Breast implant removal, or explant surgery, is a personal choice that many women in Perth make for a variety of reasons. For some, it's due to medical concerns, such as Breast Implant Illness (BII), Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), implant rupture, or capsular contracture, where the scar tissue surrounding the implant tightens and causes discomfort. Others may decide it's time to shift to a more natural look or simply feel it's the right moment to remove ageing implants as part of their health journey. Whatever the reason, explant surgery offers a path to feeling comfortable, confident, and more in tune with your body.
This guide will cover everything you need to know about breast implant removal, from the procedure itself to what to expect during recovery, along with insights into before and after breast implant removal. Whether your implants are part of an older augmentation or you're seeking relief from medical issues, understanding the process can help you make the best choice for your health and well-being.
What to Expect During the Breast Implant Removal Procedure
Consultation and Evaluation Before the surgery, it is crucial to consult with a board-certified plastic surgeon. The surgeon will evaluate the patient's medical history, discuss the reasons for removal, and explain the potential outcomes of the procedure.
Surgery The surgery is typically performed under general anaesthesia. The surgeon will make an incision to access the implant. The incision is usually through the old incision/scar, though in most cases needs to be slightly lower than the original incision scar. A new scar would be made along the IMF (inframammary fold) if implants were placed through the axilla.
Implant Removal The surgeon will carefully remove the implant and, in most cases, perform a total capsulectomy (removing the scar tissue surrounding the implant). If there are no complications, the surgery may be relatively straightforward. The capsules are sent to the pathology lab for examination to rule out ALCL.
Closure After the implant and capsule are removed, the incisions are closed with stitches, and the surgical area is bandaged. Drainage tubes may be temporarily placed to help remove excess fluids.
Before & After
Image: Before implant removal and 6 weeks after removal. The patient gave photo consent.
During the Procedure
Image: Explant surgery, ruptured implant + capsule removal. The patient gave photo consent.
Recovery and Aftercare
Pain Management
There may be pain and discomfort for the initial 1-2 weeks after the surgery. Pain medication may be prescribed to manage any discomfort during the recovery period.
Rest and Activity Rest is essential during the initial recovery phase. Patients should gradually increase their activity level as advised by their surgeon. We recommend avoiding strenuous physical activity (e.g. gym and heavy lifting) for approximately 4-6 weeks.
Follow-up Visits Patients will need to attend follow-up appointments with their surgeon to monitor the healing process and ensure there are no complications. The following follow-up ups are what you can expect after explant surgery with Dr Duncan Taylor:
1 Week with Dr Taylor
+/- 2 Weeks with the Practice Nurse
6 Weeks with Dr Taylor
3 Months with Dr Taylor
Scar Care
Proper incision care is essential to minimise scarring. Surgeons will provide instructions on how to care for the incision sites, including massage and silicone scar management.
How Much Does Implant Removals Cost in Perth?
The cost of breast implant removal can vary depending on the specific procedure, whether it includes additional steps like capsulectomy, fat grafting, or a breast lift, and the coverage options available through Medicare or private health insurance. For those considering explant surgery, understanding these costs upfront can help plan and explore potential rebates. Click here to view the full breakdown of pricing options and additional fees to be aware of.
Be Aware of the Potential Risks and Complications
Like any surgical procedure, breast explant surgery carries potential risks and complications, including infection, bleeding, adverse reaction to anaesthesia, scarring, changes in breast shape, and asymmetry. It's important to discuss these risks with the surgeon during the consultation.
It's crucial to consult a qualified and experienced plastic surgeon to discuss individual circumstances and determine the best course of action regarding breast explant surgery.