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About the procedure Breast Implant Removal Surgery

Breast Implant Removal Surgery - 1

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Disclaimer:

The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors, including the individual’s genetics, diet and exercise. Some images may have the patient’s tattoos, jewellery or other identifiable items blurred to protect patient identities.

What is Breast Implant Removal Surgery?

Breast implant removal surgery involves the removal of previously placed breast implants. Patients may consider this procedure for various reasons, including addressing complications, changes in breast tissue over time, or a preference to no longer have implants. The procedure may also involve adjustments to the surrounding breast tissue, depending on factors such as skin elasticity and breast volume after implant removal. In some cases, a breast lift (mastopexy) may be performed to reshape the breast if there is excess skin following implant removal.

This surgery is performed under general anaesthesia, often using the original incision sites to minimise additional scarring. Some patients may choose to have new implants placed, while others may opt to leave the breasts without implants. The approach to the procedure varies based on individual factors, including the condition of the breast tissue and the changes being addressed. A consultation is necessary to determine the most suitable surgical plan based on the patient’s anatomy and surgical goals.

Our Philosophy on Breast Implant Removal Surgery

At Dr Eddie Cheng’s clinic, breast implant removal surgery is approached with a focus on addressing individual concerns while prioritising patient safety. Each patient has unique reasons for considering implant removal, and the decision-making process involves a thorough consultation to assess the most suitable approach. Whether the procedure involves implant removal alone or additional adjustments to the breast tissue, the surgical plan is tailored based on the patient’s anatomy and specific needs.

We recognise that the decision to remove implants is personal, and we aim to provide a supportive environment where patients can explore their options with clear, factual information. The consultation process includes an assessment of implant condition, breast tissue characteristics, and any additional procedures that may be considered, such as a breast lift (mastopexy). Our approach ensures that the surgical plan is designed to align with the patient’s anatomy while maintaining a focus on long-term health and well-being.

Different Methods of Performing Breast Implant Removal Surgery

Removal of Implants Only

One method of breast implant removal involves surgically removing the implants without additional procedures. Patients may consider this option if they no longer want to have implants or are experiencing complications such as rupture or capsular contracture. The procedure is typically performed through the original incision site, which may be under the breast, around the areola, or in the armpit. The implants are carefully removed, and the surrounding tissue is left intact.

After implant removal, the breast tissue may be left as is or adjusted slightly depending on its condition. Some patients may not require further interventions, while others may experience changes in breast shape or skin elasticity, particularly if the implants have been in place for many years. In cases where significant changes have occurred, additional procedures, such as a breast lift (mastopexy), may be considered to reshape the tissue.

Implant Removal with Breast Lift (Mastopexy)

For some patients, a breast lift (mastopexy) may be performed alongside implant removal to adjust the shape and position of the breasts. Changes in breast tissue over time, combined with the presence of implants, can contribute to variations in skin elasticity and breast position. A mastopexy involves removing excess skin and repositioning the remaining tissue to reshape the breast.

The technique used for a breast lift (mastopexy) depends on the degree of tissue laxity and the amount of skin that needs to be removed. In some cases, the nipple position may be adjusted, and the areola may be resized to maintain proportion. Combining implant removal with a breast mastopexy can help reshape the breast when adjustments to tissue positioning are necessary after implant removal.

Removal of Implants and Replacement with Fat Transfer

Some patients may choose to replace their implants with fat transfer, which involves liposuction to harvest fat from another area of the body, such as the abdomen or thighs. The purified fat is then administered into the breasts using a syringe to add volume and shape. This approach may be considered by patients who want to maintain some volume in the breasts without using implants.

When considering fat transfer, the amount of available donor fat and the expected volume increase are key factors in determining suitability. While fat transfer can add volume, it may not provide the same degree of augmentation as implants, and in some cases, multiple sessions may be required. The procedure also depends on the body’s ability to retain the transferred fat, as some fat may be naturally absorbed over time.

Implant Removal and Replacement with New Implants

Some patients choose to replace their existing implants with new ones. This may be considered when implants have ruptured, changed shape, or no longer align with the patient’s preferences. The procedure involves removing the old implants and inserting new ones, which may differ in size, shape, or material.

Replacing implants allows for modifications to breast volume and shape while maintaining the presence of implants. The approach is similar to primary breast augmentation mammoplasty but includes the additional step of removing the previous implants. In some cases, a breast mastopexy may also be considered alongside implant replacement to adjust the breast shape if needed.

Reasons Patients Choose to Have Breast Implant Removal Surgery

Patients choose breast implant removal surgery for various reasons, often related to dissatisfaction with the current implants or complications. Some may want to remove their implants due to physical discomfort, such as pain in the chest, back, or shoulders, which can occur with excessively large or heavy implants. Others may be experiencing complications such as capsular contracture (the hardening of scar tissue around the implant), implant rupture, or asymmetry between the breasts, prompting the need for removal.

In addition to medical concerns, some patients may choose breast implant removal because their personal aesthetic goals have changed. Over time, an individual’s preferences or lifestyle may change, leading them to consider removing implants and adjusting breast shape through other methods. Patients may also seek removal if they are experiencing issues such as rippling, visibility of the implants through the skin, or dissatisfaction with the implant’s appearance. Regardless of the reason, breast implant removal surgery offers patients the opportunity to make changes that align with their current needs and goals.

Procedure gallery View our patient results

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Breast Lift Results

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Breast Augmentation Mammoplasty Results

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Breast Implant Revision Results

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Disclaimer: The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors, including the individual’s genetics, diet and exercise. Some images may have the patient’s tattoos, jewellery or other identifiable items blurred to protect patient identities.

Aftercare and Recovery

The recovery process following breast implant removal surgery varies based on factors such as the extent of the procedure, individual healing response, and whether additional procedures, such as a breast lift (mastopexy) or fat transfer, were performed. Patients are typically advised to wear a supportive bra to help manage swelling and provide support during the initial healing phase. Pain and discomfort can usually be managed with prescribed medication, and rest is recommended in the first few days. Light daily activities may be resumed after the first week, but more strenuous physical activities, including lifting and exercise, should be avoided for several weeks as healing progresses.

Regular follow-up appointments are important for monitoring recovery and addressing any concerns. Swelling continues to subside over time, and the breasts gradually settle into their new shape. Full recovery may take several months, with final changes becoming more noticeable as the tissues adjust. Patients are encouraged to follow post-operative care instructions carefully to support healing and minimise the risk of complications. Factors such as skin elasticity, overall health, and adherence to aftercare recommendations can influence the recovery timeline and overall surgical outcome.

Risks and Complications

As with any surgical procedure, breast implant removal surgery carries potential risks and complications, which may vary depending on individual factors and the specific surgical approach. These can include:

  • Infection at the incision sites
  • Bleeding or haematoma (blood collection under the skin)
  • Changes in breast or nipple sensation, which may be temporary or permanent
  • Scarring, with varying degrees of visibility depending on the technique used
  • Risk of asymmetry or unevenness between the breasts
  • Capsular contracture (scar tissue around the implant)
  • Need for further surgery to adjust or address any issues with the removal or revision
  • Fluid accumulation (seroma)
  • Risks associated with anaesthesia
  • Nipple and areola repositioning complications (in cases of mastopexy)

 
A thorough consultation is essential to discuss these risks and how they may apply to each patient’s circumstances. Factors such as skin elasticity, the condition of the breast tissue, and individual healing responses can influence outcomes. Regular follow-up appointments allow for ongoing monitoring and early management of any concerns that may arise during recovery.

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