Removal of breast implants

Breast implant removal surgery is a procedure designed for women who wish to remove their existing breast implants.

Why Consider Breast Implant Removal?

  • Implant Complications: Issues such as rupture, leakage, or capsular contracture (scar tissue forming around the implant) may require removal.
  • Cosmetic Preferences: Some individuals may choose to remove their implants due to changes in personal aesthetic preferences or changes in their body over time.
  • Implant Lifespan: Breast implants are not considered lifetime devices. On average, implants may last around 10 to 15 years, and removal or replacement may be considered after this period.

Options for Breast Implant Removal:

  • Implant Replacement: Replacing old implants with new ones, which may involve a different size or type (saline or silicone).
  • Implant Removal: Some individuals choose to remove their implants without replacement.
  • Mastopexy (Breast Lift): Removal of implants may result in a less full appearance or lower breast position. A breast lift can help reshape and elevate the breast tissue.
  • Fat Transfer: A technique using your own fat cells. Fat transfer can help restore volume in areas where needed, with the added benefit of improving the donor site. Studies indicate that a portion of the transferred fat can survive long term, with retention rates generally reported between 50-80%.

Potential Benefits of Breast Implant Removal:

  • Comfort: Older implants may harden, shift, or cause discomfort over time.
  • Health Considerations: Removing older implants may address some potential implant-related concerns.

Recovery and Aftercare – Breast Implant Removal

  • Mild to moderate discomfort, swelling, and bruising are common and usually improve over several days to weeks.
  • Pain relief may be prescribed or managed with over-the-counter medication, as directed by your surgeon.
  • Dressings and wound care instructions will be provided and should be followed carefully to support healing and reduce the risk of infection.
  • Support garments or a surgical bra may be recommended to provide comfort and minimise swelling.
  • Strenuous activity, heavy lifting, and upper body exercise should generally be avoided for 4–6 weeks, or as advised by your surgeon.
  • Driving should only resume once you are no longer taking prescription pain medication and feel physically able to perform all necessary movements safely.
  • Changes in breast shape and skin appearance are expected, especially if no additional procedures (such as a lift) are performed.
  • Scarring will develop as part of the healing process; your surgeon may recommend scar care products or techniques as appropriate.
  • Follow-up appointments are important to monitor healing, assess results, and address any concerns.
  • Smoking and alcohol should be avoided during recovery, as they may impair wound healing and increase the risk of complications.
  • Final results may take several months to stabilise as tissues adjust and swelling subsides.

Potential Risks – Breast Implant Removal Surgery

As with any surgical procedure, breast implant removal carries risks. These include general surgical risks as well as those specific to the removal of implants:

  • Infection at the surgical site, which may require antibiotics or further treatment
  • Bleeding or haematoma (collection of blood under the skin)
  • Changes in breast shape, size, or symmetry following implant removal
  • Loose skin, particularly if implants were large or have been in place for many years
  • Altered sensation in the breast or nipple area, which may be temporary or permanent
  • Scarring, which can vary depending on incision type, healing, and individual factors
  • Seroma formation (accumulation of fluid), which may require drainage
  • Pain or discomfort, which may persist beyond the expected recovery period
  • Asymmetry, particularly if implants were originally placed to correct unevenness
  • Damage to surrounding tissues, including breast tissue, blood vessels, or nerves
  • Need for additional surgery, such as a breast lift, if excess skin or cosmetic concerns remain
  • Anaesthesia-related risks, including allergic reaction or respiratory complications

Your surgeon will discuss the specific risks relevant to your procedure based on your medical history, implant type, and surgical plan.

Breast implant removal is a significant decision and should be made in consultation with qualified healthcare professionals. Understanding the available options, benefits, and risks can help you make an informed choice that aligns with your personal goals.

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