Breast Implant Replacement
Breast implant removal may also be referred to as explant surgery and is the process where breast implants are removed from the body and not replaced.
There are many reasons why a woman would choose to have her breast implants removed. These include:
- Unhappy with shape or size
- Change in lifestyle
- Capsular Contracture
- Ruptured implants
- Implants that have bottomed out
- Concerns regarding the integrity of the implants
What surgical options are available for breast implant removal?
Breast Implant Removal – Your breast implants are removed, and no further surgery is performed.
Breast Capsulectomy –A capsulectomy procedure removes the implant and the capsule which is the lining around your implant. Capsular contracture is caused by the implant’s capsule tightening and compressing the implant.
Enbloc – An enbloc procedure involves removing the capsule and the implant at the same time with the implant still within the capsule. This can be a very difficult procedure and it is not easy to guarantee that it can be achieved. In some cases the capsule tissue is tightly attached to the chest or very thin and instead a breast capsulectomy will be performed.
Breast Auto Augmentation – A breast auto augmentation procedure is a great option for patients who are looking to maintain some fullness to their breast but don’t want an implant anymore. This specialised technique uses the patient’s own breast tissue and uses it like a breast implant to relocate higher within the breast to give a more uplifted and fuller appearance to the chest.
Breast Implant Removal and Uplift – This combined procedure if often recommended to patients where the breast tissue has stretched. Once the implant is removed then a breast uplift is performed where the nipple is relocated and lifted back up to a higher position.
The Consultation
Your implant removal procedure will begin with a consultation with one of our expert breast surgeons at a clinic of your choice.
At your consultation you will be able to discuss your concerns and find out your options to see which approach will be most suitable for you.
Your surgeon will then:
- Review your medical history
- Examine your breasts
- Discuss your expectations from surgery
- Detail the risks and complications of implant removal surgery
- Go through the aftercare and recovery process
You will then be allocated a dedicated patient coordinator who will be your point of contact should you wish to go ahead with the procedure.
During your journey you may decide to have a number of consultations with your plastic surgeon and their nursing team before deciding to go ahead with surgery.
Pre-Operative Appointment
All breast implant removal patients will be assessed against our patient selection criteria to ensure that you are safe to proceed with surgery.
Once you have decided to go ahead with your breast implant removal procedure, your medical history form will be reviewed by our nursing team who will then select which pre-operative tests you will need to carry out.
The majority of breast implant removal assessments include a blood test, MRSA swabs, urine test and blood pressure test.
They will also advise you of any precautions you need to take in the days or weeks leading up to your breast implant removal procedure and advise on any medication that you should stop taking before procedure.
Breast Implant Replacement Surgery
On the day of your breast implant removal procedure you will arrive at the hospital usually an hour before your procedure is due to start.
Once admitted:
- The nursing team will record your blood pressure and prep you for surgery.
- You will meet with the surgeon who will go through the procedure again and answer any questions.
- Pre-operative photos will be taken.
- Your chest will be marked up ready for surgery.
The Procedure
- General anaesthetic will be administered by the anaesthesiologist.
- Your breast surgeon will use your existing scars to remove your old implant.
- A capsulectomy or enbloc may be performed depending on condition of implants, capsules, and preference of the patient.
- Depending on the patient’s preference a breast auto augmentation or breast uplift may then also be performed. Find out more here.
- The incision will then be closed with dissolvable stitches and covered with tape.
- A surgical bra will then also be placed onto the patient which will need to be worn during your recovery period.
Post-Procedure
Once the procedure is complete, you will be taken to a recovery room where you will be staying for around 1-3 hours to ensure that you have safely recovered from the anaesthetic.
Once the surgeon and nursing team are happy that you are safe to return home, you will be discharged and allowed to leave accompanied by a family member or friend.
After your breast implant replacement procedure
A member of our nursing team will call you usually the day following your procedure to ensure you are feeling comfortable and recovering well.
You will have been given details of our dedicated on-call nursing team who can be contacted 24 hours a day, 7 days a week should you have any worries or concerns during your recovery time.
You should avoid strenuous activities and exercise for 6 weeks and ideally have at least 1 week off work to recover.
You will be required to attend a series of follow-up appointments at The Private Clinic which include a 1-week check-up appointment with a nurse and then your 6-week post-operative appointment with your surgeon.
After 6 weeks you should be able to return back to your everyday activities and your surgeon will be able to advise you on anything that you are unsure of and answer any questions.
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