Health

Breast Implant Removal

by Dr Clara Lee

Breast implant removal, also known as explantation, is a surgical procedure in which previously inserted breast implants are removed from the body. This procedure is chosen for a variety of reasons, including personal preferences, changes in lifestyle, complications, or concerns about the implants.

Here are some key points about breast implant removal:

  1. Reasons for Removal: There are several reasons why someone might choose to have their breast implants removed:
    • Personal preference: The individual no longer desires to have breast implants and prefers their natural appearance.
    • Implant-related complications: Complications such as implant rupture, leakage, capsular contracture (scar tissue around the implant), infection, or discomfort.
    • Lifestyle changes: Changes in lifestyle, body image, or aesthetic preferences that lead to the desire for implant removal.
    • Health concerns: Some individuals might have health-related concerns or believe their implants are impacting their overall well-being.
  2. Procedure: The procedure to remove breast implants can vary depending on factors such as the type of implants, the condition of the breast tissue, and whether the individual wants any additional procedures done (such as a breast lift). The surgeon will typically make an incision in the same area where the original breast augmentation incision was made. The implant is carefully removed, and the surgeon may also address any scar tissue or capsule around the implant.
  3. Implant Types: Breast implants can be either saline-filled or silicone-filled. The removal process can be slightly different for each type, but both types can be removed safely by a skilled surgeon.
  4. Implant Replacement or Not: Some individuals choose to replace their implants with new ones or opt for a breast lift at the time of removal to address changes in breast shape that might have occurred since the initial augmentation.
  5. Recovery: The recovery process after breast implant removal varies, but it generally involves managing post-operative discomfort, allowing incisions to heal, and following any specific instructions provided by the surgeon. Recovery time can vary from person to person.
  6. Consultation with a Surgeon: If you’re considering breast implant removal, it’s important to consult with a board-certified plastic surgeon who can assess your situation, discuss your goals, and recommend the appropriate course of action based on your individual circumstances.

Remember that each person’s situation is unique, and the decision to remove breast implants should be well-informed and based on your personal preferences and health considerations. Consulting with a qualified surgeon will help you make the best decision for your needs.

What happens when breast implants are removed?

When breast implants are removed, a surgical procedure known as breast implant removal or explantation is performed. The specifics of the procedure can vary based on factors such as the type of implants, the condition of the breast tissue, and whether any additional procedures are planned (such as a breast lift). Here’s an overview of what generally happens during breast implant removal:

  1. Preoperative Evaluation: Before the surgery, you’ll have a consultation with a plastic surgeon to discuss your goals, concerns, and medical history. The surgeon will examine your breasts, assess the condition of the implants, and discuss the surgical plan.
  2. Anesthesia: The surgery is typically performed under general anesthesia, which means you’ll be completely asleep and won’t feel any pain during the procedure.
  3. Incision: The surgeon will make an incision to access the implant. The location of the incision will often be determined by the original incision site used for the initial breast augmentation surgery. Common incision locations include the inframammary fold (under the breast), periareolar (around the areola), or axillary (in the armpit).
  4. Implant Removal: The surgeon will carefully remove the breast implant. If the implant is silicone-filled, the surgeon may inspect it for any signs of rupture or leakage. Saline-filled implants are generally removed intact.
  5. Capsule Removal (Optional): In some cases, the surgeon might also remove the scar tissue or capsule that forms around the implant. This is known as a complete capsulectomy. The decision to remove the capsule depends on factors such as its condition and whether there are concerns about its integrity.
  6. Breast Lift (Optional): If you’ve chosen to have a breast lift along with the implant removal, the surgeon will address excess skin and reshape the breast tissue to achieve a more youthful and lifted appearance.
  7. Closure: After the implants are removed and any additional procedures are completed, the surgeon will close the incisions with sutures. These sutures might be absorbable or require removal in a follow-up appointment.
  8. Recovery: You will be moved to a recovery area where medical staff will monitor your condition as you wake up from anesthesia. After some time, you’ll be allowed to go home to begin your recovery.
  9. Recovery and Follow-Up: The recovery process can vary, but you’ll likely experience some discomfort, swelling, and bruising. Following the surgeon’s post-operative instructions is important for a smooth recovery. You’ll have follow-up appointments to monitor your healing progress.

It’s important to note that each individual’s situation is unique, and the specifics of the procedure will depend on your specific circumstances and goals. If you’re considering breast implant removal, consulting with a qualified plastic surgeon is crucial to ensure you have a clear understanding of the process and what to expect.

What happens when breast implants are removed and not replaced?

When breast implants are removed and not replaced, a procedure known as breast implant removal without replacement or implant explantation is performed. This involves removing the existing breast implants while leaving the natural breast tissue in place. Here’s what typically happens when breast implants are removed and not replaced:

  1. Consultation: You’ll have a consultation with a plastic surgeon to discuss your reasons for removing the implants and your desired outcome. The surgeon will assess your breasts, the condition of the implants, and any factors that might affect the procedure.
  2. Anesthesia: The surgery is usually performed under general anesthesia to ensure your comfort and safety throughout the procedure.
  3. Incision: The surgeon will make an incision, typically in the same location where the original breast augmentation incision was made. The incision location might vary based on the specific circumstances and your surgeon’s recommendation.
  4. Implant Removal: The surgeon will carefully remove the breast implants. If the implants are silicone-filled, the surgeon might inspect them for any signs of rupture or leakage. Saline-filled implants are generally removed intact.
  5. Capsule Removal (Optional): Depending on the condition of the scar tissue or capsule that formed around the implants, the surgeon might choose to remove all or part of the capsule. This decision will be made based on factors such as the thickness of the capsule and the presence of any issues.
  6. Closing Incisions: After the implants and any associated scar tissue are removed, the surgeon will close the incisions with sutures. These sutures might be absorbable or require removal in a follow-up appointment.
  7. Recovery: You’ll be monitored as you wake up from anesthesia in a recovery area. You’ll likely experience some discomfort, swelling, and bruising in the days following the surgery. Following the surgeon’s post-operative instructions is essential for a smooth recovery.
  8. Follow-Up: You’ll have follow-up appointments with your surgeon to monitor your healing progress and address any concerns you might have during the recovery process.

Breast implant removal without replacement is a personal decision and can be chosen for various reasons, including changes in lifestyle, dissatisfaction with the implants, concerns about implant-related issues, or a desire to return to a more natural appearance. If you’re considering this procedure, it’s important to have a thorough consultation with a qualified plastic surgeon who can provide guidance based on your individual circumstances and goals.

Is removing breast implants a major surgery?

Yes, removing breast implants is considered a surgical procedure, and its classification as a major or minor surgery depends on several factors, including the specifics of the procedure, the surgical approach, and the overall impact on the body. Here are some points to consider:

  1. Invasive Nature: Breast implant removal involves making incisions in the skin to access the implants and potentially the surrounding scar tissue. Any surgical procedure that requires cutting through the skin is considered invasive.
  2. Anesthesia: Most breast implant removal surgeries are performed under general anesthesia. The use of general anesthesia indicates that the surgery is more than a minor procedure, as it involves inducing a controlled state of unconsciousness for the patient’s safety and comfort.
  3. Incision Length and Complexity: The length and complexity of the incisions made during the surgery can also influence the classification of the procedure. More complex or longer incisions might indicate a higher degree of invasiveness.
  4. Recovery Time: The recovery time associated with breast implant removal is typically longer than that of minor procedures. Patients often need some downtime to heal from the surgery and manage post-operative discomfort.
  5. Potential Additional Procedures: In some cases, patients might choose to have additional procedures performed alongside breast implant removal, such as a breast lift or removal of scar tissue (capsule). These additional procedures can increase the complexity of the surgery.

While breast implant removal is generally less complex than the initial breast augmentation surgery, it is still a surgical procedure that requires careful planning, skilled execution, and appropriate post-operative care. It’s important to treat it with the same level of consideration and preparation as any major surgical procedure.

If you’re considering breast implant removal, it’s recommended to consult with a board-certified plastic surgeon who can evaluate your individual situation, discuss the details of the procedure, and help you understand the potential impact on your body and the recovery process.

How painful is breast implant removal?

The level of pain experienced during breast implant removal can vary from person to person and is influenced by factors such as individual pain tolerance, the specific surgical techniques used, the extent of the procedure, and how well the patient manages their recovery. Here are some points to consider:

  1. Post-Operative Discomfort: Like any surgical procedure, breast implant removal is associated with some level of post-operative discomfort. Patients commonly report feeling soreness, swelling, and bruising around the incision sites and breast area. This discomfort is usually most intense in the first few days after surgery and gradually decreases over time.
  2. Pain Management: Surgeons typically provide pain management strategies to help patients manage their discomfort. This may include prescription or over-the-counter pain medications to alleviate pain during the initial recovery period.
  3. Individual Variation: Pain perception varies widely from person to person. Some individuals may experience relatively mild discomfort, while others might find the pain more intense. Factors such as pain threshold, overall health, and the presence of any medical conditions can influence how an individual experiences pain.
  4. Capsular Contracture and Scar Tissue: If capsular contracture (scar tissue formation around the implant) was a reason for the removal, the surgeon might need to address this during the procedure. Removing the scar tissue might result in additional discomfort and potentially a longer recovery.
  5. Breast Lift or Additional Procedures: If additional procedures, such as a breast lift, are performed alongside implant removal, this can impact the overall discomfort experienced during recovery.
  6. Recovery Timeline: The discomfort typically peaks within the first few days after surgery and then gradually improves. Most patients are able to manage their discomfort with pain medication and rest.

It’s important to communicate your pain level and any concerns you have with your surgeon during the pre-operative consultation and throughout your recovery. Your surgeon can provide guidance on managing pain, recommend appropriate pain relief methods, and address any questions you might have.

Remember that while some discomfort is to be expected, severe or prolonged pain should always be reported to your medical provider, as it could indicate a complication or an issue that needs to be addressed.

Written by Clara Lee