Breast Implant Removal

Breast Implant Removal in Newcastle & Sydney NSW

  • Are you tired of having your breast implants?
  • Do you worry about implant complications?
  • Have you been thinking of having your breast implants removed?

When women decide to have breast implants they probably don’t think about the necessity of having their breast implants removed. Yet, many women decide to have them removed, as a result of a change of mind or lifestyle or experiencing implant complications. Some women want their implants removed because they are concerned about health issues that they feel are related to their implants, or they may simply be “tired” of their implants or frustrated with an unsatisfactory breast enhancement that they have been living with for a long time. So, what happens if you need to have your breast implants removed?

Breast Implant Removal

 

 

 

 

 

What is Breast Implant Removal Surgery?

Breast implant removal, also known as explantation, is the surgical removal of breast implants from the body. The breast implant removal surgery may also include the removal of the silicone material from implant leaks and removal of the breast capsule, which is the scar tissue that forms around the breast implant after placement.

Reasons for removing breast implants

There are several reasons for breast implant removal, the most common reasons are:

  • Complications, such as capsular contracture or implant rupture
  • Silicone implants being a possible source of health problems
  • Medical necessity; when a patient is undergoing breast cancer treatment
  • Not being satisfied with how implants look, due to asymmetry or size
  • Infection, due to bacterial proliferation
  • Rupture, where the saline solution or silicone gel that fills the implant leaks into the surrounding tissues
  • Extrusion, where the implant pushes through the skin leading to skin erosion
  • Capsular contracture – causes implants to feel hard and look asymmetrical
  • Change of mind or lifestyle

Lately, data is being collected to determine whether or not there is a link between a rare cancer of the immune system called anaplastic large-cell lymphoma and breast implants, particularly implants that have a textured surface.

You may choose to remove your Breast Implants due to Rupturing, Rippling, Capsular Contracture, Double Bubble, or simply because you no longer like the look or size of your breast enhancement

Breast implant removal is an appropriate option as long as it is what you really want and the surgery can be performed safely.

If you want to have your breast implants removed, be sure to choose a specialist plastic surgeon who is an expert in breast implant removal procedure.

Which Celebrities have had their breast implants removed?

  • Adrienne Bailon
  • Crystal Hefner
  • Heather Morris
  • Heidi Montag
  • Melissa Gilbert
  • Michelle Visage
  • Pamela Anderson
  • Sharon Osbourne
  • Stevie Nicks
  • Victoria Beckham
  • Yolanda Hadid

Are you a suitable candidate for breast implant removal surgery?

You may be a good candidate for breast implant removal if:

  • You are physically healthy
  • You are a nonsmoker
  • You are unsatisfied with the look of your implants
  • You are experiencing pain or discomfort
  • You feel that your breasts are too heavy
  • You have capsular contracture
  • You have a rupture or leak of implants

Breast Implant Removal Surgery Options

There are a number of surgical options based on the extent and cause of the problem when it comes to the surgical approach and process for Breast Revision Surgery.

Your Specialist Plastic Surgeon will advise a surgical approach that aims to solve your individual symptoms or breast appearance problems. Please keep in mind there is variability in surgical approaches and outcomes that may vary slightly. Medications and General Anaesthesia are there for your comfort during Breast Implant Removal surgery.

The procedure involves removing breast implants entirely and NOT replacing them with new implants. A Breast Lift may be performed at the same time to achieve a smaller but natural look to compensate for sagging and drooping skin after your implants are removed – but options and outcomes often depend on the amount of existing glandular tissue and elasticity of your skin.

This is surgery to remove existing implants and replace them with new ones. The process of your surgery, as well as the types of incisions, will depend on the type of issue you are correcting.

What is en bloc capsulectomy and do you need one?

A total capsulectomy ‘en bloc capsulectomy’ is the removal of the implant and all of the capsule as one piece (en bloc means “all together”).

Sometimes the capsule may become hard or calcified or cause further problems due to containing fragments of silicone, bacteria, inflammatory cells, that’s why many women prefer to have them removed.

En bloc capsulectomy may be also necessary when removing ruptured silicone implants, to minimize exposure of the body to the loose silicone.

Typically, the breast implants and capsules can be removed through the same incision that was used for implant placement; inframammary incision (just under the breast) and/or a periareolar incision (around the bottom of the areola), thus minimizing new scarring.

If you are considering having your breast implants removed and wondering,  here are breast implant removal pros and cons that can help you decide whether it’s right for you.

Benefits of Removing Breast Implants

● Getting mammograms may be easier
● You may have less breast pain
● Self-confidence could improve
● No more worrying about ruptures
● No More Implant Replacements
● Short recovery time

Potential Concerns about having Breast Implant Removal Surgery

● You may have Sagging breasts and more loose skin
● Losing too much breast tissue
● Risks of infection
● More visible scarring
● Losing feeling in the nipples
● You may lose confidence

What should you expect during your breast implant removal recovery?

Post-operative discomfort is typically within the first 24-48 hours, then gradually improves with time.  By the end of the first 2 weeks, you would probably start to feel almost normal and can resume full activities by 4-6 weeks postop. If you have had ‘en bloc capsulectomy’ or your breast implants removed due to capsular contracture, there will be more discomfort and the recovery time will be longer.

After your breast implant removal surgery, you will have gauze dressings, bandages and you may also have drains.
Drains are small, thin tubes temporarily placed under the skin to drain any excess blood or serous fluid that may collect.
There are times that a compression garment or support bra may be used to minimize swelling following surgery.

You will be given specific instructions that may include:

  • Avoiding certain activities; such as exercising and heavy lifting.
  • Wearing compression garments.
  • Taking pain medication as prescribed.
  • Care instructions for your surgical site(s)
  • Medications to aid healing and reduce the risk of infection
  • The follow-up visits scheduled with your plastic surgeon

Healing will continue for several weeks as swelling decreases. Healing will continue for several weeks as swelling decreases. The scars will fade, however, they will not disappear completely. It is important to regularly attend your scheduled post-operative follow-up visits.

What results should you expect after breast implant removal?

Healing can take up to one year before the final results are visible.
The final results of breast implant removal surgery will depend largely on the size of the implants being removed, the amount of breast tissue removed and the quality of your breast tissue that is left. The results can also be affected if the implants have ruptured or leaked. Sometimes, mastectomy will be necessary if the leaked silicone has gone throughout the breast and no longer contained within the capsule tissue.
In some cases, optimal results might not be achieved with a single surgical procedure and another revisional surgery may be necessary.
If you experience shortness of breath, chest pains, or unusual heartbeats, seek medical attention immediately, you may require hospitalization and additional treatment.

It is important to strictly follow your plastic surgeon’s post-operative instructions.
Concerned that your breasts will be saggy if the implants are removed. What can be done to help your breast appearance?
The larger the breast implants are, the more skin gets stretched over time. Although the skin will shrink a little bit after the implants are removed, your breasts will still look empty and deflated after having the implants removed.
A breast lift is often recommended at the same time that the implants are removed. The lift helps with sculpting the breast tissue, removing excess skin, and repositioning the nipple to give the breasts their best possible appearance. The breast lift can also be combined with fat grafting and/or liposuction as well.
Make sure to discuss breast lift options with your plastic surgeon during your breast implant removal consultation.

What will your breasts look like after implant removal?

Every woman’s breasts are different, so there are no standard results. You may experience a loss of volume in the area of the breast where the implant provided fullness.

In some cases, a breast lift might be recommended to help with sculpting the breast tissue, removing excess skin, and repositioning the nipple to give the breasts a better appearance.

Make sure to discuss breast lift options with Dr Turner during your breast implant removal consultation.

What are the risks and complications of breast implant removal surgery?

When a Specialized Plastic Surgeon performs breast implant removal surgery, the complications and risks will be minimal.  It is important to note that risks and complications can include:

  • Breast sensation becomes less sensitive which may last up to six months.
  • Development of thick, red, and painful scars which may last for a few years.
  • Numbness of the breast area.
  • Breast deformity or sagging of the breasts.

Dr Turner will explain in detail the risks associated with surgery. The possible risks of breast implant removal surgery include, but are not limited to:

  • Bleeding
  • Infection
  • Poor healing of incisions
  • Hematoma
  • Anesthesia complications
  • Fluid accumulation (seroma)
  • Loose skin
  • Numbness or change in skin sensation or nipple sensation
  • Skin discoloration
  • Scarring
  • Asymmetry
  • Suboptimal aesthetic result
  • Possibility of revision surgery
  • Persistent pain
  • Deep vein thrombosis, cardiac and pulmonary complications

Breast Implant Removal FAQs

What is the breast implant capsule?

The capsule is a layer of scar tissue, blood vessels, and connective tissue, that form around (foreign bodies) Implants due to stimulation of the body’s immune response.

What is Capsular Contracture?

This capsule is normally flexible, soft, and goes unnoticeable. But, sometimes it becomes hard and painful, which is an uncomfortable condition known as ‘capsular contracture’.

There are four grades of capsular contracture
● Grade I: Breast is normally soft and looks natural
● Grade II: Breast is a little firm but looks normal
● Grade III: Breast is firm and looks abnormal
● Grade IV: Breast is hard, painful, and looks abnormal

What is en bloc capsulectomy?

When removing ruptured silicone implants en bloc capsulectomy is sometimes necessary.

A total capsulectomy ‘en bloc capsulectomy’ is removing all of the capsule and implant as one single piece (en bloc means “all together”) to minimize exposure of the body to the loose silicone. A complete capsulectomy is a time-consuming and diligent procedure.

The capsule may include fragments of silicone, bacteria, inflammatory cells or it may be hard and calcified. This can form a biofilm where bacteria and other organisms are embedded. Sometimes women worry that the capsule may cause problems if left in the body and they prefer to have it removed.

Typically, the breast implants and capsules can be removed through the same incision that was used for implant placement, which minimizes new scarring. Most breast augmentation surgeries will use one of two incision sites, an inframammary incision (just under the breast) or a periareolar incision (around the bottom of the areola).

What is breast implant-associated ALCL?

Breast implant-associated Anaplastic Large Cell Lymphoma, or BIA-ALCL, is a rare disease that may occur in patients with breast implants, esspecially textured breast implants. It typically presents as a swelling usually only on one side of the breast and often occurs many years after the breast implants were placed.
When patients undergo imaging examination, fluid is seen in the breast and this may be sampled and the fluid sent for analysis. Treatment for Bia-ALCL is a total (en bloc) capsulectomy and sometimes chemotherapy may be needed. This is usually performed by a multidisciplinary team including a plastic surgeon, surgical oncologist, and medical oncologist.

What is breast implant illness?

Some women with silicone implants have experienced nonspecific immunologic symptoms, obviously without explanation. Recently, two new hypotheses came out as potential explanations for these symptoms:

● Autoimmune Syndrome Induced by Adjuvants (ASIA), and
● Low-level bacterial contamination.

In Autoimmune Syndrome Induced by Adjuvants (ASIA), silicone is stimulating the immune system and is causing symptoms such as fatigue, joint or muscle pain, memory loss, or other symptoms. Diagnostic criteria include some combination of exposure to silicone before the onset of clinical symptoms and improvement with silicone removal.

Do Breast Implants affect Breastfeeding and Babies?

Some women who undergo breast augmentation can successfully breastfeed and some cannot. At this time, it is not known if a small amount of silicone may pass through from the breast implant silicone shell into breast milk during breastfeeding. Studies did not indicate higher levels in breast milk from women with silicone implants when compared to women without implants.

In addition, concerns have been raised regarding potential damaging effects on children born to mothers with implants. Two studies in humans have found no increased risk of birth defects in children born to mothers who have had breast implant surgery.

What happens during breast implant removal consultation with Dr Turner?

During your breast implant removal consultation, your plastic surgeon will:

  • Examine your breasts and any risk factors
  • Evaluate your general health status
  • Take photographs
  • Discuss your options and recommend a course of treatment

It is important to discuss your surgical goals, expectations, and the likely outcomes of your breast implant removal.

  • Also, you should inform your plastic surgeon of:
  • Medical conditions, drug allergies and medical treatments
  • Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use
  • Previous breast implant surgeries have been unsuccessful

It’s normal to feel some anxiety. Don’t be shy about discussing these feelings with your plastic surgeon.

Summary

Breast implant removal or Explantation is always a choice. In terms of options, every patient is unique and requires careful analysis to determine what option is best. Implant removal will affect not only the size but also the shape of the breast.

• For those women with small breasts and good tissue quality, simply removing the breast implants is all that is needed, as the breast will retract back nicely in most cases.

• For women with poor-quality breast tissue, a breast lift may be needed.

Many women are pleased that they have removed their breast implants, and they have no desire for future implants. Others who have elected to remove their implants return sometime later for new breast implants, as they are not satisfied with the outcome. It’s good to know that you have options, and you don’t have to worry that you have made a bad choice—if you don’t like your breasts after implant removal, you always have the option to come back and have a lift or new ones placed.

Be sure that you’re ready to let go of your implants and that you are 100% confident this is what you want for yourself.
The most important factor in your decision is how you’ll feel afterward.
If you would like to discuss your concerns and procedure options further, please contact us to schedule a personal consultation.

Dr Scott Turner FRACS (Plas) – Specialist Plastic Surgeon

biggest trends in plastic surgery Dr Scott Turner - Trends Expert and Best plastic surgeon Newcastle

Dr Scott J Turner has spent a lifetime acquiring the qualifications, education, training, and hands-on surgical experience to perform superior cosmetic plastic surgery to give you natural, beautiful results and the improved sense of well-being you want. He is one of the top Specialist Plastic Surgeons with a Breast and Body Surgery focus in New South Wales.

Achieving this personal goal requires not only in-depth knowledge of human anatomy and refined surgical techniques but an ongoing commitment to learning the latest procedures around the world. This is why Dr Turner regularly attends both local and international surgeon meetings – discussing these advances with the leaders around the world in order to offer you the most natural, effective and safest surgical procedures.

Dr Turner and his highly trained staff will do everything to ensure that you are fully informed, while providing exceptional, world-class cosmetic plastic surgery, in a personal and caring environment.

Next Steps

Always Do Your Research

Do you need a Medical Referral to see Dr Turner?

  • A medical referral is helpful but NOT essential for purely cosmetic consultations.
  • Please obtain a referral from your GP or Specialist if you want a consultation for an MBS item number surgery.
  • Please note that your Medicare Rebates will NOT be claimable without a valid recent Medical Referral

Making The Most Of Your Consultation

  • Please arrive slightly early for your in-person consultation with Dr Scott
  • You are welcome to bring a friend or relative to help consider the information and discuss your options
  • Please be aware you may need to undress for a physical exam so wear simple clothes
  • Ensure you also take a lot of notes during the consultation and thoroughly examine all the documents provided

Want more information before scheduling your consultation?

  • Find out more about pricing, medical payment plans and paying for your surgery
  • Request more information about the procedure – call or contact us

How to Book Your Consultation with Dr Turner

  • You can book your initial consultation with Dr Turner by paying the $350 cosmetic consultation fee in advance – when you make your appointment.

Contact us or call on  1300 641 199  to arrange your consultation in Sydney or Newcastle.

Email us for more information:  [email protected]