Breast implant removal, also known as explant surgery, involves the removal of breast implants. Breast implant removal surgery is commonly combined with a breast lift or fat transfer to the breasts in the same procedure to enhance breast volume and shape. Centre for Surgery in London is considered the leading plastic surgery clinic in the UK, with expertise in all types of breast surgery, including implant removal. Here, we answer your most commonly asked questions about breast implant removal.
BREAST IMPLANT REMOVAL BENEFITS
What happens after I remove my breast implants?
After implant removal, the breasts will initially appear deflated. After two weeks, they will partially recover some volume. To enhance the volume and shape of the breasts, breast implant removal is commonly combined with a breast lift or fat transfer to the breast in the same procedure.
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Can breast implants be left in forever?
Although breast implants do not have an expiry date, they are not designed to last forever. Breast implants generally last for between 10 and 20 years. Most breast implant manufacturers recommend removing or replacing implants after ten years. Breast implant removal should be performed earlier if a complication occurs, such as capsular contracture or implant rupture.
Should I get my breast implants removed?
People choose to get implant removal for the following reasons:
- Implant rupture
- Capsular contracture
- Unhappy with the size of your existing implants
- Development of breast asymmetry
- Symptoms of breast implant illness
Will my breast implants need to be changed after ten years?
Although there is no absolute requirement to have breast implants changed after ten years, several factors can affect the appearance of your breasts, including pregnancy or the natural ageing process. Breast implant removal or replacement can then be an excellent option to maintain youthful, looking breasts.
What are the reasons for having my breast implants removed?
Common reasons to have explant surgery include:
- Back, neck or shoulder pain due to the weight of heavy implants
- Capsular contracture
- Implant rupture
- Change in lifestyle, with no further desire to have breast implants
Should breast implants be checked, and if so, how often?
In the UK, it is highly recommended to have an annual check of your breast implants to rule out a silent rupture. A physical examination should be supplemented with an ultrasound scan or an MRI scan. MRI scans are recommended three years after surgery and every two years after that.
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How do you remove silicone breast implants?
Silicone breast implants are typically removed under general anaesthetic. The procedure involves removing the breast implants through the same incision from the original surgery.
Will the breast implant capsule need to be removed?
Breast implant capsules do not always have to be removed, mainly if they are soft and thin. In these cases, they can often be left in situ and will be absorbed by the body. Thick and hardened breast capsules are best removed with a full capsulectomy, also known as en bloc removal. A partial capsulectomy may be an option in selected cases.
What is en bloc breast implant removal?
This surgical technique involves the total removal of the breast capsule and implant in one monoblock. The capsule is not opened and will be removed along with the implants. This technique minimises contamination of adjacent breast tissue and is ideal for moderate to severe grades of capsular contracture.
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SUITABILITY FOR BREAST IMPLANT REMOVAL
Can I get an explant surgery if I’m pregnant?
We do not recommend getting breast implant removal if you plan to become pregnant in the next six months or are currently pregnant.
Is a breast lift required after implant removal?
If you would like to achieve youthful-looking breasts after having breast implants removed, then a breast lift is often recommended. It generally depends on the final results you are hoping to achieve.
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Will I need a breast lift after explant surgery?
Having a breast lift after breast implant removal is an excellent option to restore a younger-looking appearance to your breasts. At the consultation, your surgeon will determine whether to have a breast lift at the same time as breast implant removal or to have it as a second procedure a few months later.
How to prepare for breast implant removal surgery?
Your surgeon may recommend stopping certain medications, which could increase the risk of bleeding, including aspirin and other blood thinners. You may also be asked to have blood tests in advance of the procedure. It would be best if you also stopped smoking four weeks before and after surgery to minimise the risk of complications.
BREAST IMPLANT REMOVAL SURGERY FAQs
How are breast implants removed?
The surgeon will make an incision through the existing score of the previous breast surgery. This is most commonly in the inframammary fold. The implant will then be carefully removed with or without the surrounding breast capsule, followed by the closure of the wound with stitches.
What does the breast explant procedure involve?
Breast implant removal surgery involves making an incision in the lower breast crease. Through this incision, the implants will be removed along with part or all of the surrounding breast capsule.
Where will my breast implant removal procedure be carried out?
Breast implant removal surgery is performed at our state-of-the-art Baker Street clinic in Marylebone. This procedure involves a general anaesthetic for your comfort during the procedure.
Will I experience pain during explant surgery?
You will not experience any discomfort during this procedure. General anaesthesia will be used so that you will be unconscious throughout the procedure.
How long does breast implant removal take to perform?
Explant surgery takes between one and two hours to carry out. It may take longer if it is combined with a breast lift or fat transfer to the breasts.
Can I go home the same day after breast implant removal?
All surgical procedures at Centre for Surgery are performed as a day case which means you will be able to go home later the same day once you have recovered from the effects of the anaesthetic.
When will I see the final results after implant removal?
The final results of the implant removal can take several weeks to appear. Initially, the breasts will look deflated, although some breast volume will be restored after 3 to 4 weeks.
RECOVERY AFTER BREAST IMPLANT REMOVAL
How long does it take to recover after breast implant removal?
Most people find they need between 6 to 8 weeks to recover fully from the effects of breast implant removal surgery.
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How much time should I book off work for implant removal surgery?
We would recommend taking one week off work to allow you to rest and heal without distraction during the early phase after surgery.
When can I exercise after breast implant removal?
You should avoid any strenuous exercise for a minimum of six weeks after surgery. Light walks around the home are actively encouraged during the first two weeks after surgery.
When can I start jogging again after breast implant removal?
Jogging should be avoided for a minimum of 4 to 6 weeks after surgery. If you experience any sudden pain or discomfort whilst exercising, you should immediately stop what you are doing and consult with your surgeon.
When can I safely shower after explant surgery?
You can safely have a shower after 48 hours, using lukewarm water only, and for no longer than 10 minutes at a time.
When can I drive after breast implant removal?
Driving a car should be avoided after breast implant removal for a minimum of one week.
Will I have scars after explant surgery?
Yes, you will have scars after explant surgery. They will be in the same position where the original scars after your first breast procedure were located. Although they may be slightly bigger. Scar formation can be minimised by following the advice below:
- Avoid smoking
- Avoid hot showers
- Keep well hydrated
- Eat a healthy diet
- Wear your compression garment as directed
- Look out for signs of infection
What is the best technique for breast massage after explant surgery?
Breast massage after explant surgery can help to speed up your recovery. The following top tips will help you to carry out an effective breast massage:
- Use the palms of your hands and cut the upper part of the breasts, followed by downward pressure for no more than a few seconds at a time. Release the pressure gently and repeat the process on the other side. The process should also be performed from the lower part of the breast, working upwards.
What is the best sleeping position after breast implant removal?
You must sleep on your back for at least 6 to 8 weeks after implant removal. This helps to minimise excessive stress on the surgical incision, which could lead to breakdown and significant pain and discomfort.
Can I sleep on my side the day after breast implant removal?
You should avoid sleeping on your side for at least six weeks to minimise the pressure applied to the breasts.
What exercises can I do after breast implant removal?
Light walks are actively encouraged during the first two weeks after surgery to promote healthy blood circulation. Vigorous exercise, including going to the gym, should be avoided, as this could affect your healing.
How can I achieve tighter skin after breast implant removal?
It is not uncommon for the breasts to look saggy or droopy after breast implant removal due to the skin stretching out. The skin can be tightened after breast implant removal by combining an explant surgery with a breast lift.
What is the best type of bra to wear after explant surgery?
A medical-grade compression bra should be worn for the first six weeks to help support your breasts properly during the healing phase. You should ensure you choose a bra that fastens from the front, as these are easy to put on and remove. This also helps minimise arm movements and promote effective wound healing.
BREAST IMPLANT REMOVAL RESULTS
Will my breasts look like after explant surgery?
It is normal for the breasts to look deflated after the procedure initially. They will eventually improve over the next 4 to 6 weeks with a partial restoration of the volume.
RELATED: Will My Breasts Be Flat After Breast Implant Removal?
How long does it take for breasts to fluff after implant removal?
The fluffing process differs between patients, although it generally takes between 6 to 9 months for most people. People may experience fluffing as early as three months after surgery.
How do breasts appear after implants are removed?
The breasts may initially appear saggy due to the loss of skin support by the breast implants. Factors that can affect the appearance of the breasts include hormonal changes, significant changes in weight and the natural ageing process.
How will I feel after implant removal?
You should feel completely normal after the procedure. There may be some mild bruising and swelling in the area of the breasts during the first two weeks after surgery.
How soon can I get pregnant after implant removal?
You should avoid getting pregnant for a minimum of three months after implant removal surgery.
Will my breasts sag or droop after explant surgery?
Although your breasts might look deflated initially, they will regain any lost volume after four weeks.
BREAST IMPLANT REMOVAL RISKS AND POTENTIAL COMPLICATIONS
Is breast implant removal safe?
Breast implant removal is a safe procedure when performed by a qualified and experienced plastic surgeon at the Centre for Surgery in London. There are several recognised risks of breast implant removal, including:
- Bleeding
- Infection
- Altered nipple, sensitivity
- Seroma
- Haematoma
- Persistent swelling.
Does breast implant removal hurt?
Most patients experience only mild discomfort during the early recovery phase, and it is often considered to be much more comfortable than breast implant surgery.
Can free silicone be detoxified after the removal of breast implants?
Free silicone, which can occur when silicone leaks from a breast implant, can potentially be detoxed after the removal of the implants. However, the exact method of detoxification and the effectiveness of such methods is still a subject of debate among medical professionals. Some recommended methods for removing free silicone from the body include drinking plenty of water, exercising regularly, and eating a healthy diet. However, the best way to assess the need for detoxification and determine an appropriate course of action is to consult with a specialist plastic surgeon who has experience in this area.
What are the symptoms of breast implant illness (BII)?
Breast implant illness is thought to be linked to having breast implants, and the most recognised symptoms of the condition include:
- Fatigue
- Depression
- Hair loss
- Skin rashes
- Anxiety
- Musculoskeletal pain
- Dry eyes
- Insomnia
How common is breast implant illness?
Breast implant illness occurs in one in 2000 and one in 80,000 people, depending on the type of implant.
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Can breast implants cause fatigue and tiredness?
Breast implants are linked with fatigue as a symptom of BII.
Can breast implants make me heavier?
Breast implants often result in women gaining approximately 2 1/2 kg on average.
Are having breast implants linked with anxiety and depression?
Breast implants could be linked with mental health problems, such as depression and anxiety.
Do breast implants increase the risk of developing autoimmune disease?
Breast implants can cause connective tissue disorders of autoimmune origin.
Will my symptoms improve after breast implant removal?
Symptoms of breast implant illness commonly improve after the removal of breast implants.
BREAST IMPLANT REMOVAL COSTS & FINANCING
Can I get breast implant removal on the NHS?
Breast implant removal is usually considered a cosmetic procedure and is not typically covered by the National Health Service (NHS) in the UK. However, in some cases, such as if the implants are causing discomfort or medical problems, removal may be funded by the NHS. It is best to consult with a healthcare professional to determine if you are eligible for NHS funding for breast implant removal.
Does medical insurance in the UK cover breast implant removal?
Breast implant removal may or may not be covered by medical insurance in the UK, depending on the specific policy and the circumstances of the case. Some insurance companies consider breast implant removal to be a cosmetic procedure and do not cover it, while others may provide coverage if the removal is deemed medically necessary, such as if the implants are causing discomfort or health issues. It’s advisable to check with your insurance provider to determine if breast implant removal is covered under your policy.
Can I get breast implant removal on finance?
Centre for Surgery partners with Chrysalis Finance, the leading provider of specialist medical finance in the UK. We offer a full range of finance options to suit a range of budgets, including 0% finance for eligible applicants. Call us today to get finance approval in principle for breast implant removal.
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Breast Implant Removal & Explant Surgery at Centre for Surgery
Centre for Surgery is the leading plastic surgery clinic in the UK and is home to some of the most experienced plastic surgeon consultants in London. We have years of experience in all types of breast surgery, including explant surgery. Women may request breast implant removal to treat a complication of breast implants or because they no longer wish to have breast implants for lifestyle reasons. Either way, call us today on 02079934849 or complete the contact form below to schedule an in-person consultation at our state-of-the-art cosmetic surgery clinic in Marylebone.