Breast Implant Removal (Explantation)

Removal of breast implants, with or without removal of the surrounding capsule of scar tissue, and optionally combined with a mastopexy.

What is implant explantation?

Explantation refers to the surgical removal of breast implants. The procedure can range from straightforward implant removal alone, through to capsulectomy (removal of the fibrous capsule of scar tissue that forms around every implant), and may be combined with a breast lift (mastopexy) to address skin laxity that develops after the implant is removed.

Dr Doherty will discuss the most appropriate approach for your circumstances during your consultation.

Who considers it?

Common reasons patients consider explantation include:

• A personal decision to no longer have implants
• Implant rupture or capsular contracture
• Discomfort or pain attributed to the implants
• Concerns about long-term implant-related conditions, including BIA-ALCL
• A preference for the appearance and feel of the breast without implants

Recovery

Recovery time depends on the complexity of the procedure. Simple implant removal alone has a shorter recovery than explantation with capsulectomy and/or mastopexy. A supportive bra is worn during healing. Strenuous activity is restricted for approximately four to six weeks.

Related: See our scar management guide for the post-operative healing timeline, the daily silicone-and-massage protocol, and when to be concerned about a scar.

Risks

Specific risks include changes in breast shape and volume that some patients find unexpected, skin laxity or deflation requiring further surgery, asymmetry, fluid collection (seroma), and adverse scarring. Where capsulectomy is performed, there are additional risks related to dissection near the chest wall. These are discussed in detail at your consultation.

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