HOW ARE IMPLANTS REMOVED?
The procedure is performed under a general anaesthetic and, in most cases, is undertaken as a day surgery. In situations where significant capsule tissue needs to be removed at the same time, a surgical drain may be placed temporarily to assist with recovery.
Are there any options available to minimise deflation after implant removal?
If you decide to have your implants permanently removed without replacement, there are a few surgical options that may help improve shape and minimise deflation.
One option is a mastopexy (breast lift), which can reposition and reshape the breast using your own existing tissue. In some cases, fat grafting may also be considered. This involves transferring fat from another area of the body to the breast to restore some volume. It is important to understand that not all of the transferred fat will remain long term – typically, about two-thirds survives – so additional procedures may sometimes be required to achieve or maintain the desired outcome.
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
If pre- and post-operative images are shown on this site, they are provided for general information only and do not predict your outcome. Images are displayed using comparable lighting, positioning, background, and clothing where possible. Any gallery contains a prominent notice stating that results vary due to factors including individual anatomy and healing. Images are not digitally altered other than standard anonymisation and sizing for web display.
Dr Alex Phoon Specialist Plastic Surgeon
AHPRA registration number: MED0001587102
Registration type: Specialist registration
Recognised specialty: Plastic & Reconstructive Surgery
Patients may verify registration via the AHPRA public register.
All surgical procedures carry risks. Specific to mastopexy, these may include but are not limited to:
Anaesthetic risks, infection, bleeding, delayed healing, seroma, and scarring (including hypertrophic or keloid scars).
Changes in sensation of the nipple or skin-temporary or permanent.
Asymmetry, contour irregularities, or wound dehiscence.
Scarring that may not fade completely; healing varies by individual.
Rare but serious risks such as blood clots (DVT/PE) or death.
A comprehensive written risk summary will be provided during consultation.
It is essential that all risks & complications of surgery are understood before proceeding. For more information on risks & complications please visit our web page on Risks & Complications of Cosmetic Surgery – Dr Alex Phoon
All breast reduction procedures involve surgical incisions, which result in permanent scars. For smaller breast reductions, a “lollipop” incision is commonly used, which encircles the areola and extends vertically down to the breast crease. For larger reductions, an “anchor” or “inverted T” incision may be required to safely remove excess skin and maintain breast shape.
Scars typically fade over time, usually starting pink and gradually lightening over the course of up to a year. Techniques such as silicone dressings may be used to support scar healing. Some individuals may have a genetic tendency to develop wider or more noticeable scars. The potential benefits of surgery should be considered alongside the likelihood and appearance of scarring.
There are several reasons why patients may choose to have their breast implants removed or replaced. Some patients may experience complications, want a change in size or shape, or decide to have implants removed permanently. Interest in implant removal has increased in recent years, partly due to concerns such as breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) and other implant-related conditions, which are still under scientific study.
Dr Alex Phoon can see patients who have had implants placed elsewhere to assess their safety. This may include a clinical examination and, if required, imaging such as ultrasound or MRI to ensure the implants are not affecting your health.
Reasons for considering implant removal, with or without replacement, may include:
Capsular contracture or scarring around the implant
Pain or changes in breast shape
Changes in the breast with aging
Implants positioned too closely together (symmastia)
Implant rupture
Desire for a different implant size
Double bubble deformity
Revision of a previous procedure
Breast asymmetry
Lifestyle or personal preference changes
The suitability of implant removal or replacement depends on individual circumstances and will be discussed during a consultation with a qualified surgeon.
This procedure is performed under a general anaesthetic and is often carried out as day surgery. In some situations, such as when capsule tissue needs to be removed, a surgical drain may be placed to assist with healing.
For patients who choose not to replace their implants, there are alternative options. A breast lift (mastopexy), with or without fat grafting, may be considered depending on individual circumstances. This generally results in a smaller breast size, although fat transfer can provide some additional volume without the use of an implant.
With fat grafting, not all of the transferred fat is retained long term, and further procedures may be required if more volume is desired. Outcomes vary between individuals and should be discussed in detail with the surgeon.
After implant removal, the breasts are usually smaller and may appear deflated. The degree of change depends on factors such as implant size, skin elasticity, age, and whether pregnancies or weight changes have affected the breast tissue. In some cases, the breast may return to a shape closer to its pre-implant appearance, while in others, there may be noticeable changes such as reduced volume or a lower nipple position. These outcomes vary between individuals and can be discussed in detail with your surgeon.
Risks and complications of cosmetic surgery
Cosmetic surgery is a form of surgery and, like all surgical procedures, carries risks and potential complications. It is important that anyone considering cosmetic surgery is provided with accurate and complete information about these risks before deciding whether to proceed.
Dr Alex Phoon is an Australian specialist plastic surgeon (specialist registration in Surgery – Plastic Surgery, AHPRA registration number: MED0001587102). He performs cosmetic and reconstructive procedures in accredited hospital facilities with appropriately qualified surgical, anaesthetic, and nursing teams.
This page outlines general categories of risks and complications that may be associated with cosmetic surgery. A full discussion of risks specific to an individual procedure will be provided in writing and during consultation as part of the informed consent process.
Scarring
Scarring is a common concern for people considering cosmetic surgery. All surgery results in some form of scarring, and while techniques are used to help reduce its appearance, it cannot be completely avoided. The extent and visibility of scars vary between individuals and depend on factors such as the type of surgery, healing response, and skin characteristics.
Read moreThe severity and appearance of scars can vary from person to person and depend on the type of procedure performed. Factors such as genetics, skin type, and individual healing responses can influence how noticeable scars may be. In many cases, scars may become less prominent over time, but this process is highly individual.
Scarring is a normal part of the body’s healing process. When the skin is cut or injured, the body forms new collagen fibres to repair the area. This healing response creates a scar, which may differ in colour and texture from the surrounding skin.
Different types of scars may occur after cosmetic surgery. For example, hypertrophic scars are raised, thickened areas that may be red or itchy. Keloid scars, which grow beyond the boundaries of the original wound, can occur in some people and may be more common in those with darker skin tones.
While surgical techniques aim to minimise tension on the skin and place incisions in less visible areas, scarring cannot be completely avoided. Patients are often advised to follow post-operative instructions carefully, which may include wound care, the use of silicone gels or dressings, and sun protection.
In some situations, scar management or revision procedures may be discussed. These may include treatments such as laser therapy, dermabrasion, or surgical excision. The choice of treatment depends on the type of scar and individual circumstances, and outcomes can vary.
It is important to have realistic expectations about scarring before undergoing surgery. Scars cannot be eliminated, but there are options to help improve their appearance. Patients are encouraged to raise any questions or concerns with their surgeon, so they can make an informed decision about the procedure and understand the potential risks and management strategies.
Infection
Infection is a potential risk of any surgical procedure, including cosmetic surgery. Although strict sterilisation and infection-control protocols are followed, it is not possible to remove this risk entirely. The likelihood and severity of infection can vary depending on individual factors and the type of procedure performed.
Read moreTo help reduce the risk of infection, surgeons may use antibiotics, follow strict aseptic techniques, and monitor patients for any signs of infection. Patients also play an important role in their recovery by carefully following post-operative care instructions, which can assist in lowering the risk of complications.
Infection is a recognised risk of all surgical procedures, including cosmetic surgery. Any time the skin is cut, there is an entry point for bacteria and other microorganisms. Although healthcare professionals follow strict sterilisation protocols to reduce this risk, it cannot be completely eliminated.
To help lower the likelihood of infection, surgeons may use antibiotics, follow strict aseptic techniques during surgery, and monitor patients carefully afterwards. Antibiotics may be prescribed before and/or after the operation, depending on the procedure and the patient’s individual medical circumstances.
During surgery, precautions such as using sterile instruments, maintaining a controlled environment, and wearing protective clothing are followed to help reduce the introduction of bacteria into the surgical site. Even with these measures, infections can still occur, which is why ongoing monitoring and early management are important.
Patients also play an important role in their recovery. Following post-operative instructions-such as keeping the surgical site clean and dry, avoiding activities that could interfere with healing, and promptly reporting any signs of infection (for example redness, swelling, pain, or discharge)-can assist in reducing the chance of complications.
While the risk of infection cannot be removed entirely, these combined strategies-both by the surgical team and the patient-are designed to support safer recovery and allow for timely management if infection develops.
Pain
Pain and discomfort are common after cosmetic surgery. These symptoms can vary between individuals and procedures, but strategies such as prescribed pain relief and supportive care are often used to help manage them.
Read moreThe level of pain experienced after cosmetic surgery can vary depending on the type of procedure, an individual’s pain threshold, and their healing response. Pain relief medications are often prescribed to help manage discomfort during recovery. Patients are encouraged to communicate openly with their healthcare team about their pain, as effective management is an important part of the recovery process.
Undesirable cosmetic outcome
Although cosmetic surgery is performed with the intention of improving appearance, there is a risk that the final result may not meet a patient’s expectations or may differ from the anticipated outcome.
Read moreOutcomes can be influenced by many factors, including individual healing responses and the expectations a patient brings to surgery. It is important for patients to have open and thorough discussions with their surgeon about what results are realistically achievable and any potential limitations. In some cases, further procedures may be considered if the initial outcome does not meet expectations.
Nerve damage
Nerve injury is a possible complication of cosmetic surgery.
Read moreSurgeons take care to minimise the risk of nerve injury during procedures, but this risk cannot be removed entirely. Nerve damage may result in altered sensation such as numbness, tingling, or reduced sensitivity in the area of surgery. In some cases, these changes improve over time, although recovery can vary and some effects may be long-lasting. Patients are encouraged to discuss this risk with their surgeon before making a decision about surgery.
Bruising and swelling
Bruising and swelling are expected effects after cosmetic surgery, especially during the initial stages of recovery.
Read moreBruising and swelling are part of the body’s normal healing response after surgery. Measures such as compression garments, elevation, and cold compresses may be recommended to help manage these effects. Although usually temporary, bruising and swelling can cause discomfort and may influence the recovery process. Following post-operative care instructions can assist in supporting recovery, but the duration and severity of these symptoms vary between individuals.
Bleeding
Bleeding during or after surgery is a possible complication of any surgical procedure, including cosmetic surgery.
Read moreSurgeons use techniques during surgery to help control bleeding, but some post-operative bleeding can still occur. Patients should contact their healthcare provider if bleeding seems excessive or does not improve with gentle pressure. In rare cases, more significant bleeding may require further treatment in hospital, which can include additional procedures or, occasionally, a blood transfusion.
Seroma
A seroma is a collection of fluid that may develop under the skin following surgery.
Read moreSeromas form as part of the body’s inflammatory response and are more common after larger surgical procedures. They may cause swelling or discomfort. To manage this, surgeons may use drains during surgery or remove fluid afterwards through a procedure called aspiration. While these measures can help reduce the likelihood of fluid build-up, seromas can still occur. Regular follow-up and monitoring allow for timely detection and management if they develop.
Anaesthetic complications
Complications related to anaesthesia are uncommon but can occur with any surgical procedure, including cosmetic surgery.
Read moreAnaesthesia is used during surgery to manage pain and keep patients comfortable. The risks associated with anaesthesia can vary depending on individual factors such as medical history, allergies, and overall health. Anaesthetists are specialist doctors who monitor patients throughout the procedure and use established techniques to help reduce these risks, although complications can still occur.
Death
Although rare, death is a possible risk with any surgical procedure, including cosmetic surgery. It is important for patients to be aware that all surgery carries inherent risks.
Read morePatient safety is a key focus in cosmetic surgery. Preoperative assessment, careful surgical planning, and adherence to established protocols are important in helping to reduce risks. Patients are encouraged to discuss their individual concerns and circumstances with their surgical team.
In conclusion, while cosmetic surgery may change a person’s appearance, it also carries risks and potential complications. Understanding these risks and discussing them openly with a surgeon supports informed decision-making and realistic expectations. Following post-operative care instructions and maintaining clear communication with the healthcare team can also play an important role in recovery.