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Why does breast implant removal sometimes cost as much—or more—than getting implants in the first place? It sounds backwards… until you hear what actually goes into explant surgery. Explant surgery isn’t just about removing implants; it’s often about correcting the changes implants cause over time. While simple removal can be straightforward, adding capsule removal requires far more precision and time. San Diego plastic surgeon Dr. Luke Swistun explains what happens to the breasts after implants are removed and why removal alone doesn’t always deliver the look women want. Hear how lifts, auto-augmentation, and fat transfer can help restore shape using your own tissue. Dr. Swistun walks through how to think about long-term goals, costs, and recovery, and why doing it right the first time can mean fewer surgeries down the road. Links Meet San Diego explant surgeon Dr. Luke Swistun https://www.ljcsc.com/about/meet-the-... View cosmetic surgery prices (https://www.ljcsc.com/pricing-promoti...) and before and after photos at La Jolla Cosmetic Surgery Centre (https://www.ljcsc.com/gallery/) Listen to our previous episode, Fuller Breasts Using Your Own Tissue? Auto-Augmentation Explained https://www.ljcsc.com/blog/podcast-fu... Listen to our previous episode, What Really Happens to Your Breasts After Implant Removal https://www.ljcsc.com/blog/podcast-wh... Listen to our previous episode, “Holistic” Explant Surgery: Buzzword or Reality? https://www.ljcsc.com/blog/podcast-ho... Learn from the talented plastic surgeons inside La Jolla Cosmetic Surgery Centre, the 12x winner of the San Diego’s Best Union-Tribune Readers Poll, global winner of the 2020 MyFaceMyBody Best Cosmetic/Plastic Surgery Practice, and the 2025 winner of Best Cosmetic Surgery Group in San Diego Magazine’s Best of San Diego Awards. Join hostess Monique Ramsey as she takes you inside LJCSC, where dreams become real. Featuring the unique expertise of San Diego’s most loved plastic surgeons, this podcast covers the latest trends in aesthetic surgery, including breast augmentation, breast implant removal, tummy tuck, mommy makeover, labiaplasty, facelifts and rhinoplasty. La Jolla Cosmetic Surgery Centre is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus. To learn more, go to https://www.ljcsc.com/ or follow the team on Instagram / ljcsc Watch the LJCSC Dream Team on YouTube / @lajollacosmeticsurgerycentre The La Jolla Cosmetic Surgery Podcast is a production of The Axis: https://www.theaxis.io/ Theme music: Busy People, SOOP 00:00:00 Intro 00:00:05 Why explant can cost as much more more than implants 00:01:50 What a capsule is and why it matters 00:02:35 “Factory settings” and total implant + capsule removal 00:03:27 Skin changes, sagging, and breast shape after explant 00:04:13 Lift, auto‑augmentation, and fat grafting options 00:04:48 Price ranges: augmentation vs. explant vs. capsulectomy 00:06:12 Who should consider capsule removal and why 00:09:11 Types of capsule surgery (capsulotomy, partial, total, intact, en bloc) 00:10:48 Why capsule work adds time, risk, and cost 00:11:37 How breasts look after explant and aging effects 00:13:09 Reconstructive options without implants 00:14:15 Goal‑setting: maintenance, volume, and realistic expectations 00:16:03 Upfront cost vs long‑term benefits of non‑implant options 00:18:03 Pricing info, financing, and budgeting for surgery 00:19:28 Avoiding regrets and staging surgery without “burning bridges” 00:20:51 Wrap‑up