WHAT IS BREAST IMPLANT REMOVAL?
Also known as explant surgery, breast implant removal surgery involves the surgical removal of breast implants.
Patients may choose to have their implants removed as they simply no longer wish to have implants. Others may have rare complications (particular with older style implants) or the breast tissue around the implants has aged or stretched over time.
Patient interest in the removal of breast implants has increased recently with some of the concerns around ALCL (Breast implant-related lymphoma) and various breast implant syndromes (which need further scientific study).
Revisions surgeries are always more complex than the initial surgery. This is why a thorough consultation with Dr Alex Phoon that takes all factors into consideration is essential when considering breast implant removal.
HOW ARE IMPLANTS REMOVED?
The procedure involves a general anaesthetic and is usually a day surgical procedure. If there is significant capsule formation that needs to be removed at the same time, you may require a drain afterwards.
Are there any options available to minimise the deflation post-implant removal?
If you are set permanently removing your implant without replacement, then there are some other options available.
Having a Mastopexy alone with or without fat grafting can be an option for patients. The result would be a smaller breast but at least some additional volume restoration without the need for a foreign material like an implant. With respect to fat grafting, you should appreciate that there is only 2/3 long-term retention so it is possible you may require subsequent filling as a standalone procedure.
Reasons for a breast implant removal
Capsular contracture or scarring around the implant
Personal preference
Revision of your original procedure
Pain or discomfort
Lifestyle not requiring implants anymore
Size change
Asymmetry
Implant rupture
Double bubble deformity
Ageing of the breast around the implant
FREQUENTLY ASKED QUESTIONS ABOUT OUR BREAST IMPLANT REMOVAL
All breast reductions involve a scar all the way around the areola and vertically down to the breast crease below your breast. This is called a lollipop incision and is best suited to smaller breast reductions. When the breast is larger, an anchor type or ‘inverted T’ incision is needed so the excess skin can be removed. That way you don’t get left with ruffling of the skin if you had a lollipop incision alone.
The scars are usually very well tolerated particularly if we use the latest techniques to minimise them such as silicone tapes etc. Scars always take a variable time to mature being initially pink before fading up to a year later. Some patients can have a genetic tendency to have wider scars however and any surgical benefit would need to be balanced against the risk of having wider or more visible scars.
There are many reasons why patients want their implants removed or changed. You may have problems with them, want an upgrade (for whatever reason) or simply feel that it is time to have them removed permanently. Patient interest in the removal of breast implants has increased recently with some of the concerns around ALCL (Breast implant-related lymphoma) and various breast implant syndromes (which need further scientific study). Dr Alex Phoon is happy to see patients who have had surgery elsewhere to help with safety checks and make sure that the implant is not a danger to your health with clinical assessment and imaging such as ultrasound or MRI if required. Reasons, why you might want to have your implants removed (with or without replacement), might include:
- Capsular contracture or scarring around the implant
- Pain or disfigurement
- Ageing of the breast around the implant
- The implants are too close together (synmastia) Implant rupture
- Size change
- Double bubble deformity
- Revision of your original procedure
- Asymmetry
- Lifestyle not requiring implants anymore.
The procedure involves a general anaesthetic and is usually a day surgical procedure. If there is significant capsule formation that needs to be removed at the same time, you may require a drain afterwards.
If you are set on not replacing your implant with one of the newer generation implants, then there are some options available to patients. Having a Mastopexy alone with or without fat grafting can be an option for patients. The result would be a smaller breast but at least some additional volume restoration without the need for a foreign material like an implant. With respect to fat grafting, you should appreciate that there is only 2/3 long-term retention so it is possible you may require subsequent filling as a standalone procedure.
As you can imagine, the breast will be deflated afterwards. The degree of deflation is related to the size of your implants and the stretchiness of your skin. Younger patients wanting removal can sometimes return to a result that is very close to their pre-implant breast shape. If you have had children or have stretchy skin, then there will almost always be some deflation and descent of the nipple complex afterwards.
Risks and complications of cosmetic surgery
Cosmetic surgery is still surgery and as such always has potential risks and complication. It is important for anyone considering cosmetic surgery to be well-informed and aware of the possible adverse outcomes. Dr Alex Phoon is a fully qualified Australian specialist plastic and cosmetic surgeon who operates with an experienced team in leading public and private hospitals in Sydney Australia.
In this article, we will dive into the various risks and complications associated with cosmetic surgery, providing insights into each aspect.
Scarring
One of the most common concerns among patients undergoing cosmetic surgery is the potential for scarring. While skilled surgeons strive to minimize scarring, it is an inevitable part of the healing process.
Read moreThe severity of scarring varies depending on the individual and the procedure performed. Certain factors, such as genetics and skin type, can also influence how prominent scars may be. However, it is worth noting that in many cases, scars fade over time and can be further improved through scar revision techniques.
Scarring is a natural part of the body’s healing process. When the skin is injured, whether through surgery or trauma, the body responds by forming new collagen fibres to repair the damage. This process can result in the formation of a scar, which is a visible mark on the skin that differs in texture and colour from the surrounding tissue.
There are different types of scars that can occur after cosmetic surgery. One common type is a hypertrophic scar, which is characterized by raised and thickened tissue. These scars may be red or pink in colour and can be itchy or uncomfortable. Another type of scar is a keloid, which is an overgrowth of scar tissue that extends beyond the boundaries of the original wound. Keloids are more common in individuals with darker skin tones and can be more challenging to treat.
Fortunately, advancements in surgical techniques and post-operative care have greatly improved the management of scars. Surgeons take great care in placing incisions in inconspicuous areas and using techniques to minimize tension on the wound, which can help reduce the risk of visible scarring. Additionally, patients are often advised to follow a specific scar care regimen, which may include keeping the incision site clean, applying silicone gel or sheets, and avoiding sun exposure.
In some cases, scar revision techniques may be recommended to further improve the appearance of scars. These techniques can include laser resurfacing, dermabrasion, or surgical excision. Laser resurfacing uses a laser to remove the top layers of the skin, promoting the growth of new, healthier skin cells. Dermabrasion involves using a rotating brush or diamond wheel to gently remove the outer layers of the skin, revealing smoother skin underneath. Surgical excision involves removing the scar tissue and rejoining the edges of the skin to create a more aesthetically pleasing scar.
It is important for patients to have realistic expectations when it comes to scarring. While surgeons strive to minimize scarring, it is impossible to eliminate it. However, with proper care and the use of scar revision techniques, the appearance of scars can be significantly improved. Patients should discuss their concerns and expectations with their surgeon prior to undergoing any cosmetic procedure to ensure they have a clear understanding of the potential for scarring and the available treatment options.
Infection
Infections are another risk associated with any surgical procedure, including cosmetic surgery. Despite stringent sterilization protocols followed by healthcare professionals, there is still a possibility of infection.
Read moreTo mitigate this risk, surgeons prescribe antibiotics pre- and post-surgery, adhere to aseptic techniques, and closely monitor patients for signs of infection. It is crucial for patients to follow their surgeon’s aftercare instructions to minimize the risk of infection.
When it comes to cosmetic surgery, infection is a concern that cannot be ignored. Surgical procedures, no matter how minor, create an entry point for bacteria and other microorganisms. Although healthcare professionals take every precaution to maintain a sterile environment, the human body is naturally teeming with bacteria, making it impossible to eliminate the risk entirely.
Fortunately, surgeons are aware of this risk and take proactive measures to minimize the chances of infection. One such measure is the prescription of antibiotics. Prior to surgery, patients are often given a course of antibiotics to help prevent any potential infection from taking hold. These antibiotics are carefully chosen based on the patient’s medical history and the specific procedure being performed.
Post-surgery, patients are usually required to continue taking antibiotics for a certain period. This helps to ensure that any bacteria that may have entered the body during the procedure are promptly eradicated. By adhering to the prescribed antibiotic regimen, patients can significantly reduce the risk of developing an infection.
In addition to antibiotics, surgeons also follow strict aseptic techniques during the surgical procedure itself. This involves maintaining a sterile environment, using sterile instruments and equipment, and wearing appropriate protective clothing, such as gloves and masks. These precautions help to minimize the introduction of bacteria into the surgical site, further reducing the risk of infection.
Despite these measures, it is important to note that infections can still occur. The human body is a complex system, and sometimes even the most stringent precautions cannot completely eliminate the risk. However, by closely monitoring patients for signs of infection, surgeons can detect and treat any potential infections early on, preventing them from becoming serious complications.
Patients also play a crucial role in minimizing the risk of infection. Following the surgeon’s aftercare instructions is of utmost importance. This may include keeping the surgical site clean and dry, avoiding certain activities or behaviours that could increase the risk of infection, and promptly reporting any signs of infection, such as redness, swelling, or discharge.
In conclusion, while the risk of infection is present in any surgical procedure, including cosmetic surgery, healthcare professionals take numerous precautions to minimize this risk. From prescribing antibiotics to following aseptic techniques, surgeons prioritize patient safety and strive to create the best possible outcome. However, it is essential for patients to actively participate in their own aftercare and follow the instructions provided by their surgeon to further reduce the risk of infection.
Pain
Pain and discomfort is a common experience following cosmetic surgery but can be mitigated with modern analgesic strategies.
Read moreThe extent of pain can vary depending on the procedure, the individual’s pain tolerance, and the body’s healing response. Surgeons typically prescribe pain medications to manage any discomfort during the recovery period. It is important for patients to communicate their pain levels with their healthcare providers, as proper pain management is crucial for a smooth recovery.
Undesirable cosmetic outcome
While cosmetic surgery aims to enhance aesthetics, there is always a risk of an undesirable cosmetic outcome.
Read moreFactors such as unrealistic expectations and the biological unpredictability of healing can contribute to suboptimal results. It is essential for patients to have open and honest discussions with their surgeons about their desired outcomes, potential limitations, and realistic expectations. This helps ensure that both parties are on the same page and reduces the chances of disappointment. Revision surgery might be an option should this be an issue.
Nerve damage
Another potential complication of cosmetic surgery is nerve damage.
Read moreSurgeons take great care to avoid damaging nerves during procedures, but it is not always possible to eliminate this risk entirely. Nerve damage can cause numbness, tingling, or loss of sensation in the operated area. In most cases, nerve function gradually improves, but it may take some time for complete resolution. Patients should be aware of this potential risk and discuss it with their surgeon before proceeding with the surgery.
Bruising and swelling
Bruising and swelling are common after cosmetic surgery, particularly in the early stages of recovery.
Read moreThese symptoms are part of the body’s natural response to trauma. Surgeons may recommend compression garments, elevation, and cold compresses to help minimize these effects. While bruising and swelling are temporary, they can cause discomfort and can affect the recovery timeline. Patience and adherence to post-operative guidelines can aid in reducing the duration and severity of these side effects.
Bleeding
Bleeding during or after surgery is a potential complication that can occur in any surgical procedure, including cosmetic surgery.
Read moreSurgeons take measures to control bleeding during the operation, but occasionally, some post-operative bleeding may occur. It is crucial for patients to inform their healthcare providers if they experience excessive bleeding or if they are unable to control bleeding with gentle pressure. Immediate medical attention is necessary to address this complication. If there is major bleeding, you might require a blood transfer or transfer to a hospital for additional treatment.
Seroma
A seroma is a pocket of fluid that can accumulate under the skin after surgery.
Read moreIt forms as a result of the body’s inflammatory response. Seromas are more common in larger surgical procedures and can lead to swelling and discomfort. Surgeons may drain seromas through aspiration or place drains to prevent their accumulation. A surgical drain can be used to minimise this risk. Close monitoring by healthcare providers is crucial to ensure the timely detection and management of seromas.
Anaesthetic complications
Although rare, complications related to anaesthesia can occur during cosmetic surgery.
Read moreAnaesthesia is administered to ensure patient comfort and safety during the procedure. Factors such as individual reactions, allergies, or underlying health conditions can increase the risk of complications. Anaesthetists are highly trained professionals who monitor patients closely throughout the surgery to minimize any potential risks.
Death
While the risk of death from cosmetic surgery is extremely low, it is essential to acknowledge that any surgical procedure carries inherent risks.
Read moreEvery effort is made to prioritize patient safety and ensure favourable outcomes. The preoperative assessment, careful surgical planning, and adherence to appropriate protocols help minimize this risk. Patients should discuss their specific concerns with their surgical team and feel confident in the expertise and experience of their chosen surgeon.
In conclusion, cosmetic surgery offers individuals an opportunity to enhance their appearance, but it is essential to recognize that it is not without its risks and complications. By understanding and discussing these potential outcomes with their surgeons, patients can make informed decisions and take necessary precautions to optimize their safety and overall surgical experience. With proper expectations, diligent aftercare, and open communication, the risks associated with cosmetic surgery can be minimized, and the goal of achieving desired aesthetic improvements can be realized.