Ask Dr. K: How Do I Know if I Need My Implants Replaced?

Lisa asks, “Dr. K, I have been hearing about ‘explants’ lately? What are explants? How do I know if I need to get my implants removed or replaced?”

Lisa is right, there has been a lot of mention of removing implants lately. Many other of my patients have asked me the same thing so I felt this would be a great question for Ask Dr. K.
An explant is essentially the opposite of implant, in other words, it is the removal of implants. This had been a hot topic lately as reports are being produced stating that implants must be removed for various reason. Let’s set the record straight. I am going to tell you why and when you would need your implants  removed or replaced of at all.
There are 3 main reasons why breast implants would need to be removed.
1) Change of size and shape.
2) Implant leakage or rupture.
3) Capsular contracture.
What is Capsular Contracture?
Capsular Contracture is essentially the hardening of implants which occurs in about 5% of women. Most women experience symptoms about 3 months after the surgery. Several factors may put you at risk.
– Autoimmune disorders
– Smoking
– Radiation Therapy
– Severe trauma to the breast
– Seroma (a collection of fluid under the breast)
– Hematoma
– Bacterial infections
– Silicon modules leaking into the pocket of the surrounding implant.
– Breast implant placement. You may be more likely to develop Capsular Contracture when the implant is placed over your chest muscle (sub-glandular).
Detecting Capsular Contracture.
Warning signs include deformed, misshaped, and painful breasts or breasts that have become harder than when they were put in. There are four levels of Capsular Contracture.
Grade 1: The breast is soft and looks natural.
Grade 2: The breast is slightly firm but looks natural.
Grade 3: The breast is firm and looks abnormal.
Grade 4: The breast is hard, painful and looks abnormal.
Removal or revision of implants, however is not the only treatment for Capsular Contracture. New technologies are being utilized to treat this. See your doctor for remedies and procedures they offer to correct this.
Here are a a few ways to decrease your risk if Capsular Contracture of you feel you may be at risk, however there is no way to predict so be sure to consult your doctor.
– Take a prescription corticosterois drug called Prednisone for two weeks.
– Massage your implants the day after surgery.
– Perform compression exercises in which you squeeze the implant with medium pressure to keep the capsule flexible and loose.
In Summary, there is low chance that you will need your implants removed or replaced. However, if you are experiencing any of the above characteristics or would like to consult a professional to be sure, do so immediately.

436 N. Bedford Dr. Suite 301 Beverly Hills, Ca 90210

310-285-0400 Wellness Week Exclusive Specials!


Real Hollywood Secrets. Meet the Beverly Hills doctor behind all the celebrity beauties. Now you can learn the secrets that has everyone in Hollywood glowing! Join us for a beauty seminar and learn the different options of looking and staying beautiful. Learn the importance of anti aging vitamins, proper skin care, and getting facials  regularly- and find out if a Liquid Facelift is right for you. Get the scoop on how the stars get luscious lashes and pouty lips and how to take years off your look with only a few changes. Download our new iPhone app for free to preview just a few of the tips and give yourself a virtual makeover. There will be plenty of time for Q&A while you enjoy beverages and fresh fruit.

The Treatment Promotion:


50% Off Botox®
BOTOX® Cosmetic is an amazing treatment to remove wrinkles such as frown lines, forehead wrinkles, and the wrinkles around the eyes via injection of a pharmaceutical. BOTOX® Cosmetic can also be used to lift the eyebrows and soften the aging of the neck. It is extremely safe, effective and simple, with no down time and fabulous results.
50% Off Juvederm®
JUVÉDERM® is the latest dermal filler advance from Allergan Inc. JUVÉDERM® is a “next generation” smooth gel, non-animal dermal filler offering a natural look/feel and long-lasting results for up to six months or longer. JUVÉDERM® dermal filler lasts long because it’s the only dermal filler currently available with the highest concentration of hyaluronic acid and a special formulation process. This process creates a smooth gel that flows easily into the skin, creating smooth, natural looks. All other currently approved hyaluronic acid dermal fillers use a gel particle suspension formulation. These gel particles can be visibly seen as opposed to the smoother formulation used in JUVÉDERM®. The smooth consistency of JUVÉDERM® dermal filler also may help to minimize the discomfort that can sometimes occur during the injection procedure.
$50 Glycolic Peel 30% Glycolic Pro Gel
This powerful dual action peel incorporates 30% pure grade glycolic acid, and lipid-soluble salicylic acid promotes acceleration of cell desquamation. The benefits include correction and lessening of acne lesions, softening and hydration of the epidermis, reduction in pigmentation and improvement of environmentally damaged and photo aged skin. (reg. $95)
$50 Oxygen Facial
Medical grade oxygen gas in combination with vitamins, minerals, enzymes and amino acids. Oxygen therapy helps speed the healing process post-facial surgery or for any aggressive skin treatments. Examples: Laser, Microderm and Facial Peels help hydrate, nourish, and stimulate growth of new skin cells. Strengthens collagen network and helps minor skin disorders. (reg. $125)
All Lift Md Aesthetics® products will be at a special 20% discount during the event or the week if you book a treatment or attend a seminar.

What YOU need to do:

Go to and enter you city and zip code. You will see Lift MD Aesthetics® pop up and our event details will be listed.


436 N. Bedford Dr. Suite 301 Beverly Hills, Ca 90210



Introducing Lift/Tuck App by Dr. Garo Kassabian


Welcome to Lift/Tuck where you can perform surgery on your friends and family right on your iPhone and iPad.
If you ever wanted to know what you would look like with a smaller nose, or even a flatter stomach, now you can. Lift/Tuck is specially designed to allow users to adjust their appearance of their face and body with a swipe of the finger. Play around just for fun or send your results to Beverly Hills celebrity cosmetic surgeon, Dr. Garo Kassabian for a consultation. If you need beauty tips or suggestions for skincare, we’ve got you covered. WIth Lift/Tuck, become a master Virtual Plastic Surgeon and discover new ways to look and feel beautiful, all on your iPhone and iPad!


Now available for the iPad 2!

436 N. Bedford Dr. Suite 301 Beverly Hills, Ca 90210


Tips For Beauty From The Inside Out


Now that we have reviewed tips for beautiful skin, and getting red carpet ready, let’s round off our beauty knowledge with tips for looking great from the inside out. These simple steps, practiced everyday, will help you achieve a glowing complexion, a tight figure and a healthy mind.

1) Taking ginger root will help boost your metabolism by increasing digestive enzyme activity.

2) Drink cherry Juice to aid in post-exercise muscle recovery. Specifically Montmorency cherries contain high levels of polyphenolic compounds which helps reduce muscle damage caused by intensive strength exercise.

3) Vitamin B12 is crucial in the role of energy metabolism. Take your recommended dosage and you will feel better and more lively.

4) A teaspoon a day of unfiltered, unpasteurized, unheated organic apple cider vinegar is an important dietary ingredient to aid in weight management, acne, arthritis, chronic fatigue and more.

5) Have you tried yoga? Yoga opens and calms your mind while stretching your muscles, toning and relieving stress. It’s a great was to get the blood circulating in your body.

6) Cod Liver Oil can help treat arthritis, prevent heart disease and even lower cholesterol. It can even make your skin glow and your complexion bright.

7) Drink plenty of water and get 8 hours of sleep a night.

8) Vitamins and minerals are necessary for optimum health and beauty, but more is not always better. Too much Vitamin A, for instance can cause hair loss. Don’t over do it.

9) Sleeping on 2 or 3 pillows (head elevated higher than your body) can help you get rid of dark under eye circles.

10) Avoid smoking. Not only is smoking bad for your lungs and heart, but it dulls the skin and makes pores appear larger.


436 N. Bedford Dr. Suite 301 Beverly Hills, Ca 90210