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July 2, 2025 27 mins
Thinking about removing your breast implants? You’re not alone—and you’re definitely not crazy. 
In this powerful episode of Plastic Surgery Uncensored, Dr. Rady Rahban sits down with his patient Brooklyn, who opens up about her deeply personal decision to explant after years of having breast implants. Whether you’re dealing with breast implant illness, capsular contracture, or simply feel like your implants no longer reflect who you are—this episode is for you.
Dr. Rahban breaks down what explant surgery actually entails, what your options are, and how to mentally and physically prepare. Brooklyn’s story is real, raw, and refreshingly honest—proving that explantation isn’t about regret, but about reclaiming your body on your terms.
If you’re considering this journey, you’ll walk away from this episode with the insight, reassurance, and empowerment you need to move forward—whatever you decide.
🎧 Tune in now—you don’t want to miss this one.


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Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:06):
Welcome to another episode of Plastic Surgery and Censored. I'm
your host, doctor Roddy Rabon, and I am excited about
today's episode because two reasons. One, I think the subject
matter is really interesting and super relevant. It's explantation. Dun dun, duh.
And the second is because we have Brooklyn here. And
Brooklyn is one of my oldest patients, one that has

(00:29):
been part of our practice for many years. And as
always have a patient come sit here, expose themselves, share
their stories, I'm always honored. It requires a fair amount
of courage. Brooklyn in general is a very courageous young lady,
but still big deal to come and share your time
and energy with us. So we're grateful in having you
and welcome to the show.

Speaker 2 (00:50):
Such an honor, Thank you for having me.

Speaker 1 (00:53):
So we want to talk about explantation from A to Z.
We want to talk about it A because it's your journey,
it was as relevant and it's important as it was
to you, and B because it's one of the hottest
topics in plastic surgery today. Plastic surgery is like everything else,
it's trend driven. There's highs and lows within plastic surgery. Trends.

(01:15):
Certain eras are more trending than others. Breasts are trendy.
Why there are times where large breasts are in and
there are times where small breasts are in. And so
we know that from our years of the Pamela Anderson
nineties cocaine chic big boobs, then we have now we're
the pendulum is swinging back again. And in addition to

(01:38):
smaller breasts is this concept of being holistic and loving
yourself and self acceptance and all of that which is
wonderful and it adds a whole new dynamics. I want
to start out with the journey, and let's start from
when we first met, right, that was twelve years ago.
About twelve years ago, I think about twelve years ago.

(01:59):
You have two beautiful children, right, I think at the time,
you were in your early thirties something like that, and
you'd come to me because you have had kids and
you lost some volume in your breast, and you came
and said, hey, you know, I love the way I look,
but I wouldn't mind a little bit of some volume,
some fullness, some restoration of my breast. And so we

(02:19):
decided to do an augmentation right within a year or so,
you developed the capsule contracture, which, for those of you
who are unfamiliar, is when a breast the implant goes
into a body like a pacemaker, prosthetic knee, a hard valve,
anything that is foreign a device. Your body will know,
oh that's not you, and separate it from you. Make

(02:40):
a thin shell. That shell is a capsule scar tissue,
and every human being has it, and in some people
that scar tissue is a little bit more voracious, it's
a little stronger, and while it's not dangerous, it's annoying
because it changes the shape of the implant, and it
makes it a little harder and a little higher, and
so on, so forth, and minutes to go back, take

(03:00):
that scar tissue out, put a new implant in, and
off you go. And that is what happened. And here
you are on a trajectory. And roughly eleven years goes by,
and during that eleven years you change, right. You go
from your early thirties to your forties. You start hating it.
Pumpkin pie, you would never realized you like the symphony.

(03:23):
Your favorite color goes from blue to being purple. A
lot happens in ten years, and what do you know,
you changed your self image and you realize, hey, my
breasts are I'm not digging it anymore. I'm not enjoying
them the way I enjoyed them. And I'll ask you
in a minute. And so you came to me how

(03:45):
long ago? Now has it been like?

Speaker 2 (03:47):
Eight months?

Speaker 1 (03:48):
Eight months ago? And you came to me and said, hey,
doctor Rman, I think it's time for me to remove
my implants, which we refer to explantation. So let's go
back and you tell me what happened for you, you personally,
from when you had them enhanced to when you decided
that it was time for you to take him out.

Speaker 2 (04:06):
You know, well, I have to say that you did
the most amazing job.

Speaker 1 (04:11):
I did very much as it's definitely not under any pressure.

Speaker 2 (04:16):
Nor biased, but the lesson No, I mean, I did
my homework, I did my research, and when I came
across and had the opportunity to meet with you, I
knew you were my guy, and I knew I was
in great hands. And you did it a beautiful job
with the lift and the impact the first time. And
you know, as things anatomy changes, and even with my

(04:39):
revision or the thing that we had to fix. I
knew I was in such great camp. You took well.
Not only did you take care of me at the
most highest level technically and as a doctor, but even
your office and your people took care of me. So
when it was time to kind of when I was,
like you said, fast forward ten years, and I was

(05:00):
ready to make that change. Like I knew I was
in really really good hands, and I had done a
lot of thinking and a lot of I knew that
you would ask me the right questions when you came in,
and so I knew I needed to be prepared, and
I was really really glad that you were able to
take care of me again.

Speaker 1 (05:16):
Yeah, it was a pleasure. So the first time when
you came in, you had a lift with an enhancement,
and so we moved ten years down the line and
you said to me, listen, doctor Ronald, you know here
and I'm contemplating an explantation. So explantation is a hot
topic for a whole number of reasons. First reason is

(05:36):
what is driving the explantation. So your reason for explantation
was I have changed as a person, and therefore what
used to serve me doesn't could be hair color, could
be whatnot, and I respect that. At the end of
the day, my job as your clinician is to educate
you and then provide you the best outcome surgically that

(05:57):
I think is fit. That doesn't mean I just agree
with you, mean I just go along with whatever you
ask me to. It's I have to bring light to
you the things that you need to understand before we
make that decision. So the first question I always ask
is why, because sometimes patients they say it's too big,
and they assume it's an all or non phenomenon. They
all or none is I got to get it out

(06:17):
or keep it, And it could be you could downsize.
There's a lot of variabilities, but yours was very specific,
and you said, I just think it's time for me
to remove the implants for a number of reasons. And
I don't want to have the implants anymore. You didn't
at the time have And this is why this is
such a hot topic. There's this whole world of what's
called BII breast implant illness. So let's elaborate on that

(06:42):
because it's super important. It is an unknown landscape, but
it is essentially a very small subset, and I underscore
a small subset, but I underscore not a non subset.
I do believe that there is a group of individuals
in whom this does impact. Their body's reaction to this

(07:03):
foreign device is one that leads them to having what
I refer to as constitutional symptoms. So the fact is
that you put a foreign body into a human being
and all people will react, right, it doesn't matter, Susie
John Gaale. It doesn't matter. But in ninety five ninety
eight percent of people, that reaction is mild, it's finite,

(07:28):
and it's done in this small set of people. This
reaction is ongoing. I believe it's just a constant inflammation.
It's just the body is just trying to figure out
what do I do with this, and what do I
do with this, and what do I do with things?
It's been like five years, eight years, nine years, and
that inflammatory experience drains their system and they get things
like hair loss, muscle eggs, memory loss, things of that nature.

(07:52):
That's the world of BII. The reason why it's such
a challenging world is because we don't have any tests,
We don't have any way of knowing. It's usually diagnosis
of exclusion, meaning I'm for example, I give you an example,
I'm having muscle aches. Well, you don't automatically go, it's
my breast implant. I've had the implant in for ten years?

(08:13):
How about rheumatoid? How about my diet? How about one
hundred other things? And then once you realize I can't
find the solution, then yes, I think an implant is
obviously we want you to be healthy. That wasn't your instance.
Your instance was a more emotional, holistic and I think
you said they were just too large and too heavy
for you, which makes sense because again, thirty forty different people,

(08:35):
So that wasn't very important for us to underscore, which
is why are you removing them? And what symptoms do
you seem to be having? And yours was essentially you've
disoutgrown them. So then the next question I asked you
is you have two options here, And this is very
important for people to understand. I'm more than happy to
remove your implant, but then we need to understand once

(08:57):
I've removed that implant, what's left? And by what's left,
I'm not just referring to how much tissues left is,
but what is it going to look like? And you
and all patients need to be prepared for the menagerie
of outcomes. Best case scenario is that we remove the
implants and you have a decent amount of breast tissue,
like there's stuff there to work with. Like my producer

(09:20):
Maria that we did this procedure on. We explanted her
and she had a ton of breast tissue of her own.
But there are instances where I take out the breast implant,
oh shit, there's very little breast tissue. And then with
that breast issue, we have to try to reconstruct it,
do a lift, do something to make it look attractive.
Because while you may not like your large breast, I

(09:42):
very seldom have had a girl or any woman come
in and be like, I don't care what they look like.
Just trump them off for that matter. No, like you
still care, you just don't care if they're that big anymore.
So I said to you, what I say to most
patients is you have two options. Option one is I
remove the breast implant, take a look at how much
breast tissue you have, Temporarily staple your breast in a lift,

(10:05):
sit you up, and look. If I feel that there's
enough breast tissue, we just keep going. If I feel
there's not enough breast tissue, then I can try for
you to pick the smallest implant that will get the
job done without being very large. Option number two is
I don't care what they look like under no circumstance.
I want an implant. And I always like to present

(10:26):
that opportunity, that option to patients, because wanting them and
I was one thing, and then wanting them to look
pretty as another. So I asked you that, I said, Brooklyn,
if I'm going to take out your implants, and I
sit you up, and I noticed that there isn't much
breast tissue, what do you want me to do? What
did you say?

Speaker 2 (10:43):
Well, actually you gave me four options.

Speaker 1 (10:45):
Okay, well, well here you go. Should I well, what
are the other options?

Speaker 2 (10:48):
You gave me four options? And the reason why I
refer to this is because you're so thorough right. The
two that were like the main ones, you've definitely explained.
The first one was do nothing right.

Speaker 1 (10:58):
Sure, because at that time, your breast lore.

Speaker 2 (11:00):
We're fine, the gorgeous right, it was.

Speaker 1 (11:03):
Nothing wrong with them, right, And it was you you
could leave them alone, yeah right.

Speaker 2 (11:10):
Yeah, which I love. And then you gave me the
option of you know, taking them out doing the lift,
taking them out doing a smaller implant. And then you
gave me another option, which you let me know wasn't
your favorite option, which was like a fat transfer.

Speaker 1 (11:23):
Sure and I and I said that, So that's a
great thing you brought that up, which is we can
take out the implant, do the lift, and if you
don't have enough tissue and we don't want to put
another implant, I can liposuction you create some fat and
fat transfer that in. Let me caveat that for a second.
Explain to you why that's not my favorite. It's not my
favorite for a number of reasons. On paper, What are

(11:46):
you talking about? That's amazing. Wait, you take out this
foreign thing and this silicone rubber bawl, you liposuction me.
I get skinny, and then you stick that fat into
my breath and it gets big. What's wrong with you?
Are you crazy? That's awesome, Sign me up. But that's
not what happens. What happens is number one, we have

(12:07):
to liposuction you and and then you start getting some
divits and some loose skin on your back, and your
arms get a little irregular because we're being very aggressive
because we need a lot of fat to make a dent.
We're not putting fat in your lips. We're not putting
fat in your cheeks, which requires a little bit. We're
trying to volumize your breast. We need a decent amount

(12:28):
of fat. So all surgeons will be aggressive when they
liposuction the donor sites, so you'll have some issues there.
I'll inject the fat into your breast and there's a
good probability a decent chunk of it will disappear within
a year, in which you'll be a little underwhelmed. So
for those reasons, I'm not a huge fan of it.

(12:49):
That is right. So there were four options. Good, you
remember better than I do.

Speaker 2 (12:53):
Yeah, you're because you're so thorough.

Speaker 1 (12:54):
I love that.

Speaker 2 (12:54):
And I definitely chose, like I chose to just get
the implants out and do the lift. That was like,
that was my intention and that yeah, that's what we did.

Speaker 1 (13:07):
Yeah, so we opted to do remove the implants, remove
some of the capsule. So that's another huge, quick, big
Oh yeah, what do I do about this capsule? What
is the capsule? It's your own tissue. It's you, it's you,
it's your scar tissue. It's not bad, it's not dangerous,
it's not going to kill you. In the BII world,
I don't feel good. Something's not right. The current philosophy

(13:32):
is to remove the implant and the entire capsule as
one unit. We refer to that n block. But if
your issue is not they're just big, then I generally
am not a huge fan of going in and adding
more surgery, more bleeding. That capsule is tissue, albeit not much,
and removing that and causing all kinds of things. So

(13:54):
if I remove any of the capsule, it's a small amount,
and in your instance, there was nothing wrong, and I
I find my recollection is right. We didn't take out
the entire capsule, did we? I think we did? Did we?
Did we move in? Okay, so then we did. So
that's a surgery. And then so we decided to do
with that. So we're gonna take a quick break. Okay,

(14:16):
I'm gonna come back, and I'm gonna we're gonna tell
everybody what happened. Chances are you're here, so whatever happened
was good, as if it was bad, you wouldn't be here.
But we're gonna tell everyone specific what we happened with
our explantation. Let's take a quick break. We'll be right
back with the second half of plastic surgery uncensored. All right,

(14:40):
welcome back to the second half of plastic surgery and censored.
I know everybody's waiting to see what happened. So I
go into surgery. I removed the implants. I temporarily we
call that tailor, tack or staple your lift because I
can't want to cut it yet. And then I sit
you up like like a scarecrow. And then I look
at you and I go, oh, cool, you have enough

(15:02):
breast tissue. Enough breast tissue to do what to have
a smaller but cute breast. We needed volume. So I
was very excited because I didn't really have any other options. Anyways.
It wasn't like, oh it looks like crap, let's put
a small implant. You were adamant, and I understood that
that I wanted out. So we went ahead and went
ahead and did that, took out the capsule, did the explant,

(15:24):
did the xplant, and did the lift, and we're able
to create beautiful breasts that were smaller and more conducive
with the person you are today. Yeah, all right, so
who are you today.

Speaker 2 (15:38):
Dude, I am lighter, brighter, stronger, and faster. You gave
me exactly what I wanted. They're they're honestly the breast
that I always wish that I had. I mean, I
had naturally big boobs my whole life, which that you
know is like, you know, dancing and golfing and all
the things that were tough to do. You know, it's

(16:03):
I always want. You know, every girl does. They kind
of have like they want what they don't have. But
they're perfect. They're absolutely perfect. I love them, and myself
and my husband are very happy.

Speaker 1 (16:15):
Yes, yes, that is what I love is when a
person and their loved ones are happy. So the key
to that is that now you have those two components.
And I keep referring to them because people are very
very stuck on the one component, which is just the
explantation part, which I understand is important, but they often
overlook or are not as prepared for the esthetic part.

(16:36):
If your breast currently we're as small as they are,
but we're ugly. And I use the word ugly because
we're like, oh, well, could you say that, Yes, that's pretty,
that's ugly. If your breast were exactly the size that
you liked, which is lighter, better, faster, But we're ugly.
I promise you wouldn't be as excited as you are
today because we are all of us visual. You got up,

(16:57):
you colored your hair, you put on a little lipstick.
You know, you take care of yourself. We like to
put on a beautiful presentation of our own self. This
is our vessel. We want it to look at very beast.
So it makes me happy that you got a win win.
The size and functionality that allows you to be free
and wear what you want to wear, coupled with the
beauty and the shape of a beautiful young sort of smaller,

(17:20):
perky type breast, and with that comes all of the benefits. Right, Yes,
you get to dress what you want to dress, You
get to active, you want to active, it be active,
and then most importantly, when you feel beautiful. It's always
the grease of every intimate relationship, right Absolutely. Yeah, I'm
sure your husband there's a superstar, amazing guy. He would

(17:41):
he loved you either way, it's fine, doesn't matter. Yeah,
but when you're feeling beautiful, it's so much more attractive.

Speaker 2 (17:47):
Absolutely.

Speaker 1 (17:48):
What kind of advice do you think people need to
understand or recommend. You know, your girlfriends sin there. She's
got her implants, they've been in there. She didn't know
what to do. What are your thoughts? What was the
process that you think was you went through that you
would recommend to other people now that you're at the
end of the journey, you.

Speaker 2 (18:07):
Know, I mean, I feel like the three biggest things
if you're because if you're considering that you need to
kind of like work through is I think for me,
I really had to not only think about just like
the visual part, but I had to think about the
process of what that looked like. And the biggest thing
is is like, if you're going to have surgery, you've
got to commit. Like I chose the most elite, best

(18:29):
doctor ever and he's going to do his best job.
But me as a patient, I needed to do that
as well. So I needed to make sure that I
had the time off. I needed to make sure that
I had, you know, six weeks. I know you're very
serious about it.

Speaker 1 (18:40):
Tricky get upset about that, but I don't give a shit.

Speaker 2 (18:44):
Yeah no you're not. You're like I walked in one time.
I remember after my first surgery, and I had like
a like a purse that was like maybe a little heavy,
and you got after me and I was like, oh,
he's no joke, Like he really is serious about this recovery.

Speaker 1 (18:57):
Yes, yes, you would be that way with your child
who is taking a risk of some sort. You care
about them so much you would come down on them
hard and fast because you want that not to happen again.

Speaker 2 (19:07):
Yeah. Okay, So I think the recovery making sure that
you have the time to fully recover and do all
the things that you need to prepare for before surgery,
being healthy and after surgery. For me myself, I had
to have six weeks off work. I don't sit at
a desk, so I needed to be able to literally
just not work. So I needed to make sure that
that happened. And the second thing is is too you

(19:30):
have to be financially ready to do it, you know.
I mean I took six weeks off work and I
needed to make sure that like I brought you know,
my mom into help and that you know that my
kids were entertained and there was no financial strain like
during that time.

Speaker 1 (19:45):
Right, So let's elaborate a little bit on the recovery part.
What we expect from you from any one of these
surgeries Explant, breastlift, breast reduction, tummy tech, whatnot is two
weeks where we need you to, like you said, pretty
much not be at work. I mean breasts sometimes a
week or ten days you can go, but some ex
definitely two weeks, and then from two weeks to six
weeks you can work. You just can't work at Costco,

(20:08):
you can't work at the amusement park, you can't be
at ups. Right. You can work at regular jobs. So
if you work at a job that's physically strenuous, then
that's a different story. So I just want to make
sure that people understand that if you're a regular job,
you can go back to work at two weeks. But
if you have a job that is very manually and
physically labor intensive and you want the best outcome, then

(20:31):
you gotta give the plants a chance to you know,
you get a walk in on the grass you just
put in two days ago, right.

Speaker 2 (20:40):
Yeah, And I did. So it was you know, I'm
a hairdresser, so I work with my arms and shoulders
and neck and back, and so I took the time
off and I was so grateful that I could do that.
I made the preparation. And then the last thing that
I think that you really have to do is is
that you've got to you have I mean us as
a patient. You know, you think you have to think

(21:00):
about all the logistics as the doctor, like I mean,
you're an literal expert at what you do, and you
are you come in so prepared every single time that
it's like our job to make sure that we show
up as the best patient. And I think you have
to be both physically, mentally and spiritually ready for whatever
that outcome is. And I think that you do. You

(21:21):
have to go through those scenarios in your head, like
what if what if it didn't turn out? What if
it didn't turn out and they weren't like absolutely perfect,
would I be okay? And you have to be okay,
Like you have to get to a place mentally and
spiritually and physically that you're okay. And I had that mantra.

Speaker 1 (21:37):
Yeah, And I think what's important that you mentioned that
is for me, explantation is a stressful surgery because I'm
doing something to you that I'm not sure aesthetically will
be good. Remember my number one objective when I wake
up in the morning and I come to work is
to enhance people's esthetic beauty, through which I enhance their lives. Right.

(21:58):
I don't come to work to make you an ugly nose.
I don't come to work to make you an ugly belly. Right.
I am an esthetician. I'm an esthetically driven surgeon. So
explantation runs that risk because while I'm one hundred percent
on board for patient wishes, which is I want these
things out, I still have in the back of my
brain this need to make you look good. And when

(22:20):
I'm working with something that I can't, I'm very stressed
and it makes me very very stressed. The key for
me for patients that are explant patients is then for
them to behave the way you behave, which is, hey,
doctor Bond, I get it. I'm creating a situation that
has an unknown in it, and whatever happens, I'm okay
with that. And when you're able to say that and

(22:41):
mean that which you did, it liberates me and that
you already know I'm going to do the very best
I can. If you were my wife, it would have
made no difference. But then I don't have to feel
like I'm supposed to do some sorcery work. Or some magic.
In other words, that's part of the reason why I'm
so damn thorough. As patients are un reasonable and they
want explantation, they don't want an implan, they have no

(23:03):
breast issue. They want to complete caps like me, and
then they want it to look like you know, halle
Berry's like, it's just not going to happen. And so
when you do come in as you did, very sort
of like this is I'm at peace with whatever it's
going to look like because I need these out. That
really makes my job a thousand times easier.

Speaker 2 (23:23):
Yeah, and I appreciate it. You checked me a lot.
You would ask me, and you asked me the hard questions,
and I appreciate it as you do. And yeah, I
really appreciate the thoroughness that you have and the expertise
that you do because you're the elite, like you're the
elite doctor, and I have to tell the people listening there.

Speaker 1 (23:42):
I appreciate that very much. You know, it is our
responsibility as professionals, your dentist, your lawyer, your financial advisor,
your accountant. It's our job to make sure that we
tell you the things that you haven't asked because just
because you didn't ask. It doesn't get me off the hook.
That is the very under belly of professionalism, which is, hey,

(24:06):
why didn't you tell me? You didn't ask? I'm off
the hook, but not really, because just because you didn't
ask doesn't mean that I shouldn't have told you that, Hey,
you didn't ask. So part of my thoroughness is me
telling you the things that I think you need to know,
even if you didn't know that you needed to know them.
Then you can make an informed decision. Then you can say,
you know what, doctor Ron, thank god you told me that.

(24:28):
Now that you mentioned that to me, No, on second thought,
you know what, I'd rather do it this way as
opposed to, well, you said you want an explant, this
is what you get. Yeah, right, Because people don't know
sometimes what's awaiting them. So yeah, I think this is
very helpful. I think explant is on the rise. I
totally get it. I think that, you know, there is

(24:50):
a huge movement in that direction. I'm here to facilitate
whatever is the well being of each patient. If they
want it out, they want it out, they want it in,
they want it in. I just want to make sure
they make good choices. And I think this episode will
help clarify that a little bit and recognize that, Hey,
I'm gonna have to be at peace as you were
with whatever happens through the process. Now the great news

(25:11):
they look amazing, right, there's no peace to be made here. Oh,
I have to be at peace with my Ferrari Like, yeah,
I think it's pretty safe to say you did out
like when they're like a bandit, you know what I mean.
So that makes me very happy. Well, as always, I
very much appreciate you coming on, sharing your your you know,
when pages come on, it super charges these podcasts, right

(25:33):
because it's it's so much more lively and valuable to
note through the eyes of a person. So we're grateful
to have you well at any rate, and as always,
wraps up yet another episode of plastic Surgery Oncensored. I'm
gonna end with two things. I always end with the
same two things. Number One, if you like our show,
you find it entertaining, you find it academic, educational, whatever,

(25:54):
go write something nice, Go write something nice, share your
Oh wow, it's such a great episodis well. I really
enjoy this show because there's a lot of people that
are running around like crazy trying to make these episodes happen,
and when they hear that they're being well received, it
puts energy behind them to continue on. The second is
share our program, our podcast with people you love and

(26:17):
that you care about, because you never know who's going
to go on and do some kind of plastic surgery,
and even when they do, when you didn't share this
with them and something goes awry, you'll be like, God,
I wish I don't do that. You don't know they're
not going to necessarily share it with you, So go
ahead and just say, guys, this is really cool. Check
it out if you're ever interested in plastic surgery, because
I guarantee you'll be happy you did at any rate.

(26:39):
As always, that wraps up yet another amazing episode of
Plastic Surgery on Censored until next week. I'm your host,
Doctor Roddy Rabond signing off on Plastic Surgery on Sensor
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