Breast Implant Revision (Explant Surgery)
Breast implant removal (explantation) is the surgical removal of previously placed breast implants. Reasons include implant complications such as rupture or capsular contracture, concern about Breast Implant Illness, a change in aesthetic preference, or simply a desire to return to a natural breast size. The procedure can be performed as implant removal alone, combined with a breast lift, or with replacement implants.
What does a Breast Implant Removal procedure involve?
Your surgeon will assess your existing implants, breast tissue characteristics, skin laxity, and discuss your goals before planning the approach. Surgery takes one to three hours under general anaesthetic depending on complexity. Several approaches exist:
Simple explantation: Implant removed, capsule left in place. Quickest approach, suitable when the capsule is soft.
Capsulectomy: Partial or full removal of the surrounding scar tissue. More involved, but removes potentially problematic capsule tissue.
En bloc capsulectomy: Implant and entire capsule removed as one intact unit. More complex and not always possible, but preferred by some patients concerned about Breast Implant Illness.
Additional procedures such as a breast lift, fat grafting, or implant replacement can be performed at the same time, depending on your goals and anatomy.
Recovery
Most patients go home the same day or after one night. Swelling, bruising, and discomfort are common for one to two weeks. A supportive bra is worn for four to six weeks, with strenuous activity avoided during this period. If capsulectomy was performed, recovery is typically longer. Breast appearance continues to settle over three to six months.
Risks and Complications
Infection, bleeding, or haematoma
Seroma
Scarring
Breast shape changes including volume loss, sagging, or asymmetry
Skin wrinkling due to loss of implant volume
Difficulty removing all capsule tissue
Need for additional surgery
Persistent symptoms if removal was performed for Breast Implant Illness
Frequently Asked Questions
What will my breasts look like after removal?
This depends on how long you had implants, their size, your skin quality, and whether additional procedures are performed. Your surgeon will give you realistic expectations based on your situation.
Should I have the capsule removed?
If the capsule is soft and non-problematic, it can be left to contract naturally. If you have capsular contracture or are concerned about Breast Implant Illness, partial or full capsulectomy may be recommended.
Will removing my implants help with Breast Implant Illness symptoms?
Will removing my implants help with Breast Implant Illness symptoms? Some women report improvement, but the evidence remains evolving and resolution cannot be guaranteed.
THE SPECIALIST CLINIC DUBLIN
Plastic, Reconstructive & Aesthetic Surgery performed with Care & Compassion
To discuss breast implant removal, contact us to arrange a consultation. We will assess your individual circumstances and provide honest, detailed advice about your options.