Dr. Andrés Pérez Nieto
Specialized Plastic Surgery
More and more women around the world are considering breast explantation as an alternative to recover physical, emotional, and aesthetic well-being, whether for personal, medical reasons or simply because they feel that their implants are no longer part of their identity.
Dr. Pérez has extensive experience in breast implant removal surgery, offering an individualized approach that prioritizes the safety, aesthetics, and expectations of each patient.
The decision to remove breast implants goes far beyond an aesthetic choice. Many women experience a cluster of inflammatory and autoimmune symptoms grouped under Breast Implant Illness (BII) or ASIA Syndrome. Constant muscle pain, unexplained chronic fatigue, brain fog, and hair loss are warning signs that the body might be reacting negatively to a foreign object.
There are multiple reasons why a patient may choose to remove her breast implants:
Changes in aesthetic priorities or lifestyle
Complications such as capsular contracture, rupture, or implant displacement
Symptoms related to ASIA Syndrome or physical discomfort associated with implants
Discomfort or feeling of heaviness in the chest
Desire to recover a more natural body image
Depending on the particular case, Dr. Pérez may opt for different surgical techniques:
Removal of breast implants through the same incision where they were placed. It is indicated when there is no capsular contracture or surrounding tissue alterations.
In patients presenting capsular contracture or other symptoms, the complete or partial removal of the capsule that has formed around the implant is proceeded with, in addition to extracting the prosthesis.
When breast tissue has lost firmness or presents significant drooping, a pexy is performed simultaneously to lift and redefine the breast aesthetically and harmoniously.
• Each intervention is carefully planned in consultation, taking into account chest anatomy, residual tissue amount, and patient goals.
• In cases of capsular contracture or suspected rupture, total en-bloc capsulectomy is performed, removing the implant and capsule in a single piece.
• When necessary, natural breast reconstruction techniques using the patient's own breast tissue are combined, achieving a pleasant and proportional shape.
• Scars are designed with aesthetic criteria, seeking to be barely visible and easy to conceal.
Dr. Andres Perez Nieto is a reconstructive plastic surgeon with 30 years of experience. As a certified member of the Colombian Society of Plastic Surgery (SCCP) and ISAPS, he has perfected the En Bloc technique to guarantee the total removal of the inflammatory capsule, reducing risks and supporting the body's natural detoxification. All surgeries are performed in certified high-complexity operating rooms at the Santa Ana Medical Center in Bogota.
Learn directly from the doctor about safety protocols, anesthesia choices, and what you must verify before surgery.
Real patient experiences transcribed directly from their video testimonials.
Choosing Dr. Andres Perez Nieto for my explant surgery was the best decision for my health. From the first consultation, he explained the En Bloc Capsulectomy and reconstruction. Today I am free of BII symptoms, had a wonderful recovery, and my breasts look very natural and beautiful.
Chicago, IL
The doctor was absolutely attentive after the procedure. The advice he provides is highly professional: he has the integrity to tell you what looks good on you and what doesn't. The follow-up care and attention to post-op details are exceptional.
Patient from Bogota
