Procedure Overview: Removing Breast Implants

Mevish Jaffer

While many women are satisfied with the results of breast augmentation implants, some may decide they want to have them replaced or removed later on down the road. This can often be due to sagging or wrinkling of the implant which becomes increasingly visible over the years. It’s also common for women to simply change their mind and desire different sizes, shapes or the latest designs. In addition to personal preference, breast implant removal may also be necessary in the event that certain complications arise after the surgery. It is important for patients to understand the specific reasons behind removal, the process involved and any further risks that can occur before proceeding to alter their breast enhancement procedure.

There are several reasons why women choose to have their breast implants removed, and sometimes it can also become a necessary procedure due to health reasons. In some cases, the decision is based on a woman’s preference for a different implant size. It is likely that the patient was too conservative or liberal in their initial quest for breast enlargement and decides later on that a larger or smaller implant one would be better suited. Larger implants are typically achieved through breast enhancement surgery, while decreasing the size is done through breast reduction.

Breast implant removal can also be required when certain complications or side effects occur following the initial surgical procedure. Below are some risks which can often make removal necessary:

• Capsular contracture
• Infection
• Leakage
• Rupturing

Of the above side effects, capsular contracture is one of the most dangerous risks calling for breast implant removal. This side effect causes the tissue around the implant to constrict or tighten, which in turn causes the patient’s breast to harden and appear squeezed. The formation of scars has been linked to the cause of capsular contracture and infection may also be a likely contributor to the condition. After breast enhancement surgery, capsular contracture can occur in either one or both breasts. Some women experience mild discomfort, while others can feel severe pain and display visible abnormalities. Although certain massage techniques and surgical procedures can help alleviate the level of pain and discomfort felt, many women find it more effective to either replace or simply remove the implants. After removal, the patient’s breasts are restored to the natural shape and eventually begin to soften.

Other complications that may warrant breast implant removal, including a leak or rupture can usually take years to notice. Some of the associated symptoms include asymmetry, pain, swelling and other types of abnormalities. When this occurs, most surgeons will recommend immediate breast implant removal to prevent further risk to the patient.

Surgical Procedure for Removal

Breast implant removal is typically performed by the surgeon in one of two ways: removing the implant through the areola or from under the fold of the breasts. The surgical procedure for removal is also based on the type of implants being taken out. For instance, when surgeons are working with saline-filled implants, they usually proceed by cutting the capsule (scar tissue which is usually formed in the initial procedure) and deflating the implant before removal. However, with silicone breast implants, removal can often be more intricate due to the need for inspection prior to breast implant removal. Additionally, silicone implants must also be removed fully inflated, which is another hindrance that adds to the complication of the procedure.

Whether women are considering breast augmentation, breast implant removal or breast reduction surgery, it’s important for them to consult with a board-certified plastic surgeon to determine the best course of action for their specific case. In addition to considering the benefits, patients must also evaluate the level of risk involved with these types of cosmetic procedures.