Breast
Implant Removal Surgery
Transform yourself with
"*" indicates required fields
By submitting this form you agree to receive emails, calls, and text messages from BodEvolve related to our services. This agreement is not a condition to purchase and you can opt-out at any time.
Overview
What is breast implant removal (explant surgery)?
Breast implant removal, also known as explant surgery, is a surgical procedure to remove breast implants from a previous breast augmentation. Patients choose implant removal for various reasons, including:
- Medical concerns, such as implant rupture, capsular contracture, or breast implant illness (BII).
- Aesthetic preference, as some individuals wish to return to a more natural breast appearance.
- Lifestyle changes, such as preferring smaller or more proportional breasts for comfort.
- Aging or weight changes, which can impact the look and feel of breast implants over time.
Breast implant removal may be performed alone or combined with a breast lift (mastopexy) to restore breast shape and firmness after implant removal.
How does breast implant removal improve breast health and aesthetics?
This procedure:
- Removes unwanted or problematic implants.
- Eliminates discomfort or complications related to implants.
- Restores a natural breast contour.
Improves breast shape and firmness when combined with a breast lift.
How common is breast implant removal?
Implant removal procedures have increased in recent years as more women seek smaller, more natural-looking breasts or experience complications from older implants. According to the American Society of Plastic Surgeons, over 40,000 explant surgeries are performed annually in the U.S.
Who is a good candidate for breast implant removal?
The ideal candidate for explant surgery:
- Wants to remove implants due to personal preference, medical reasons, or lifestyle changes.
- Has experienced implant-related complications such as rupture, rippling, or capsular contracture.
- Has concerns about breast implant illness (BII) symptoms such as fatigue, joint pain, or autoimmune reactions.
- Is at a stable weight and in good overall health.
Does not smoke or is willing to quit before and after surgery.
Procedure Details
Types of Breast Implant Removal Procedures
There are several techniques for removing breast implants, depending on the patient’s goals and medical needs.
1. Simple Breast Implant Removal
- The surgeon makes an incision along the original scar, removes the implant, and closes the incision.
- Best for patients who do not have complications like capsular contracture.
- Leaves minimal additional scarring and is a straightforward procedure.
2. En Bloc Capsulectomy (Total Capsulectomy)
- The surgeon removes the implant and surrounding scar tissue (capsule) as one unit.
- Ideal for patients with concerns about breast implant illness (BII) or ruptured implants.
- Helps remove all foreign material from the body for improved recovery.
3. Breast Implant Removal with Breast Lift (Mastopexy)
- After implant removal, the surgeon reshapes and tightens the breast tissue.
- Ideal for patients experiencing sagging after explant surgery.
- Reduces excess skin and repositions the nipple for a youthful look.
4. Breast Implant Removal with Fat Transfer
- Uses liposuction to remove fat from areas like the abdomen or thighs, then injects it into the breasts.
- Ideal for patients who want to maintain some breast volume without implants.
- Provides a natural, subtle breast enhancement.
What happens before breast implant removal surgery?
Before surgery, patients must:
- Consult with a board-certified plastic surgeon to discuss their goals and concerns.
- Undergo a physical exam and possibly imaging (MRI or ultrasound) to assess implant integrity.
- Stop smoking and avoid certain medications that may interfere with healing.
Plan for post-surgical recovery, including time off work and assistance with daily tasks.
What happens during breast implant removal surgery?
Breast implant removal is performed under general anesthesia and typically takes 1–3 hours, depending on the complexity.
The general steps include:
- Incision Placement – The surgeon may use existing scars or make a new incision if necessary.
- Implant Removal – The implant is carefully removed from the breast pocket.
- Capsule Removal (if necessary) – If an en bloc or total capsulectomy is performed, the entire scar capsule is removed.
- Breast Tissue Reshaping (if applicable) – If a breast lift or fat transfer is combined, excess skin is removed or fat is injected for volume.
Surgical Closure – Sutures are placed, and dressings or a supportive surgical bra are applied.
Risks / Benefits
What are the benefits of breast implant removal?
Patients experience both physical relief and aesthetic improvements, including:
- Elimination of implant-related complications (capsular contracture, rupture, rippling).
- Relief from discomfort, tightness, or heaviness caused by implants.
- A more natural breast contour.
- Improved peace of mind for patients concerned about breast implant illness (BII).
Freedom from implant maintenance or replacement.
What are the risks of breast implant removal surgery?
While explant surgery is safe and effective, potential risks include:
- Sagging or loss of volume – Some patients experience loose skin after implant removal, which may require a breast lift.
- Changes in breast shape – The breasts may not return to their pre-implant appearance.
- Scarring – Incisions heal well but leave permanent scars that fade over time.
- Temporary swelling and discomfort – Common in the first few weeks.
- Psychological adjustment – Some patients take time to adjust to their new breast appearance.
Choosing a board-certified plastic surgeon with explant experience helps reduce risks and ensure the best outcome.
Recovery and Outlook
How long does recovery take after breast implant removal?
Recovery varies depending on whether a lift or fat transfer was performed, but general timelines include:
- First 3–5 days – Swelling, mild discomfort, and tightness. Patients wear a supportive surgical bra.
- Week 1–2 – Most patients return to work and light activities, avoiding heavy lifting or exercise.
- Weeks 3–6 – Swelling decreases, and the breasts begin settling into their natural shape.
- Months 3–6 – Final results become visible as breast tissue adjusts and scars fade.
Patients should maintain a stable weight and healthy lifestyle to optimize their results.
How long do results last after breast implant removal?
Explant surgery provides permanent results, though breasts will continue to change due to aging and gravity.
- Patients who do not undergo a breast lift may experience some sagging or loss of upper pole fullness.
- If fat transfer was performed, some fat may be reabsorbed, but most results are long-lasting.
Future pregnancy or weight fluctuations may impact breast shape over time.
Can breast implant removal be combined with other procedures?
Yes! Many patients combine implant removal with:
- Breast Lift (Mastopexy) – Helps reshape and tighten the breasts after implant removal.
- Fat Transfer – Restores lost volume using natural fat instead of implants.
- Liposuction – Improves body contour and removes stubborn fat.
Final Thoughts on Breast Implant Removal Surgery
Breast implant removal is an excellent option for women seeking a more natural breast contour, relief from implant-related issues, or personal peace of mind. Whether performed alone or with a lift or fat transfer, explant surgery allows women to feel comfortable, confident, and unrestricted in their lifestyle choices.
At BodEvolve, our board-certified plastic surgeons specialize in customized breast implant removal techniques, ensuring safe, natural, and long-lasting results.
If you are considering breast implant removal, schedule a consultation today.
Call 817-342-0232 or request an appointment online.