Breast Implant Removal/Breast Explantation

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Dr Marco Faria-Correa provides specialised care in breast surgery. Catering to both local and international patients, our clinic offers thorough support encompassing initial consultation and post-operative care for individuals seeking breast implant removal in Singapore.

What is Breast Implant Removal Surgery?

Breast Implant Removal Surgery, also known as Breast Explantation, is a surgical procedure designed to remove silicone breast implants. The surgery involves the extraction of the breast implants and may include the removal of scar tissue or silicone that has leaked from the implants. The procedure is usually performed under general anaesthesia and can vary in duration, typically taking around two hours, depending on the complexity of each case.

Breast implant removal can be a standalone procedure or part of a broader surgical plan, which may involve breast reconstruction or the replacement of implants.

Reasons for Breast Implant Removal

Individuals may choose to undergo breast implant removal for a variety of reasons, ranging from personal preferences to medical necessities.

Personal Aesthetic Preferences: Changes in personal aesthetic desires can lead to the decision to remove breast implants. This may include dissatisfaction with the appearance of the implants due to factors like changes in breast shape, flabbiness, rippling, or discomfort in clothing.

Preference for Natural Appearance: Some individuals may decide to remove their implants as part of a broader decision to embrace a more natural body image.

Capsular Contracture: This medical condition involves the hardening of scar tissue around the implant, leading to pain and discomfort. It can alter the appearance and feel of the breast, often necessitating implant removal.

Implant Displacement or Malposition: Over time, implants can shift from their original position, causing asymmetry and an unnatural appearance, prompting some individuals to opt for removal.

Breast Implant Rupture or Leakage: The integrity of the implant can be compromised, leading to rupture or leakage. This situation requires prompt removal to prevent complications.

Infection or Inflammation Concerns: The presence of implants can sometimes lead to infection or inflammation, posing health risks that necessitate removal.

Breast Implant Illness (BIL) Fears: The potential emotional stress and health concerns related to Breast Implant Illness (BII) can be a decisive factor for removal. BII is when individuals experience symptoms including fatigue, rash, anxiety, depression, and hormonal issues, believed to be associated with their silicone or saline breast implants.

Development of BIA-ALCL: Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) is a rare but highly treatable lymphoma that can develop around breast implants, predominantly occurring in patients with textured-surface implants. It is a cancer of the immune system, not breast cancer.

Breast Implant Removal Surgery Procedure

Initial Consultation

This stage involves assessing the patient’s medical history, reasons for implant removal, and expectations. The procedure, its potential risks, and the recovery process can be discussed.

Pre-operative Assessment

Before surgery, patients undergo a thorough medical evaluation. Instructions are provided on medication adjustments and the avoidance of substances that might increase bleeding risks, such as certain anti-inflammatory drugs and herbal supplements. Patients should cease smoking or using tobacco products.

Surgical Procedure

The procedure is generally performed as day surgery under general anaesthesia. It usually takes around two hours, varying with each case’s complexity.

Incisions: An incision is made, typically around the areola or under the breastfold.
Removal: The implants, along with any scar tissue, are removed. In cases of leakage, any free-floating silicone is also extracted.
En-bloc Capsulectomy: This is performed where feasible, involving the removal of the implant and surrounding capsule as one unit.
Fluid Drainage: Drains are inserted to help remove any accumulated fluid. This fluid, along with any extracted silicone or other materials, can be sent to a lab for analysis.
Checks: The surgical area is thoroughly checked for bleeding before closure.
Closure: The wound is stitched carefully to minimise scarring.

Post-operative Care

Patients will go home with a compression bandage and drains. These drains are usually removed after 1 to 3 days, depending on the individual’s recovery. Light exercise can typically resume after 1 week.

Reconstruction Options After
Breast Implant Removal

After the removal of breast implants, various reconstruction options are available to meet the diverse needs and preferences of patients.

Implant Removal Only

This option involves the straightforward removal of breast implants without any additional reconstructive procedures. It is chosen by individuals seeking to return to their natural breast size and shape.

Replacement with Smooth Breast Implants

For those preferring to maintain enhanced breast size, old textured implants can be replaced with new smooth breast implants, offering a different texture and potentially reduced risk of complications.

Implant and Capsule Removal

In addition to implant removal, the surrounding capsule of scar tissue is also extracted. This is particularly relevant in cases of capsular contracture or implant rupture.

Implant and Capsule Removal with Skin Tightening

This option includes the removal of the breast implant and capsule, accompanied by skin tightening procedures. It addresses sagging or loose skin resulting from the previous stretching of the breast skin by the implants.

Implant and Capsule Removal with Fat Grafting to the Breast

Following implant and capsule removal, fat grafting can be performed. This involves transferring fat from another body part to the breast, offering a more natural augmentation.

Ready For A Change?

Achieve your desired transformation with breast implant removal.
Consult our internationally-accredited surgeon for a detailed assessment today.

Make An Enquiry

Our Clinic Location

Mount Elizabeth Novena Specialist Centre
#10-26/27, 38 Irrawaddy Road
Singapore 329563

+65‎ 6464‎ 8075

+65 9176 1813

enquiry@drmarco.com

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Frequently Asked Questions (FAQ)

What is the typical recovery time after breast implant removal?

Recovery time varies, but patients can generally engage in light exercises after 1 week. Strenuous activities may need to be limited for a few weeks. Discomfort and tenderness may last up to six weeks.

Will there be visible scarring after the surgery?

Incisions are carefully placed to minimise visible scarring. The extent of scarring depends on individual healing processes and the specifics of the surgery.

Is breast implant removal surgery painful?

Patients may experience discomfort and soreness, which can be managed with prescribed medications. Pain levels vary depending on the individual and the complexity of the procedure.

Can breast implants be replaced during the same surgery?

Yes, it is possible to have old implants removed and replaced with new ones in the same surgical session, depending on the patient’s health and surgical considerations.

Are there risks associated with breast implant removal?

As with any surgery, there are risks, including dissatisfaction with breast appearance post-surgery, bleeding, infection, and changes in nipple sensation. The surgeon will discuss these risks in detail during the consultation.

Can breast implant removal lead to sagging breasts?

Post-implant removal, breasts may sag or appear misshapen due to skin stretching. Options like a breast lift (mastopexy) can address these concerns.