Removal of malfunctioning or undesired breast implants is a surgical procedure known as breast implant explantation. Whether one’s breast implants are saline (salt water) filled or silicone gel filled, Dr. Grenga performs breast implant explantation for a woman who no longer wishes to have breast implants or whose implants may have malfunctioned. Examples of malfunction include complete deflation which occurs when the salt water contents leaks out from a saline implant. This is usually due to a tiny tear in the implant envelope or failure of the filling valve. Signs that this phenomenon has occurred include a fairly rapid loss of volume, usually within 1-3 days, or visible rippling that did not exist prior, or noticeable breast asymmetry. When silicone gel implants leak, there may not be any physical evidence for this malfunction. The diagnosis of suspected silicone leakage may be made with mammograms, ultrasound or CT scan. An MRI is probably the most accurate way to demonstrate whether silicone gel has leaked from your implants. In many instances an MRI can tell if the gel is contained within the capsule which surrounds the implant or if it has migrated into the tissues or lymph nodes nearby.


Yes, Dr. Grenga is well-versed in the en bloc method of breast implant explantation. En bloc explantation involves removal of the breast implant and its capsule as a unit. This technique is particularly suited for instances where the silicone gel has leaked outside of the implant. Dr. Grenga is a proponent of complete removal of the breast implant capsule in so far as possible. In certain circumstances, its complete removal might not be feasible without producing undue harm to the nearby structures. Or, it may produce unacceptable amounts of post-surgical pain. During your consultation, Dr. Grenga will help you to understand the importance of en bloc capsulectomy at the time of breast implant explantation and determine if this technique is appropriate for your situation.


Manufacturers of the most widely used breast implants warrant the breast implants which they manufacture. If you wish to undergo breast implant explantation, our staff will help you to determine whether the cost of a replacement implant, or both sides, will be covered by the warranty. In certain circumstances, additional surgery costs may be covered as well. To be certain, it’s best to check with the details of the warranty associated with the brand of implants which you possess.


Do you think that your implants have failed and that you may need a breast implant explantation? Do you wish to have them removed altogether? Our surgeon Dr. Tad Grenga is experienced in the surgical removal of malfunctioning saline and silicone gel breast implants. Whether you prefer to undergo replacement with modern implants or whether you simply want to leave the implants out all together, let Dr. Grenga’s experience work for you. He’s practiced in the Hampton Roads area since 1987 and has performed hundreds of breast implant explantation operations. To initiate your consultation with the Chesapeake Center for Cosmetic and Plastic Surgery, CLICK HERE to view our “Contact US” page. You can request a consultation and, within 24 hours, you will be contacted via your preferred method. Or, you may call our office directly at 757-673-5900 (TOLL FREE 877-639-9680) to begin the journey towards breast implant explantation with or without replacement implants.



  • Dr. Grenga,

    When I first considered breast enlargement, I wasn't sure that it was the thing for me. I just wanted to restore the breasts that I had before bearing my two children.

    After the kids came, I gradually lost about two cup sizes. Thanks to you, I have been pleased to have my figure back. This has made me very glad that I made the decision to go ahead with the operation.

  • Dr. Grenga,

    I cannot say enough good things about my entire experience with Dr. Grenga and his staff. Dr. Grenga has made a difference in my looks ( 10 years+ younger ). His expertise as well as his bedside manner have made a positive difference in my life.


  • Dr. Grenga,

    I know that you get thank you’s everyday but I want to let you know how much I appreciate the extent that you went to yesterday to help me. I will always be thankful for your extreme kindness you are truly the most caring Doctor a girl could ask for.


  • Dr. Grenga,

    Thank you for the wonderful kindness and politeness you all show each and every time I have come to or called the office. You all ROCK !


  • Dr. Grenga,

    Your attention to detail and expertise exceeded all of our expectations. You have a true passion for your work and it shines with your wonderful bedside manner. Words cannot express how truly thankful we are for what you have done for us and our daughter.

    AL and SL

  • Dr. Grenga,

    They say pictures can say a thousand words but the first one that came to mind after looking at these before & after’s is wow. You have made such a difference in how I look and feel about myself. I look forward to a continued relationship with you and your staff at the Chesapeake Center for Cosmetic and Plastic Surgery. Many thanks!


  • Dr. Grenga,

    You performed a tummy tuck on me three months ago and the results are terrific! I personally want to thank him for the job well done. His staff and Dr. Grenga take the time with you and make your whole surgery experience wonderful. If I ever need anything else done to my body, Dr. Grenga will be doing it.


  • Dr. Grenga,

    I feel now that I wished that I had my breast reduction operation a long time ago. I cannot believe that I waited so long for this and suffered for so many years. I feel so much better and have enjoyed exercising again because my back and breasts no longer hurt. My clothes fit so much better as well. You were right-it has made a remarkable difference in my appearance but I want you to know that it has made a difference in my outlook as well. I feel years younger!


dr.Tad Grenga

Dr. Grenga has practiced in Hampton Roads since 1987. He is board-certified by the American Board of Plastic Surgery, and is a Fellow of the American College of Surgeons. He has dedicated his practice to the specialty of cosmetic and plastic surgery.

As one of the most experienced plastic surgeons in Southeastern, Dr. Grenga offers his patients a
diverse selection of plastic surgery options for enhancing your figure and rejuvenating your appearance.

            Web Design Chesapeake VA | VISIONEFX