
N.P.
Houston, TX
Dr. Couvillion has a wonderful bedside manner that put me at ease before my procedure. He listened, was thorough, and I'm thrilled with my results.
Our Reviews

N.P.
Houston, TX
Dr. Couvillion has a wonderful bedside manner that put me at ease before my procedure. He listened, was thorough, and I'm thrilled with my results.
Our Reviews
I.G.
The Woodlands, TX
I was nervous about my first surgery, but Dr. Couvillion's calm energy put me at ease. He and his team were professional, kind, and did a great job.
Our Reviews
M.J.M.
Spring, TX
Dr. Couvillion is an exceptional physician who prioritizes his patients. From the first consult I felt confident — skilled, empathetic, and kind.
Our ReviewsConsultations offered at our two convenient locations in Houston and The Woodlands, TX

If you’re no longer satisfied with your breast implants—whether due to discomfort, aesthetic changes, or personal choice—Dr. Ryan Couvillion offers safe, expert-guided breast implant removal. As a board-certified plastic and reconstructive surgeon, he helps patients feel confident and supported through every step of the explant journey.
From simple removal to complex revision with lift or fat grafting, you’ll receive a personalized plan focused on your comfort, goals, and long-term health.
Contents

Dr. Couvillion specializes in helping patients navigate their explant journey with clarity and care. Whether you want a fresh start or need complications corrected, you’re in expert hands.
Breast implant removal (also called explant surgery) involves taking out one or both breast implants. It can be done alone or combined with other procedures such as:
This procedure is often chosen by patients experiencing discomfort, lifestyle changes, aesthetic dissatisfaction, or concerns about breast implant illness (BII).
You may be a good candidate if:
Dr. Couvillion will walk you through your options, including whether a lift or fat transfer may help restore volume or contour after removal.
Before surgery, you’ll meet with Dr. Couvillion to discuss:
You’ll receive clear pre-op instructions and a personalized surgical plan.

Setting: Outpatient procedure
Anesthesia: General anesthesia or local anesthesia
Duration: Typically 1–3 hours
Technique: Varies based on need (simple explant, capsulectomy, lift, fat grafting)
Closure: Meticulous suturing to minimize visible scarring
Recovery: Return home the same day with a compression garment
You’ll be supported every step of the way with post-op instructions, follow-up visits, and direct access to Dr. Couvillion’s team.
Typical recovery:
If combined with a lift or fat grafting, your results will evolve gradually into a natural, reshaped contour.
Possibly, depending on your skin elasticity and original volume. A lift or fat transfer can often help reshape and restore contour.
The term “en bloc” is really used incorrectly in the breast implant space, as it’s a term that comes from cancer resection literature. A total or complete intact capsulectomy removes the implant and capsule in a single piece without removing any of your native breast tissue – this is what Dr. Couvillion can perform if necessary. Dr. Couvillion will evaluate your case carefully and explain the safest, most effective approach.
Yes. If your goal is to update or revise rather than remove completely, Dr. Couvillion can guide you through implant replacement or hybrid options.
While not formally recognized as a medical diagnosis, many women report symptoms they attribute to BII. Dr. Couvillion offers supportive, non-judgmental care and can help you explore explant options that may improve your well-being
In some cases—such as ruptured implants or documented complications—insurance may cover part of the procedure. Our team can assist you with documentation and next steps.
If you’re ready to remove your implants and feel more at home in your body, Dr. Ryan Couvillion is here to guide your journey with skill, compassion, and care.