Breast implant removal, what then?

Some women who have undergone breast augmentation eventually decide to have their breast implants removed. This process, known as explantation, can raise many questions and concerns. In this article, we address some of the most frequently asked questions about breast implant removal and explain what to expect afterwards.

Why do women decide to have their breast implants removed?

There are several reasons why a woman might opt for implant removal:

1. Medical concerns or complications
2. Changes in aesthetic preferences
3. Discomfort or pain
4. Lifestyle changes
5. Desire to return to a more natural look

How does implant removal work?

Breast implant removal is usually an outpatient procedure performed under general anesthesia. Your surgeon will make an incision, usually in the same place as the original augmentation, to remove the implants. In some cases, the surgeon will also remove the surrounding scar capsule (capsulectomy). The soft tissue mantle is then sagging and the breast is usually empty. In this case, a breast lift can be performed simultaneously with the removal of excess skin, nipple repositioning and breast reshaping to achieve a shapely and natural breast. For a natural improvement in skin quality and volume, I recommend lipofilling with autologous fat, especially in the décolleté area.

What can I expect after the removal of breast implants?

Recovery and results:

• Most patients can go home on the same day as the operation.
• The initial recovery usually takes 1-2 weeks.
• Full recovery can take several months.
• The breasts will probably appear smaller and may have a different shape
• There may be some sagging of the skin, especially with older or larger implants. This can be corrected and adjusted using the additional procedures described above.

Are there any risks associated with implant removal?

As with any surgical procedure, there are some risks to consider:

• Infection
• Bleeding
• Changes in the nipples or breast sensation
• Unsatisfactory esthetic results

Do I need a breast lift after an implant removal?

This always depends on the individual breast, the quality of the soft tissue and the patient’s wishes. Some women opt for a breast lift (mastopexy) in conjunction with or after implant removal, possibly in combination with lipofilling. This can help to correct sagging or loose skin caused by the explantation surgery. Your surgeon can advise you whether this additional procedure is recommended in your case.

How can I prepare for the removal of breast implants?

How to prepare for the explantation operation:

1. Discuss your goals and concerns with your surgeon.
2. Follow the preoperative instructions carefully.
3. Arrange for someone to drive you home after the operation.
4. Prepare a comfortable recovery room at home.
5. Stock up on the necessary supplies and easy-to-prepare meals.

What can I expect during the recovery phase?

During recovery:

• Wear a supportive surgical bra as instructed.
• Take the prescribed painkillers if necessary.
• Avoid strenuous activities for several weeks.
• Attend all follow-up appointments with your surgeon.
• Be patient while your body heals and adjusts to its new shape. Scar healing externally and internally can take 6-12 months.

Can I breastfeed after an implant removal?

Many women are able to breastfeed after implant removal, but results may vary from individual to individual. Discuss any concerns about future breastfeeding with your surgeon.

Will my insurance cover the costs of removing breast implants?

Insurance cover for implant removal varies. Some insurers may cover the procedure if it is deemed medically necessary. Check with your insurer for the exact details of your insurance cover.

If you have a medical problem, I will be happy to provide you with a cost credit application for your insurance company after my consultation.

Conclusion

The removal of breast implants is a personal decision that can lead to positive changes for many women. Knowing what the procedure entails and what to expect can help you make an informed decision for your health and well-being. Always consult with a board-certified plastic surgeon to discuss your individual needs.