Breast Implant Removal: What You Need to Know

August 18, 2025 | 12 minute read

Introduction to Breast Implant Removal

Breast implant removal, or explant surgery, has become increasingly common as women seek solutions for medical complications or changes in aesthetic preferences. This procedure, involving the surgical extraction of silicone or saline implants, addresses a range of issues from implant rupture to health concerns like Breast Implant Illness (BII). Understanding the reasons, surgical approach, risks, recovery, and financial considerations is essential for anyone considering this life-changing decision. This article offers a comprehensive overview to guide prospective patients through what they need to know about breast implant removal.

Understanding Breast Implant Removal and Why It’s Performed

What is breast implant removal and what are common reasons for the procedure?

Breast implant removal, also known as explantation, is a surgical operation to eliminate silicone or saline breast implants. This procedure can be driven by various personal, aesthetic, or medical reasons. Many women opt for removal after 10 to 15 years due to implant aging, encapsulation issues, or shifting shape. Others seek removal because of complications such as ruptures, leaks, or infections.

Common factors prompting removal include capsular contracture, which occurs when scar tissue hardens around the implant, causing discomfort or deformity. Some women experience implant rupture, leading to leakage of saline or silicone, which often requires removal. Changes in aesthetic preferences or age-related alterations in breast shape can also motivate women to have implants removed, sometimes coupled with a breast lift to improve appearance.

Health concerns have recently gained attention, such as BIA-ALCL—an extremely rare lymphoma linked to textured implants—and symptoms associated with Breast Implant Illness (BII), including fatigue, joint pain, and brain fog.

The surgical technique usually involves making incisions along the natural fold of the breast or around the nipple, carefully removing the implant, and often excising the surrounding scar tissue capsule. In some cases, the implant and capsule are removed as a single unit (en bloc capsulectomy). Risks include bleeding, infection, scarring, asymmetry, and changes in breast shape.

Postoperative recovery involves limited physical activity for several weeks, with swelling and tenderness expected initially. In the future, some women may choose additional procedures such as a breast lift or fat transfer to enhance their final results.

Overall, women experiencing discomfort, health concerns, or simply wishing to revert to natural breasts often find explant surgery a beneficial option. Consulting with an experienced plastic surgeon helps determine the best approach for individual needs.

Surgical Steps: What to Expect During the Procedure

What are the surgical steps involved in breast implant removal?

Breast implant removal surgery, also known as explantation, typically starts with anesthesia. Patients can be under general anesthesia or intravenous sedation, depending on the case complexity and surgeon’s recommendation.

Once anesthesia is administered, the surgeon makes an incision to access the implants. Commonly, this incision is placed along the inframammary fold (the natural crease under the breast) or around the areola. The choice of incision location depends on the individual’s anatomy, previous scars, and specific concerns.

After making the incision, the surgeon carefully dissects through underlying tissue to reach the implant. The implant is gently separated from the surrounding tissue. If scar tissue (capsule) has formed around the implant, the surgeon may choose to remove it completely, especially if it is causing issues like capsular contracture.

The removal process can vary depending on the implant type and condition. For silicone implants, a vacuum-assisted technique might be used to reduce rupture risk and manage silicone gel. Saline or silicone implant removal also involves extracting the implant with care to avoid damage to surrounding tissues.

In cases where the capsule needs to be removed, procedures such as capsulectomy (removing the capsule) or en bloc capsulectomy (removing the capsule and implant together as one piece) may be performed. These techniques are particularly important if rupture or contamination is suspected.

Once the implant and any necessary capsule removal are complete, the surgeon closes the incisions with sutures, skin adhesives, tapes, or clips. Sometimes, surgical drains are placed to prevent fluid buildup postoperatively.

Post-surgery, dressings and support garments are applied to aid healing. Patients are monitored closely for any immediate complications.

Recovery involves limiting activities, managing pain, and watching for signs of infection or other issues. Full healing can take several weeks, with gradual return to normal activities.

Weighing the Risks and Potential Complications

What are the risks and potential complications of breast implant removal?

Breast implant removal, like any surgical procedure, comes with specific risks that patients should carefully consider. Infection is a primary concern, which may require antibiotics or further intervention if it occurs. Bleeding during or after surgery can lead to hematoma, potentially needing drainage or additional surgery.

Adverse reactions to anesthesia are also possible, although rare, and are generally managed effectively in controlled settings. Scars from the incision might be longer than the original insertion scars and can fade over time but may sometimes be prominent or hypertrophic.

Other aesthetic risks include changes such as asymmetry, irregularities, or hollow areas where the implants once filled the breast, especially if significant tissue changes have occurred over time. The breasts may sag or lose volume, which might necessitate subsequent procedures such as a breast lift.

Sensory changes like numbness or tingling in the nipple, areola, or surrounding skin are possible and may be temporary or sometimes permanent. Persistent pain also can occur, mostly during the initial healing phase, but in some cases, it might linger longer.

Rare but serious complications include the development of BIA-ALCL, a type of lymphoma linked with textured implants, and systemic symptoms collectively termed Breast Implant Illness (BII), which can involve fatigue, joint pain, and other health concerns.

More uncommon risks involve pneumothorax (collapsed lung) during capsule removal, especially if the surgery involves deep tissue dissection, and lymphomas associated with specific implant types. Additionally, unfavorable scarring, skin discoloration, or loss of skin color may happen, affecting the final appearance.

To minimize these risks, it is crucial to seek experienced surgeons and follow all preoperative and postoperative instructions. Strategies include proper planning, thorough evaluation, and careful surgical techniques to reduce the likelihood of complications. Postoperative monitoring allows timely management of any issues should they arise.

Recovery Journey: Timeline, Care, and Expected Results

What is the recovery process and timeline after breast implant removal surgery?

Recovery after breast implant removal generally takes about one to two weeks, during which patients often experience discomfort, swelling, bruising, and tenderness. Most of these symptoms diminish significantly with adequate rest and proper pain management.

In the first week, it’s important to limit physical activity, avoiding strenuous movements and heavy lifting. Many patients can return to non-physical work tasks within this period. From weeks 2 to 4, gentle activities and light exercise may be gradually resumed under medical guidance.

Full healing, including the subsiding of swelling and the settling of tissue, can take several months. Typically, significant improvement is observed by the six-week mark, with the final results often visible after about six months, depending on individual healing rates and whether additional procedures like a breast lift are performed. Postoperative care involves wound management, follow-up appointments for monitoring healing, and wearing supportive bras to assist in recovery.

How painful is breast implant removal and what side effects might occur?

The process can cause varying levels of discomfort, with soreness, swelling, and bruising common in the initial days to weeks following surgery. Pain is generally manageable with prescribed medications. Many patients describe the discomfort as a soreness rather than severe pain.

Some side effects include temporary changes in breast sensation, scarring, and potential skin sagging, especially if no lift is performed concurrently. Risks also encompass postoperative complications such as capsular contracture, infection, hematoma, seroma, and asymmetry.

Anesthesia-related effects, such as drowsiness, dry mouth, or nausea, are usually short-lived and resolve within a day or two. The overall pain and side effects depend on individual factors, extent of surgery, and healing response. Proper postoperative care and communication with your healthcare team help ensure a smoother recovery and minimize complications.

Choosing the Right Candidate and Preparing for Surgery

Who is a good candidate for breast implant removal, and what factors influence suitability?

A suitable candidate for breast implant removal is usually someone experiencing physical discomfort, such as persistent pain, heaviness, or discomfort in the neck, shoulders, or back. Many individuals opt for removal if they are dissatisfied with their breast appearance, or if they face complications like capsular contracture—where scar tissue hardens around the implant—rupture, or implant shifting.

Candidates should generally be in good health, non-smokers, with stable weight, and realistic about what the surgery can achieve. Age and implant size or type may impact candidacy, as well as the condition of the breast tissue and skin elasticity. For those seeking to restore a more natural look or address health issues, such as symptoms linked to Breast Implant Illness (BII) or BIA-ALCL, removal can provide relief.

Before proceeding, a comprehensive assessment by a qualified surgeon helps determine if you are suitable. This includes evaluating your health status, implant condition, previous surgical history, and personal aesthetic or health goals. Factors like age, tissue quality, and expectations all play roles in planning the best approach for each individual.

What should patients do to prepare before breast implant removal surgery?

Preoperative preparation ensures a safer and smoother surgery. Patients are advised to undergo recommended lab tests and medical evaluations to confirm overall health. It’s crucial to stop smoking well ahead of surgery, as smoking impairs healing and increases complication risks.

Medications that thin the blood, such as NSAIDs, anti-inflammatory drugs, and certain herbal supplements, should be avoided in the days leading to surgery to reduce bleeding risks. On the day of the procedure, patients should follow fasting instructions, usually refraining from eating or drinking after midnight.

Wearing loose, comfortable clothing makes it easier for recovery afterward. Removing makeup, jewelry, cosmetics, and piercings is also recommended to prevent postoperative complications. Important planning includes arranging transportation to and from the surgical facility, as anesthesia effects require someone to accompany you.

Setting up a comfortable home recovery area with essentials like pillows, entertainment, and easy access to necessities can facilitate a relaxed healing process. Following all surgeon-specific preoperative guidelines optimizes your safety and results.

Financial Aspects and Selecting a Qualified Surgeon

How are costs, insurance coverage, and financial considerations handled for breast implant removal?

The average cost for breast implant removal is around $3,979, but this can vary based on factors such as surgical complexity, the surgeon’s fees, anesthesia, and the facility where the procedure is performed.

Insurance coverage generally depends on whether the removal is medically necessary. Coverable reasons include implant rupture, severe capsular contracture, infection, pain, or conditions like BIA-ALCL. If the implants were placed following a mastectomy, insurance policies like the Women’s Health and Cancer Rights Act often require coverage.

For cosmetic reasons without a medical justification, patients usually bear the out-of-pocket expenses. However, medical necessity documentation from healthcare providers can lead to insurance approval. Patients may need prior authorization to avoid unexpected costs. When coverage is denied, appeals can be filed with comprehensive medical evidence. To aid affordability, some surgeons offer financing plans, allowing patients to pay over time.

How can patients select qualified surgeons and what factors should they consider when choosing a provider for breast implant removal?

Choosing the right surgeon is crucial for safety and satisfactory results. Patients should look for a board-certified plastic surgeon with specialized training and extensive experience specifically in breast implant removal procedures.

Membership in reputable organizations such as the American Society of Plastic Surgeons (ASPS) is a positive indicator of professionalism. Reviewing the surgeon’s credentials, including certification from the American Board of Plastic Surgery, is essential.

Patients should examine before-and-after photos of previous explant procedures and read patient reviews to assess the surgeon’s track record. Additional factors include the surgeon’s advanced training in breast and aesthetic surgeries, years of experience performing removal and related procedures, and clear, empathetic communication during consultations.

A thorough consultation helps ensure the surgeon understands your goals and explains the procedure’s risks and benefits. Properly researching and selecting an experienced, qualified surgeon reduces risks and improves the likelihood of achieving desired aesthetic and health outcomes.

For more detailed information, search queries like “breast implant removal costs insurance and surgeon selection” provide valuable resources.

Final Thoughts on Breast Implant Removal

Breast implant removal is a significant surgical procedure addressing diverse medical, aesthetic, and personal reasons. Patients considering explant surgery must understand the detailed surgical process, potential risks, recovery expectations, and financial implications to make informed decisions. Selecting an experienced, board-certified surgeon and preparing diligently ensure a safer surgery and better results. While changes in breast appearance post-removal are expected, adjunctive procedures and personalized treatment plans can help restore desired contours and confidence. Ultimately, proper education and consultation empower patients to navigate their breast implant removal journey with clarity and peace of mind.