuss your options and create a personalized treatment plan.
