Breast Implant Removal and Replacement Surgery in Perth
Breast implant removal and replacement surgery is a common procedure performed for both medical and personal reasons. Whether due to complications with current implants, changes in aesthetic goals, or health concerns, understanding the procedure is key to making an informed decision.
In this guide, Specialist Plastic Surgeon Dr Robert Owen, based in Perth, Western Australia, shares expert insights into the process, from candidacy to recovery.
What is Breast Implant Removal and Replacement Surgery?
Breast implant removal and replacement surgery involves the removal of existing breast implants, with the option to insert new implants if desired. This procedure can address medical complications, changes in personal preferences, or implant-related issues, such as rupture or capsular contracture.
Some patients opt to replace their implants with different sizes or shapes, while others prefer to return to a natural look. In certain cases, a breast lift (mastopexy) may be performed alongside removal to maintain breast shape.
1 to 1.5 hours
General
Day case typically
General
Your breasts may feel different and higher than expected at first but after 6 months your implants will settle into position.
Who is a Candidate for Breast Implant Removal and Replacement?
While implants are durable, they are not lifetime devices. Over time, changes in the body or implant-related issues may lead to removal or replacement.
➔ Suitable Candidates Include:
- Adults in Good Health: Non-smokers or those willing to quit before and after surgery, with no uncontrolled medical conditions.
- Those Experiencing Complications: Capsular contracture, implant rupture, malposition, or asymmetry.
- Individuals with Changing Aesthetic Goals: Desire for a different implant size or to return to a natural look.
- Health-Related Concerns: Some opt for removal for peace of mind, even without complications.
➔ Considerations:
Candidates should have realistic expectations. While surgery may address appearance and comfort, results vary depending on factors like skin elasticity and natural breast tissue.
Potential Benefits of Breast Implant Removal and Replacement
This procedure offers both aesthetic and medical benefits, tailored to each patient’s goals.
➔ Potential Aesthetic Benefits:
- Adjusted Symmetry: May correct asymmetry caused by implant shifts or natural changes.
- Customised Results: Choose new implants that better align with current preferences.
- Restored Natural Appearance: For those not replacing implants, a breast lift can address contour irregularities.
➔ Potential Medical Benefits:
- Relief from Discomfort: May Alleviate pain from complications like capsular contracture.
- Reduced Risk of Implant-Related Issues: Addresses ageing implants, rupture, or leakage risks.
- Peace of Mind: Removing implants may ease health-related anxieties.
Types of Procedures and Techniques
En Bloc Capsulectomy
Removes the implant and surrounding capsule as one unit.
- Pros: Reduces risk of silicone leakage if the implant is ruptured.
- Cons: More complex, with longer recovery time.
Simple Explantation
Implants are removed without the capsule unless medically necessary.
- Pros: Less invasive, quicker recovery.
- Cons: May leave behind scar tissue, which could cause firmness.
Implant Removal with Breast Lift
Addresses sagging by lifting and reshaping breast tissue post-removal.
- Pros: Restores firmness and youthful contour.
- Cons: Additional scarring and slightly longer recovery.
Implant Replacement
New implants are inserted, with options to adjust size, shape, or material.
- Pros: Customisable results with updated implants.
- Cons: Implants may require future replacement.
The Surgical Process: Step-by-Step
- Consultation with Dr Robert Owen
During your consultation, Dr Owen will:- Review your medical history.
- Assess implant condition and breast tissue.
- Discuss goals, surgical options, risks, and recovery.
- Pre-Surgery Preparation
- Medical Tests: Bloodwork or imaging may be required.
- Medications: Avoid blood thinners or anti-inflammatory drugs.
- Lifestyle Adjustments: Stop smoking at least 4 weeks pre-surgery.
- Anaesthesia
The procedure is performed under general anaesthesia to ensure comfort. - Surgical Procedure
- Incisions: Often along previous scars to minimise new scarring.
- Implant Removal: The implant and, if necessary, the capsule are removed.
- Replacement (if applicable): New implants are inserted.
- Breast Lift (if needed): Reshapes tissue for a natural contour.
- Surgery Duration
- Implant Removal Only: 1–2 hours.
- With Replacement: 2–3 hours.
- With Breast Lift: Up to 4 hours.
Recovery Timeline and Aftercare
➔ Immediate Post-Op (First 24–48 Hours):
- Expect: Swelling, discomfort, and bruising.
- Do’s: Rest, take prescribed medication, and wear a support bra.
- Don’ts: Avoid heavy lifting, driving, or strenuous activities.
➔ First Week:
- Light walking to promote circulation.
- Attend follow-up appointments with Dr Owen.
➔ First Month:
- Gradual return to non-strenuous activities.
- Avoid intense exercise and heavy lifting.
➔ Long-Term Results:
- Final results are visible after 3–6 months as swelling subsides.
- Scars will fade over time with proper care.
Do’s and Don’ts for a Smooth Recovery
➔ Do’s:
- Follow all post-op instructions.
- Keep incisions clean and dry.
- Stay hydrated and maintain a balanced diet.
- Wear the recommended support bra.
➔ Don’ts:
- Avoid smoking, as it slows healing.
- Don’t submerge incisions in water until cleared by Dr Owen.
- Avoid underwire bras until fully healed.
Potential Risks and Complications
While generally safe, all surgeries carry some risks. Dr Owen takes every precaution to minimise complications.
➔ Possible Risks:
- Bleeding or haematoma.
- Infection.
- Scarring.
- Changes in nipple or breast sensation.
- Implant rupture (if replacing implants).
- Asymmetry or contour irregularities.
FAQs
Find out more about your surgical journey
How do I know if I need implant removal or replacement?
If you experience discomfort, changes in breast shape, or implant-related issues, a consultation can help determine the best course of action.
Will my breasts look the same after implant removal?
Results vary. Some may experience sagging, which can be addressed with a breast lift.
How long is the recovery period?
Most patients return to light activities within 1–2 weeks, with full recovery in 4–6 weeks.
Are there long-term effects after removal?
Changes in breast shape and skin elasticity are possible, depending on implant size and duration.
Is the procedure painful?
Mild to moderate discomfort is common but manageable with medication.
Can I choose a different implant size during replacement?
Yes, you can select implants that better suit your current preferences.
What are the risks of surgery?
Risks include infection, scarring, changes in sensation, and implant-related complications.
Further Reading and Medical References
- Breast Implant Illness: Treatment Using Total Capsulectomy and Breast Implant Removal / National Institutes of Health – gov / https://pmc.ncbi.nlm.nih.gov/articles/PMC9097901/
- Breast Implant Illnesses: What’s the Evidence? / National Center for Health Research – gov / https://www.center4research.org/breast-implant-illnesses-whats-evidence/
- Safely Shaping the Breast After Implant Removal and Total Intact Capsulectomy / Aesthetic Surgery Journal Open Forum – journal / https://academic.oup.com/asjopenforum/article/doi/10.1093/asjof/ojad037/7115886
- Breast Implant Rupture / StatPearls – NCBI Bookshelf – gov / https://www.ncbi.nlm.nih.gov/books/NBK459308/
- Is Fear Driving Increase in Breast Implant Removal? / Cleveland Clinic – hospital / https://consultqd.clevelandclinic.org/is-fear-driving-increase-in-breast-implant-removal
- Breast Implant Removal: What to Expect, Surgery & Recovery / Cleveland Clinic – hospital / https://my.clevelandclinic.org/health/treatments/21799-breast-implant-removal
- The Case for Breast Implant Removal or Replacement Without Replacement / PubMed Central – gov / https://pmc.ncbi.nlm.nih.gov/articles/PMC8144086/
Choosing an Experienced Surgeon Matters
Selecting an experienced surgeon like Dr Robert Owen reduces risks and ensures optimal outcomes. His meticulous approach prioritises both safety and natural-looking results.
