breast implant removal surgery
Breast implant removal, or explant surgery, removes implants and often includes a capsulectomy to eliminate surrounding scar tissue, addressing health complications and aesthetic concerns.
Breast Implant Removal Techniques
The choice of technique is based on individual patient needs and the condition of the implant and surrounding tissue.
En Bloc Capsulectomy
This procedure involves removing the implant and the surrounding scar tissue (capsule) as a single unit. It is typically recommended when there are concerns about implant complications, such as rupture, breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), squamous cell carcinoma, other lymphomas, or autoimmune/autoinflammatory syndrome induced by adjuvants (ASIA), to minimise the risk of leaving any remnants behind.
Partial Capsulectomy
In cases where the capsule is adhered to delicate structures like the chest wall, vessels and nerves, or to the skin, only part of the capsule is removed. This reduces risks such as injury to the chest wall, nerves or skin necrosis while ensuring as much of the scar tissue is removed as possible.
Step-by-Step Process of Breast Implant Removal Surgery
- General Anaesthesia: The surgery typically lasts 1-2 hours under general anaesthesia, ensuring you remain comfortable throughout the procedure.
- Making the Incision: An incision is made in the same location as the original surgery, usually under the breast or around the nipple. A smaller incision may suffice if only the implant is removed. If both the implant and the capsule are removed, a larger incision may be required.
- Implant and Capsule Removal: The surgeon removes the implants, and if necessary, the surrounding scar tissue (capsule) to reduce future risks, such as capsular contracture or discomfort.
- Post-Surgery Care: After surgery, drains may be placed to prevent fluid buildup. Most patients can return home the same day with personalised aftercare instructions.
Additional Steps and Post-Removal Procedures
Surgical Documentation
Photos are taken during surgery to document the implant and capsule removal for medical records, ensuring the procedure is performed as planned.
Lab Testing (Histopathology)
Tissue and fluid removed during surgery are sent to a lab to check for infections or potential issues like BIA-ALCL (a rare cancer associated with implants).
Breast Pocket Examination
After implant removal, the breast pocket is carefully inspected to ensure no scar tissue remains, reducing the risk of complications.
Evaluating and Removing the Implant and Capsule
Step 1: Aspirating seroma liquid to send for lab investigations.
Step 2: Breast Implant Removal with Enbloc Capsulectomy
Step 3: Opening the capsule
Step 4: Peeling out the capsule from the breast implant
If you are thinking of removing your breast implants, Don’t hesitate to get in touch with us.
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Thinking about breast implant removal? Dr Marco is here to guide you through every step of your journey.
For more information or to schedule a consultation, give us a call at 64648075 or complete the form below.
FAQs About Breast Implant Removal Surgery
The incision for breast implant removal is often made in the same location as the original implant surgery, typically under the breast or around the nipple, to minimise new scarring. With proper aftercare, scars usually fade over time, but the extent of scarring depends on factors like skin type, implant size, and healing.
Symptoms like persistent pain, hardness or distortion of the breast (capsular contracture), implant rupture, swelling, or unexplained systemic symptoms (e.g., fatigue, joint pain) could indicate the need for implant removal. Consult with a specialist if you experience any of these signs.
During your consultation, the surgeon will review your medical history, address your concerns, and examine the condition of your implants. You’ll also be informed about your available treatment options, including whether a capsulectomy is necessary.