Nexplanon Implant Removal
Nexplanon is a small, flexible birth control implant placed under the skin of the upper arm. While insertion and removal are typically straightforward, some patients experience complications — the implant may migrate, become deeply embedded, or be difficult to locate by touch (non-palpable). In these situations, specialized image-guided removal by an interventional radiologist is the safest approach.
When Is Specialist Removal Needed?
Most Nexplanon removals are performed by the provider who originally placed the implant. However, you may be referred to our interventional radiology team if:
- The implant can't be felt — A non-palpable implant that has migrated or is deeply placed
- A previous removal attempt failed — Your doctor attempted removal but couldn't locate or extract the implant
- The implant has migrated — It has moved from its original insertion site
- The implant is deeply embedded — It's placed deeper in the tissue than intended
Our Removal Process
Our interventional radiologists use advanced imaging techniques — typically ultrasound — to precisely locate the implant before removal. This image-guided approach ensures safe, accurate removal even when the implant is deep or has migrated.
The procedure is performed in our office under local anesthesia. A small incision is made, and the implant is carefully extracted under real-time imaging guidance. The entire process typically takes 15-30 minutes, and patients go home the same day.
What to Expect
- Before: Brief consultation and imaging to locate the implant
- During: Local anesthesia applied, small incision, image-guided removal (15-30 minutes)
- After: Small bandage, minimal discomfort, resume normal activities quickly
Most patients experience only mild soreness and bruising at the incision site. Over-the-counter pain relief is typically all that's needed for any post-procedure discomfort.
Insurance Coverage
Nexplanon removal is generally covered by insurance. When image-guided removal is medically necessary due to a non-palpable or migrated implant, it is typically covered as a medical procedure rather than routine contraceptive care. Our team will verify your coverage before scheduling.
Nexplanon Removal FAQ
Does the removal hurt?▼
Local anesthesia numbs the area before the procedure, so you should feel minimal discomfort during removal. Afterward, mild soreness and bruising are common but typically resolve within a few days.
How long does the procedure take?▼
Image-guided Nexplanon removal typically takes 15-30 minutes. You can go home the same day and return to most normal activities immediately.
What if my doctor couldn't remove it?▼
This is exactly why we're here. When standard removal is unsuccessful, our interventional radiologists use advanced imaging to locate and safely extract the implant. We regularly handle complex cases that other providers refer to us.