Electrosurgical devices are used in all breast implant removals. It is extremely rare for the skin to be burned, but I have seen them from time to time when patients have come to see me for second opinions. They almost always resolve over a few weeks. I like to stitch the cut muscle but I am probably overly perfectionistic - I know lots of good surgeons who don't. But I think that it makes sense to restore the original anatomy as much as possible, especially since the muscle may continue to move if you don't reapproximate the cut edges, and this movement may cause the implant to move as well. Seriously, tho, don't worry about the electrosurgical burns, I'm sure your surgeon won't be that sloppy (why would anyone post that on youtube???). I hope your surgery goes smoothly!!

Published on Jul 11, 2012

Surgical burns will heal as does any other burn. Typically, if it is on the incisional edge, it can lead to delayed healing and poor scarring. For this reason, burns at the incisional edge will be excised back to a fresh uninjured edge.

With regards to the muscle, this is typically released with augmentation but not repaired during explantation. It makes very little difference in the end.

As always, discuss your concerns with a board-certified plastic surgeon (ABPS).

Published on Jul 11, 2012