Breast implant removal (Explant) 

About breast implant removal

What is breast implant removal?

Breast implant removal, also known as explant, is a surgical procedure to remove your breast implants.

Why might some implants need to be removed or replaced?

Breast implants are not lifetime devices. There are several reasons women choose to remove or replace their implants over time:

  • Capsular contracture: This occurs when the scar tissue around the implant hardens, causing discomfort or distortion.

  • Rupture: The breast implant may break or leak.

  • Malpositioning: The breast implants have moved into an undesired position. For example, it can be too high, too low, too far away from the cleavage.

  • Changes in breast shape: Breast shapes can change due to ageing, weight changes, pregnancy, or breastfeeding.

  • Personal preference: Some women simply feel the implants don’t suit them or no longer want them.

  • ALCL: Some patients have a concern regarding a rare type of lymphoma that has been associated with breast implants.

Procedure information

  • You will meet Dr Law in consultation. The consultation will begin with a conversation about your goals and expectations.

    If possible, please bring to your consultation:

    • Details about your current implants, such as the brand and size.

    • Any recent breast imaging (like mammograms or ultrasounds) is also very helpful, so please bring these along if you have them.

    During your consultation, Dr Law will talk with you about what you’d like to achieve. Some people simply want their implants removed, while others may want new implants – either the same size or a different one. In some cases, a breast lift may be suitable after implant removal.

    The most suitable procedure for you will be explained in detail - covering what it can and cannot achieve. Dr Law will also discuss the surgical process, possible risks, and complications.

    Please feel free to discuss any other concerns you have about the shape or appearance of your breasts during the consultation.

    • Breast implant removal is done under general anaesthetic in a fully accredited hospital with a qualified and experienced anaesthetist.

    • You might need to stay in hospital for at least one night after surgery.

    • During the procedure, a small cut is made in the fold under your breast. The implant and the surrounding scar tissue (called the "capsule") are sometimes removed as well.

    • Before surgery, you will have discussed with Dr Law and decided whether you would like to:

      • Simply have the implants removed.

      • Replace the implants with new ones.

      • Have a breast lift at the same time.

    • The cuts are usually closed with dissolvable stitches.

    • A small drain is usually placed in the breast to remove any fluid that collects after surgery.

  • Dr Law will provide you with personalised instructions to follow after your surgery. Please keep in mind that recovery can vary between individuals, depending on their general health and the specific details of the procedure performed. But in general after breast implant removal surgery:

    • 1 week: Many patients return to work (desk-based jobs) if they’re feeling well.

    • 2–3 weeks: Bruising and swelling reduce significantly.

    • 4–6 weeks: Gradual return to full activity, including exercise, once cleared by Dr Law’s team.

    • 3–6 months: Final results start to stabilise as your tissues settle and scars mature.

Risks & complications

  • All surgery carries risks and may include:

    • Drug reactions: You can have reactions to anaesthesia. However a fully qualified anaesthetist will speak to you before surgery to ensure your anaesthetic will be as safe and smooth as possible.

    • Allergic reactions: Allergic reactions to materials such as sutures, dressings, or antiseptic solutions are possible. We will ask you about any known allergies beforehand to help avoid exposure during surgery.

    • Infection: You will be given antibiotics at the start of your surgery (as you go to sleep), as well as a course of oral antibiotics afterwards, to help minimise this risk. 

    • Bleeding and haematoma (blood clot): A bit of bleeding onto the dressing is common and usually stops on its own. There is a very small risk of blood clots, requiring drainage.

    • Seroma (fluid collection): A pocket of fluid can occasionally collect in the breast after surgery. To help prevent this, a drain is sometimes inserted at the time of surgery, and  remains in place for a few days. If a seroma does develop, it can usually be treated with drainage in the rooms.

  • Risks specific to breast implant removal surgery will be discussed with you during your consultation and will also be provided in your consent paperwork. In general, the risks include:

    • Numbness of the breast or nipple.

    • Unhappiness about losing your breast volume: A breast implant can push against your breast tissues and cause it to thin over time. Once the implant is removed, your breasts can look empty and droopy. Sometimes a breast lift may be needed to correct this problem.

    • You might similarly notice other issues with your breasts once the implants are removed, such as a visible chest wall deformity or breast asymmetry.

Book your Appointment

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