In the world of cosmetic surgery, a big question is: “What happens when it’s time to remove breast implants?” Removing breast implants, or explantation, is a surgery that’s getting more attention. People who had breast implants are now thinking about taking them out. This could be due to health issues, problems with the implants, or just a change of heart.
It’s important to know why you might want to remove your implants, the different ways to do it, and the possible risks. From capsular contracture and implant rupture to breast implant illness and lifestyle changes, there are many reasons. These reasons can be complex and personal.
Key Takeaways
- Breast implants typically last 10 to 20 years before needing replacement.
- Complications like capsular contracture and implant rupture can necessitate breast implant removal.
- Breast implant removal surgery often has a shorter recovery time compared to breast augmentation.
- Patients may choose to combine implant removal with breast lift or fat grafting procedures.
- Breast implants are not meant to last forever, leading some individuals to remove and potentially replace them.
What is Breast Implant Removal?
Breast implant removal, also known as explantation surgery, is a surgical procedure to remove breast implants. It’s done for health reasons, complications, or personal choices. It can also be due to lifestyle changes.
Definition and Overview
In the breast implant removal procedure, the surgeon takes out the implants. They might also remove the scar tissue around the implant. Usually, implants need to be removed or replaced after 10 to 15 years.
- A breast uplift is often combined with a breast implant removal or replacement surgery.
- Some women opt for additional surgery after breast implant removal, such as implant replacement or breast uplift without implants.
- Capsular contracture might develop, causing chronic pain and breast distortion.
There are different surgical options for removing breast implants. These include removing without replacing, replacing with new implants, or removing with an uplift. The time it takes to recover and get back to daily activities can vary.
“Breast implant removal surgery can be performed on an outpatient basis.”
Consultations can be booked with specific surgeons. The price for the main treatment is due in full ten days before admission. Fairfield Independent Hospital has been leading in cosmetic surgery for over 25 years. They offer an aftercare promise covering the cost of any needed surgical intervention within 12 months after discharge.
Reasons for Breast Implant Removal
Over time, breast implants can face complications that might mean they need to be taken out. A common problem is capsular contracture. This is when scar tissue forms around the implant, making it hard, misshapen, and sometimes painful.
Implants can also rupture or move out of place. This might or might not be linked to capsular contracture. Some people get “Breast Implant Illness” (BII), which includes symptoms like tiredness, joint pain, and brain fog. The exact cause of BII is still a mystery, but it might be linked to the body’s immune reaction to the implant.
Capsular Contracture and Implant Complications
Capsular contracture is when scar tissue around the implant tightens. This makes the implant feel hard, look odd, and can hurt. In bad cases, the implant might need to be taken out to stop the pain.
Implant rupture can also happen. This means the implant’s contents leak into the tissue around it. This can cause more problems and might mean the implant needs to be removed right away.
Breast Implant Illness and Health Concerns
Some women get Breast Implant Illness (BII) after getting implants. Symptoms include feeling very tired, joint pain, and brain fog. While the exact cause is unknown, some women feel better after having their implants removed.
There are also rare but serious conditions like Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) and Breast Implant-Associated Squamous Cell Carcinoma (BIA-SCC). These might also mean the implants need to be removed.
Types of Breast Implant Removal Procedures
Breast implant removal, or explant surgery, is a customised procedure. It meets the unique needs and wishes of each person. There are many types of procedures available, each for different reasons or goals.
Implant removal only is a simple procedure. It involves taking out the implants without any extra steps. This is good for those who don’t want implants anymore but don’t need to change the shape of their breasts.
For those with capsular contracture or other implant problems, implant removal with capsulectomy might be best. This removes the implant and the scar tissue around it to fix the issue.
Some might want to have implant removal and a breast lift (mastopexy) together. This reshapes and lifts the breasts after the implants are gone. It’s great for those with sagging or lost volume from big implants.
Implant removal and fat grafting is another option. It uses the patient’s own fat, taken from liposuction, to fill out the breasts. This method avoids artificial implants.
In more complex cases, implant removal and reconstruction with a flap might be needed. This uses the patient’s own skin, fat, and muscle to rebuild the breast. It’s taken from another part of the body, like the abdomen or back.
| Procedure | Description |
|---|---|
| Implant removal only | Simple extraction of the breast implants without additional procedures |
| Implant removal with capsulectomy | Removal of the implant along with the surrounding scar tissue (capsule) |
| Implant removal and breast lift (mastopexy) | Removal of the implants and a simultaneous breast lift to reshape the natural breast tissue |
| Implant removal and fat grafting | Removal of the implants followed by fat transfer to restore lost volume |
| Implant removal and reconstruction with flap | Removal of the implants and reconstruction using skin and fat from another area of the body |
The right procedure depends on the person’s needs, goals, and any complications. Talking to a skilled plastic surgeon is key to finding the best option.
Implant Removal with Capsulectomy
Capsulectomy is a surgery that removes breast implants and the scar tissue around them. This is often needed for problems like capsular contracture. This issue makes the scar tissue harden and change the shape of the breast.
Removing the Implant and Scar Tissue
Not everyone needs to remove the whole capsule. The decision depends on many things. These include the patient’s health, past surgeries, and any ongoing illnesses.
En bloc capsulectomy is a complex surgery. It needs a skilled surgeon and careful planning. Larger cuts are made to remove the implant and scar tissue together. This helps avoid any leaks.
| Procedure | Description | Potential Outcomes |
|---|---|---|
| Capsulectomy | Removal of breast implants along with the surrounding scar tissue (capsule) | May result in a deflated breast appearance, prompting additional surgeries like implant replacement or breast uplift without implants |
| En Bloc Capsulectomy | Removal of the breast implant and scar tissue as a single intact entity | Challenging surgery requiring extensive surgeon expertise and larger incisions, but helps prevent contaminant leakage |
There’s no clear answer on whether to remove the whole capsule. The decision is made on a case-by-case basis. Patients will get full care and support during their recovery.
Implant Removal and Breast Lift (Mastopexy)
A surgical procedure called “explantation with mastopexy” can solve the problems of breast implants. It removes the implants and lifts the breasts to make them look natural again.
Many women choose to have their implants removed and their breasts lifted. This explant with breast lift helps fix changes in breast shape and size. It makes the breasts look younger and more natural.
The surgery, known as mastopexy after implant removal, is done under general anaesthesia. It takes one to three hours. People can go back to work in about five days. The scars take three to four months to heal.
This procedure also fixes loose or extra skin from the implants. The breast lift tightens and shapes the breasts. This makes them look better.
It’s important to know that the breasts might feel sensitive for up to six months. There could also be numbness or changes in the breast shape. Talking to the surgeon about these risks is crucial.
Choosing to remove implants and lift the breasts is a big decision. It’s important to think it over carefully. With the right surgeon, you can get the look you want and feel more confident.
Implant Removal and Fat Grafting
Breast implant removal and fat grafting is a growing trend. It removes breast implants and uses the patient’s own fat to add volume. This method is a natural way to enhance breasts after implant removal.
Restoring Volume with Fat Transfer
The fat for this procedure comes from liposuction in areas like the abdomen or thighs. It’s then injected into the breasts to restore their natural shape and size. Fat transfer after explant is becoming popular for its effectiveness in restoring breast shape.
Research shows high patient satisfaction with fat transfer after implant removal. It provides immediate results and helps prevent volume loss after implant removal. Recovery is quick, with minimal bruising that fades in 7-10 days, and full recovery in 6-12 weeks.
“Fat transfer after breast implant removal has become an increasingly popular option for patients seeking to restore volume and maintain a natural-looking breast appearance.”
Women choose implant removal with fat grafting for many reasons. These include lifestyle changes, a desire for a natural look, or to fix implant issues. This method helps patients achieve their beauty goals while keeping their breasts looking natural.
Implant Removal and Reconstruction with Flap
For those looking into breast reconstruction after implant removal, explant with flap reconstruction is an option. This method removes the old implants. Then, it uses the patient’s own skin, fat, and muscle from another area to make new breasts.
Flap reconstruction is more complex than using implants. It needs to take tissue from another part of the body. This can mean bigger cuts, longer healing times, and possibly longer hospital stays. But, it can make the breasts feel and look more natural.
The choice of flap surgery depends on several things. These include the patient’s body type, the tissue available, and the surgeon’s skills. Common types are the Pedicle TRAM, Free TRAM, DIEP, and Latissimus dorsi flaps. Each has its own benefits and things to consider.
| Flap Technique | Donor Site | Advantages | Considerations |
|---|---|---|---|
| Pedicle TRAM flap | Abdomen | Preserves blood supply, less complex surgery | May weaken abdominal muscles |
| Free TRAM flap | Abdomen | More tissue available, less abdominal muscle weakness | Requires microsurgery for blood vessel reattachment |
| DIEP flap | Abdomen | Preserves abdominal muscles, minimizes donor-site morbidity | Requires highly skilled microsurgery |
| Latissimus dorsi flap | Back | Can be combined with an implant for added volume | May result in back scarring and muscle weakness |
Those thinking about explant with flap reconstruction should know the risks. These include poor wound healing, delayed healing from radiation, and higher risks on the healthy breast if a mastectomy is done on the other side.
Choosing breast reconstruction after implant removal with a flap should be a careful decision. It’s best to talk it over with a skilled plastic surgeon. They can help decide if it’s right for you based on your situation and goals.
Breast Implant Removal Surgery Preparation
Before breast implant removal surgery, patients meet with their surgeon. They talk about why the implants need to come out and look at options. The surgeon checks the breasts, looking at the skin and the implants.
They might also do tests like mammograms or ultrasounds. This helps them see how the implants and tissues are doing.
It’s important for patients to share what they want to look like after surgery. This helps the surgeon choose the right method. Most implants last 10 to 20 years. In the UK, yearly checks and MRI scans every three years are advised.
Consultation and Pre-operative Tests
In the consultation, the surgeon talks about the surgery. They explain the procedure, risks, and how long it will take to recover. Patients should share their medical history and any current medications.
- Silicone implants are usually removed under general anaesthetic. The surgery takes about one to two hours.
- En bloc removal might be suggested in some cases. This means removing the whole breast capsule and implant together.
- Before surgery, tests like blood work and a physical check are done. This makes sure the patient is healthy enough for the procedure.
Patients should ask questions and share their concerns with the surgeon. This teamwork helps get the best results and makes recovery easier.
Recovery and Expectations
The recovery from breast implant removal can differ based on the surgery type. Patients might see swelling, bruising, and discomfort in the first weeks. The breasts may look smaller and saggy, as the skin and tissues have been stretched.
The extent of these changes depends on the implant size, the patient’s breast tissue, and skin elasticity. Some might need extra procedures like a breast lift or fat grafting to get a natural look back. It’s crucial to follow the surgeon’s advice and give the body enough time to heal.
| Recovery Timeline | Typical Experiences |
|---|---|
| First Week | Patients may experience pain and discomfort, requiring pain medication and rest. |
| 2-4 Weeks | Patients should avoid strenuous activity or heavy lifting to promote healing. |
| 6-8 Weeks | Patients can gradually increase physical activity based on their individual recovery progress. |
| 6-12 Months | Final results of the breast implant removal surgery may take up to 12 months to fully develop. |
Being patient and following the surgeon’s advice is key during the breast implant removal recovery phase. With the right care, most patients see a big improvement in their breast look and feel after the surgery.
“The recovery process after breast implant removal can take time, but the end result is often worth it for patients who have experienced complications or dissatisfaction with their implants.”
Potential Risks and Complications
Removing breast implants, or explant surgery, comes with risks and complications. It’s important for those thinking about it to know these factors. Talking to a qualified surgeon about these risks helps make informed choices and ensures safety.
Addressing Possible Side Effects
One major worry is breast implant removal risks like infection, bleeding, and scarring. Rarely, there’s a chance of cancer, including BIA-ALCL and BIA-SCC.
- Changes in breast sensation or shape may occur, and patients should be prepared for these potential alterations.
- Delayed healing and tissue necrosis are possible, requiring additional treatment.
- Skin contour irregularities, such as visible wrinkling or uneven breast size, may arise.
- Firmness after surgery may necessitate further intervention.
- Scarring is expected, with variations in appearance and possible asymmetry.
To tackle these complications of explant surgery, patients must work closely with their surgeon. Regular check-ups and careful post-operative care are key for a smooth recovery and to reduce risks.
“Patients should discuss these potential risks and side effects with their surgeon, who can provide guidance on addressing and managing any complications that may arise.”
Knowing the risks and complications of breast implant removal helps make better choices. It ensures safety and well-being during the process.
Breast Implant Safety and Regulations
The safety of breast implants is a big topic in the medical world. Bodies like the U.S. Food and Drug Administration (FDA) and the Medicines and Healthcare products Regulatory Agency (MHRA) in the UK keep a close eye on them. They give advice to doctors and patients.
In 2019, over 300,000 people in the U.S. got breast implants. This shows how popular they are. But, there are worries about their long-term safety. Some studies say textured and smooth implants might have different risks.
A 2017 study by Calobrace MB et al. said both types of implants are mostly safe in the long run. But, a 2020 study by Cordeiro PG et al. found a higher risk of a rare cancer with textured implants.
To make things safer, the FDA and MHRA have made new rules. These include needing long-term studies and better checks after implants are used. They also want doctors and patients to know about possible dangers.
If you’re thinking about getting your implants removed or doing other breast surgery, keep up with the latest news. It’s a good idea to have regular check-ups and ultrasound scans every two years for silicone implants.
| Breast Implant Safety Considerations | Regulatory Guidelines |
|---|---|
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Breast implants usually last 10 to 15 years. But, getting them changed might increase the risk of problems. Always talk to your doctor to keep up with the latest on breast implant safety.
“The safety of breast implants is of paramount importance, and we are committed to providing clear and transparent information to both healthcare professionals and patients.”
– UK Medicines and Healthcare products Regulatory Agency (MHRA)
Conclusion
Breast implant removal is a complex surgery. It deals with health issues and looks. Knowing about the different types of removal, risks, and the importance of working with your surgeon is key.
This article’s main points stress the importance of being well-informed. Working closely with healthcare experts is crucial. This helps in making the right decisions about your breast health and achieving your goals.
Choosing to remove breast implants is a personal decision. It’s vital to make choices that fit your needs and values. By staying informed and getting advice from experienced doctors, you can tackle this journey successfully. This way, you can improve your health and look the way you want.
FAQ
What is breast implant removal?
Breast implant removal, or explantation, is a surgery to take out breast implants. It’s done for health reasons, complications, personal choice, or lifestyle changes.
Why do people choose to have their breast implants removed?
People remove implants for many reasons. This includes capsular contracture, implant rupture, or symptoms of “Breast Implant Illness” (BII).
What are the different types of breast implant removal procedures?
There are several types of removal procedures. These include removing the implant only, removing the implant and the scar tissue, or removing the implant and lifting the breast. Other options include fat grafting or using a flap for reconstruction.
What is a capsulectomy, and when is it performed?
A capsulectomy removes the implant and the scar tissue around it. It’s often needed for capsular contracture, where the scar tissue makes the breast look distorted.
How does implant removal with a breast lift (mastopexy) work?
This procedure removes the implants and lifts the breasts. It reshapes the natural tissue to give a more youthful look and lift.
What is involved in implant removal and fat grafting?
This procedure removes implants and adds fat to the breasts. The fat comes from the patient’s body, usually from the abdomen or thighs, and is injected into the breasts.
How does implant removal and reconstruction with a flap work?
This method removes implants and uses the patient’s own skin and fat for reconstruction. It can be done with a reverse abdominoplasty or body lift to improve multiple areas.
What happens during the consultation and preparation for breast implant removal surgery?
Before surgery, a consultation with the surgeon discusses the reasons for removal and options. The surgeon will check the breasts and may ask for tests like mammograms or ultrasounds.
What can patients expect during the recovery process after breast implant removal?
Recovery varies by procedure. Patients may face swelling, bruising, and discomfort. Breasts may look smaller and more sagged, and extra procedures might be needed.
What are the potential risks and complications associated with breast implant removal?
Risks include infection, bleeding, scarring, and changes in breast sensation or shape. Rarely, there’s a risk of cancer, like BIA-ALCL or BIA-SCC.
How are breast implant safety and regulations being addressed?
Bodies like the FDA and MHRA monitor implant safety. They guide healthcare professionals and patients. It’s important to stay updated on implant safety and regulations.
