Breast Implant Removal, also known as Explant Surgery, is a surgical procedure designed for those who wish to remove their breast implants due to various personal, medical, or lifestyle reasons. At Me Clinic, we understand that the journey with breast implants can sometimes lead to the decision to have them removed, whether due to changes in aesthetic preferences, health concerns, or complications related to the implants themselves.
At Me Clinic, we understand that the journey with breast implants is unique for each individual and may evolve over time, leading some to consider their removal. Our team of Specialist Plastic Surgeons are here to guide you through the implant removal process, ensuring that your decision is informed and your care is personalised.
Following the implant removal, you may consider additional breast surgical techniques such as a breast lift to tighten loose skin, fat transfer to increase volume and shape of your breasts or a replacement.
Surgical Warning: Any surgical or invasive procedure carries risks. Before proceeding you should seek a second opinion from an appropriately qualified health practitioner.
Read more on the Risks of Surgery
Benefits of Breast Implant Removal
The decision to remove breast implants can bring a variety of benefits, each closely tied to the reasons behind the need for the surgery. Key benefits include:
- Improvement in Appearance: Enhances the natural look of the body, often restoring a proportionate breast contour.
- Resolution of Pain: Eliminates discomfort associated with large or improperly positioned implants, reducing strain on the back, neck, and shoulders and improving overall quality of life.
- Alignment with Changed Aesthetic Tastes: Over time, personal aesthetic preferences can change. Removing implants can realign one’s appearance with current tastes or a desired simpler, less augmented look.
- Age-Related Changes: As individuals age, the skin loses elasticity and the breasts naturally change shape and size. Removing implants can help manage these changes more naturally and comfortably.
- Weight Fluctuations: Significant weight gain or loss can alter how implants look and feel in the body. Removing them can help achieve a more balanced and proportionate figure in light of these changes.
- Reduced Maintenance: Implants require ongoing monitoring and sometimes replacement due to complications or end of life. Removal eliminates the need for future surgeries related to implant maintenance.
- Increased Comfort in Clothing: Some individuals find that certain styles or types of clothing fit more comfortably without implants, particularly athletic or form-fitting wear.
- Improvement of Deformity Associated with Capsular Contracture: Resolves issues related to the hardening of scar tissue around implants, restoring the breasts to a more natural shape and feel.
- Improvement of Symptoms Associated with Breast Implant Illness: For patients who experience systemic symptoms they believe are linked to their implants, removal can lead to significant symptom relief.
- Enhanced Physical Activity: Removal of implants can make physical activities easier, encouraging a healthier lifestyle and improved physical fitness.
- Emotional and Psychological Relief: Provides psychological benefits for those who have experienced body image issues due to their implants.
- Reduction in Health Anxiety: Alleviates concerns about long-term risks such as BIA-ALCL or implant rupture, offering peace of mind.
- Simplified Breast Health Monitoring: Facilitates easier and more accurate breast health monitoring and cancer screening, as mammograms and other imaging tests are less complicated to perform and interpret without implants.
Each of these benefits contributes to why someone might choose to have their breast implants removed. At Me Clinic, we discuss these benefits thoroughly during consultations to ensure that every patient can make a well-informed decision that best suits their health goals and personal preferences.
Reasons to remove Breast Implants
There are several medical reasons why removing breast implants may be necessary:
- Capsular Contracture: This occurs when the fibrous capsule that the body forms around the implant tightens and squeezes the implant, causing pain and distorting the appearance of the breast.
- Implant Rupture: A breach in the implant shell, which can release silicone gel or saline into the surrounding tissues, potentially leading to inflammation and discomfort.
- Suspected BIA-ALCL: Breast Implant-Associated Anaplastic Large Cell Lymphoma is a rare but serious immune system cancer associated with certain types of implants, particularly those with textured surfaces.
- Further Implant Complications: there can be further complications that can be mechanical, biological or aesthetic. These include displacement/asymmetry, wrinkling, leakages (after rupture), infection and more.
There are other reasons for breast implant removal that are not medical necessities:
- Personal choice: Many individuals choose to have their breast implants removed due to changes in their lifestyle or personal aesthetics. As people age or undergo life changes such as weight fluctuations, pregnancy, or menopause, their preferences for how they want their bodies to look can change significantly. Others may decide that the maintenance and periodic replacement of implants are no longer desirable.
- Recommendations: Medical professionals often recommend the removal of breast implants after a certain period, typically around 10 years, as part of routine maintenance. This recommendation is based on the typical lifespan of implants and the increased risk of complications like leakage or rupture over time. Following these guidelines helps ensure patient safety and the continued health of the breast tissues.
- Poor prior surgery: results from overseas surgery and unqualified surgery by cosmetic doctors are commonly poor, where a removal of the previous breast implants may be needed for correction.
- Physical discomfort: some individuals experience physical discomfort, pain or sensations after breast augmentation that can be resolved by implant removal.
By understanding both the benefits and the reasons for breast implant removal, patients can make informed decisions that align with their health priorities and aesthetic goals.
Breast Implant Removal Procedure Overview
At Me Clinic, the process of an implant removal is meticulously planned to ensure safety, comfort, and the best possible outcomes for our patients. Here’s an overview of what you can expect during the procedure, from the initial consultation to the first steps of recovery:
Consultation and Planning:
The journey begins with a detailed consultation with one of our Specialist Plastic Surgeons. During this session, we will discuss your medical history, reasons for wanting the implants removed, and your expectations. This is an opportunity to address any concerns and ask questions about the procedure. The surgeon will assess your implants and the surrounding tissue to recommend the best approach tailored to your needs, while maintaining realistic expectations.
Pre-Operative Preparation:
Prior to the breast implant removal surgery, you will receive instructions on how to prepare, which may include guidelines on eating, drinking, medication adjustments, and what to bring on the day of surgery. Pre-operative imaging or tests might be required to help plan the procedure.
Anesthesia:
Implant removal is typically performed under general anesthesia, ensuring you are comfortable and pain-free throughout the procedure. Anesthesiologists are highly skilled and will monitor your condition continuously to ensure your safety.
The Surgical Procedure:
- Incision Placement: The surgeon will generally use the same incision lines from your implant insertion to minimise additional scarring. However, the incision method can vary based on the technique being used and the specifics of your case.
- Implant Removal: The implants are carefully removed through the incisions. If there are no complications and a simple explantation technique is planned, the capsule surrounding the implant may be left in place. In cases requiring total capsulectomy or en bloc removal, the surrounding capsule will also be removed.
- Managing the Tissue: Once the implants (and possibly the capsules) are removed, the surgeon may perform additional procedures to improve the appearance of the breasts, such as reshaping the existing tissue or preparing for a subsequent breast lift or fat transfer.
Closing the Incisions:
The incisions are closed with sutures, and dressings are applied to support the healing process. Drains may be placed if necessary, to remove excess fluid and reduce swelling.
Immediate Post-Operative Care:
After the surgery, you will be taken to a recovery area where our nursing staff will closely monitor your initial recovery. You can expect to feel groggy as the anesthesia wears off. Most patients are able to go home the same day, although some may need to stay overnight for monitoring, depending on the complexity of the surgery and their general health.
First Steps Towards Recovery:
Before you leave, you will receive detailed instructions on how to care for your incisions, manage pain, and recognise signs of any potential complications. We will also schedule follow-up appointments to monitor your healing process and ensure that you are recovering well.
At Me Clinic, our goal is to make your breast implant removal process as smooth and comfortable as possible. We are committed to providing you with comprehensive care and support every step of the way, ensuring that you feel informed and confident in your care choices.
Techniques for Breast Implant Removal
At Me Clinic, we utilise a variety of surgical techniques for breast implant removal, tailored to meet the specific needs and circumstances of each patient. Understanding the differences between these techniques and when they are applicable helps ensure that you are well-informed about your options. Here’s an overview of the primary methods used:
1) Simple Explantation
- A simple explantation is a technique that involves the straightforward removal of the breast implants without removing the surrounding scar tissue or capsule.
- Simple explantation is typically used when there are no complications with the capsule, such as capsular contracture or infection, and the implants themselves are intact. It’s suitable for patients who want their implants removed but do not have any significant issues surrounding the implant.
- In this surgical method, the surgeon makes an incision, often using previous scar lines to minimise new scarring, and removes the implants. The surrounding capsule is left intact, which can reduce surgical time and facilitate a quicker recovery.
2) Total Capsulectomy
- A total capsulectomy involves the removal of the breast implants along with the entire capsule of scar tissue.
- This method is recommended for patients experiencing issues such as severe capsular contracture, where the capsule has thickened and hardened, or when there is concern about the integrity of the implant (e.g. potential leakage or rupture).
- Total capsulectomy is a more extensive procedure that requires careful dissection to remove the entire capsule. This can help prevent recurrence of capsular contracture and is considered when the overall health of the breast tissue needs to be preserved or improved.
3) En Bloc Removal
- An En bloc removal entails removing the implant and its capsule as one complete unit without opening or disrupting the capsule during the procedure.
- This technique is particularly important for cases where there is a rupture of silicone implants or when addressing concerns related to BIA-ALCL. It is critical for ensuring that all potentially contaminated materials are contained and removed together to minimise the risk of silicone spread or malignant cells escaping into the breast or body.
- En bloc removal requires precise surgical skills to ensure that the entire capsule and implant are removed intact. It often necessitates a larger incision and more complex dissection, which can lead to a longer recovery time but provides a higher assurance of complete removal.
The choice of technique will depend on multiple factors including the type of implants, the presence of any complications, and your personal health goals. During your consultation at Me Clinic, our highly experienced team and Plastic Surgeons will discuss these options in detail, taking into account your medical history, current implant condition, and your preferences. This personalised approach ensures that the surgical plan is optimised for your health and aesthetic outcomes.
Additional Surgical Options with Breast Implant Removal
Following the removal of breast implants, some patients may seek additional surgical options to enhance the aesthetic appearance of their breasts. At Me Clinic, we offer a range of procedures tailored to meet individual needs and ensure satisfactory outcomes. Surgical options that are commonly combined with breast implant removal surgery are:
- Breast lift (mastopexy)
- Breast enlargement via fat transfer
- Breast implant replacement
A breast lift can tighten loose skin and reshape sagging breasts, which often occur after implant removal, especially if the implants were large or if the patient has experienced significant weight changes or aging. This procedure restores a more youthful and uplifted breast profile, and can also reposition the nipple and areola to a more appropriate position.
A breast lift is ideal for patients who have experienced a loss of skin elasticity, gravity effects, or who wish to improve the breast contour post implant removal. A breast lift can be performed at the same time as the implant removal or as a separate procedure, depending on the patient’s tissue condition and aesthetic goals.
Before
After
Performed By: Dr Ashley Granot (M0001026218) MBBS, FFMACCS (Med), FACP, FACNEM, ABBRM, MA5M Cosmetic Doctor, Melbourne
Fat transfer to breasts is a surgical procedure aimed to increase breast volume naturally by using the patient’s own fat, taken from other body areas like the abdomen or thighs, and injecting it into the breasts. Fat grafting provides a more natural look and feel than implants, with the added benefit of contouring the areas where fat is harvested.
This procedure is ideal for patients looking for a modest increase in breast size and those who prefer a natural alternative to implants, especially appealing for patients who want to avoid synthetic materials or have had complications with implants. Fat transfer can be combined with a breast lift for comprehensive rejuvenation also.
Before
This 21-year-old patient wanted to discuss using breast augmentation to alter the shape and size of their chest area.
After
A Breast Augmentation with Fat Transfer was performed successfully, augmenting the shape and size of the patients’ chest area.
Performed By: Dr Ashley Granot (M0001026218) MBBS, FFMACCS (Med), FACP, FACNEM, ABBRM, MA5M Cosmetic Doctor, Melbourne
For those who still wish to have breast implants, new implants can be inserted either immediately following the removal of the old ones or after a period of healing. This is referred to as a Breast Implant Replacement, which enables patients to update their implant type, size, or shape, adapting to new technologies or changes in their aesthetic preferences.
Suitable candidates for an implant replacement are those who were satisfied with their breast augmentation but need or want to replace their implants due to aging, malfunction, or a desire for a different style. This option is discussed in detail on our dedicated Breast Implant Replacement page, which provides comprehensive information and considerations for those opting to replace their implants.
Before
After
Performed By: Dr Simon Rosenbaum (MED0000957217)
Choosing the right additional procedure after implant removal requires careful consideration and planning. During your consultation at Me Clinic, your surgeon will discuss these options in depth, considering factors such as your body shape, lifestyle, and aesthetic goals. This personalised approach ensures that the recommended procedures align with your expectations and deliver the best possible results.
Risks and Complications
As with any surgical procedure, breast implant removal comes with potential risks and complications, which our Specialist Plastic Surgeons will discuss with you in detail. These may include infection, changes in breast sensation, scarring, and the aesthetic concerns post-removal. Me Clinic is committed to providing the highest standard of care, utilising advanced surgical techniques to minimise risks and promote a smooth recovery.
Breast Implant Removal Recovery
Here’s a revised version of your response for recovery, including specific time frames and additional important information:
Recovering from breast implant removal surgery at Me Clinic involves careful management with each patient to ensure optimal outcomes. Here’s what you can expect during the recovery period:
Immediate Post-Operative Period
Immediately after surgery, you will be monitored in our recovery area as the anesthesia wears off. Most procedures at Me Clinic are outpatient, allowing you to return home the same day, provided there are no complications and you are feeling well enough.
First Few Days After Surgery
It’s normal to experience some swelling, bruising, and discomfort during the initial days post-surgery. Your surgeon will prescribe pain management medication to alleviate discomfort. You will likely be advised to wear a compression garment or surgical bra to help reduce swelling and support the new breast contour.
Activity Restrictions
You should avoid strenuous activities and heavy lifting for at least four to six weeks post-surgery. However, light activities like walking are encouraged to promote blood circulation and reduce the risk of complications such as blood clots.
Returning to Work
Most patients are able to return to work within one to two weeks, depending on the nature of their job and their personal recovery. It’s important to avoid any strenuous tasks when you first return and gradually increase your activity level as recommended by your surgeon.
Follow-Up Care
Follow-up appointments are crucial for monitoring your healing and addressing any potential complications. During these visits, your surgeon will check your incisions and assess your overall recovery. Keeping all scheduled appointments and closely following your surgeon’s advice are vital for a smooth recovery.
Long-Term Recovery
The total recovery time can vary significantly among individuals, but generally, patients return to most normal activities within a few weeks, with complete healing taking several months. As swelling diminishes and breast tissues settle, the final results of your surgery will become more apparent.
Throughout your recovery, Me Clinic is dedicated to offering thorough care and support. We encourage you to maintain open communication with your surgeon and promptly report any unusual symptoms. Our aim is to ensure that your recovery is not only successful in terms of physical healing but also comfortable and reassuring every step of the way.
Breast Implant Removal Cost
The cost of breast implant removal can vary significantly between patients due to several factors that influence the complexity and specifics of the surgery. Understanding these factors can help set realistic expectations for potential costs associated with this procedure.
- Type of Procedure: The specific technique used for implant removal (e.g., simple extraction, total capsulectomy, or en bloc removal) can affect the cost. More complex procedures like en bloc removal typically require more time and expertise, thus increasing the cost.
- Surgeon’s Experience: The expertise and qualifications of the surgeon performing the procedure can influence the cost. Highly experienced and specialised plastic surgeons may charge more due to their expertise, particularly in complex removal cases.
- Anesthesia and Facility Fees: The fees associated with the surgical facility and anesthesia can vary. These costs are influenced by the length of the procedure and the type of anesthesia administered.
- Additional Procedures: If other procedures are performed simultaneously, such as a breast lift or fat transfer, this will also increase the overall cost of the surgery.
- Medical Tests and Post-Surgery Garments: Pre-operative medical tests, post-operative garments, and other supplies may contribute to the total cost.
- Postoperative Care: The extent of postoperative care required, including follow-up visits and potential treatments for any complications, can also affect costs.
At Me Clinic, we understand that the financial aspect of surgery is a significant consideration for many patients. During your consultation, our team will provide a comprehensive assessment of your specific situation, which also ensures that you receive a clear and accurate cost breakdown tailored to your unique needs. We strive to ensure transparency and help you make an informed decision about proceeding with breast implant removal surgery. This process also offers an opportunity to discuss various payment options and any potential insurance coverage that may apply to your situation.
Suitable Candidates for Breast Implant Removal
Ideal candidates for breast implant removal surgery can be simply summarised as those who experience one or more of the following factors:
- Dissatisfaction with Implant size or shape
- Complications from existing Implants
- Health concerns related to Implants
- Implants not longer align with personal preference
Why Choose Me Clinic
Choosing to remove your breast implants is a significant decision, and selecting the right clinic and surgeon is crucial. Me Clinic offers:
- Expertise of Specialist Plastic Surgeons with extensive experience in breast surgeries.
- A compassionate and understanding approach, respecting each patient’s unique needs and preferences.
- A commitment to safety, patient education, and outstanding aesthetic outcomes.
Book a Consultation today
If you are considering breast implant removal, we invite you to schedule a consultation with our Specialist Plastic Surgeons. During your visit, you can discuss your concerns, explore your options, and receive personalised advice tailored to your health and aesthetic goals.
Our Specialist Plastic Surgeons in Breast Implant Removal surgery
Mr Amir Tadros
Specialist Plastic Surgeon Read more
Dr David Ross
Specialist Plastic Surgeon Read more
What are the risks associated with breast implant removal?
Like any surgical procedure, breast implant removal comes with certain risks, although serious complications are rare. Common risks include:
- Infection: Proper sterile techniques reduce but do not eliminate the risk.
- Bleeding or Hematoma: Occasional bleeding may occur post-surgery.
- Scarring: Incisions may result in scars, although they are typically placed to minimize visibility.
- Changes in Sensation: Temporary or permanent changes in breast or nipple sensation may occur.
- Asymmetry: Breasts may not look symmetrical post-removal, especially if previous conditions like capsular contracture were present.
- Anesthetic Complications: Reactions to anesthesia, while rare, can occur and are monitored closely during and after surgery.
Your surgeon will discuss these risks in detail during your consultation to ensure you fully understand and are comfortable proceeding with the procedure.
How long after surgery until I can resume work?
The recovery time after breast implant removal varies by individual but generally follows a predictable timeline. Most patients go home on the same day of the surgery and may experience some initial discomfort, swelling, and bruising. This usually starts to subside within the first week, allowing many to return to non-strenuous activities. By the two to three-week mark, you should feel well enough to engage in light physical activities, and by four to six weeks, most normal activities and moderate exercise can typically be resumed.
Can breast implant removal be combined with other procedures?
Yes, breast implant removal can often be combined with other procedures to enhance the aesthetic outcome. A breast lift is commonly performed alongside implant removal to address sagging and improve the breast contour. Fat transfer is another option that can add natural volume and shape to the breasts after implant removal.
Combining these procedures can help achieve a more natural and pleasing breast appearance, tailored to the patient’s specific desires and body shape.
What are the signs that my breast implants might need to be removed?
Signs that may indicate the need for breast implant removal include persistent discomfort or pain around the implants, noticeable changes in breast shape or size such as swelling, distortion, or asymmetry, and hardening of the breast, often due to capsular contracture.
Visible signs of implant failure, such as sudden decrease in size for saline implants or changes in contour for silicone, and symptoms of infection like redness or swelling are also key indicators. Additionally, some patients report systemic symptoms associated with breast implant illness, including fatigue and joint pain. If you experience any of these issues, it’s important to consult with a qualified plastic surgeon to evaluate the need for implant removal.
Can breast implant removal impact my ability to breastfeed?
Breast implant removal generally does not impact your ability to breastfeed, especially if the implants were placed in a way that did not interfere with the milk ducts. However, the specific impact can depend on the original placement of the implants and the technique used during both the implantation and the removal process.
If the implants were placed under the glandular tissue or if significant scar tissue is involved, there might be some potential for disruption to milk ducts. It’s important to discuss your breastfeeding concerns with your surgeon before the procedure, as they can tailor the surgical approach to preserve breastfeeding functionality as much as possible.
What are the long-term care considerations after breast implant removal?
After breast implant removal, it’s important to follow your surgeon’s instructions closely and keep all follow-up appointments to monitor healing. Regular self-exams and professional breast exams are crucial to observe any changes in your breast tissue. If a breast lift was also performed, proper scar care is essential to minimise scarring. Maintaining a stable weight and healthy lifestyle supports the long-term results. Emotional adjustment is also an important aspect, and seeking support from counseling or support groups can be beneficial.