MED0001602957. This website contains imagery that is only suitable for audiences 18+. Any surgical or invasive procedure carries risks.
MED0001602957. This website contains imagery that is only suitable for audiences 18+. Any surgical or invasive procedure carries risks.
Breast implant removal and revision refers to surgical procedures performed to remove existing breast implants and, where appropriate, address concerns related to previous implant surgery. This may include issues such as capsular contracture, implant rupture/deflation, implant malposition, discomfort, or a preference to change implant size or proceed without implants. Surgical planning is individualised. A consultation is required to assess suitability and to discuss expected changes and limitations, scarring, risks, recovery, and alternative options.
Implant removal and revision may involve removal of the implant alone, removal of the implant with surrounding scar tissue (capsule) in selected cases, and/or reshaping of the breast and surrounding tissues. Depending on clinical assessment and patient goals, additional procedures may be considered, such as:
– Capsulotomy or capsulectomy (management of the implant capsule, where indicated)
– Breast lift (mastopexy) to address skin excess or breast ptosis (case-by-case)
– Fat grafting to adjust contour or volume in selected patients
– Implant exchange (replacement with a different implant type/size) in some cases
All surgery results in scars. Scar placement and appearance vary between individuals.
The goals of implant removal/revision depend on the indication for surgery and the agreed treatment plan. Depending on individual circumstances, potential physical outcomes may include:
– Management of implant-related complications: such as capsular contracture, malposition, or rupture/deflation (where present)
– Change in breast size and shape: due to implant removal, replacement, and/or reshaping procedures
– Change in breast comfort: some people report changes in comfort after addressing implant-related issues; outcomes vary
Outcomes vary and depend on anatomy, skin quality, prior surgery, and healing. No specific result can be guaranteed.
The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.
A suitable candidate is generally a physically healthy adult who has previously had breast implants and is seeking assessment for removal, exchange, or revision due to symptoms, complications, or preference. Candidates should have realistic expectations about the variability in results, scarring, and the possibility that additional procedures may be needed. A consultation is required to confirm suitability and discuss the most appropriate options.
You May Be a Good Candidate If
– You may be a good candidate for implant removal and revision if you:
– Are in good overall physical health
– Have breast implants and would like an assessment for removal, exchange, or revision
– Have concerns such as capsular contracture, suspected rupture/deflation, implant position changes, or discomfort
– Have clear and realistic expectations about possible outcomes and scarring
– Do not smoke or are willing to stop nicotine use for a specified period before and after surgery (as directed)
Implant removal/revision may not be suitable for individuals who:
– Have uncontrolled medical conditions that increase surgical risk
– Have an active infection
– Are unable to stop nicotine use where clinically required
– Have a history of problematic wound healing or scarring that has not been discussed in detail with the treating clinician
– Have unrealistic expectations regarding breast size, shape, or scarring
The approach is individualised based on implant type, implant position, capsule characteristics, breast tissue, skin quality, and the reason for revision. Options may include:
– Implant removal alone: using existing scars where possible
– Capsule management: partial capsulectomy, total capsulectomy, or capsulotomy may be considered depending on clinical findings
– Breast lift (mastopexy): may be recommended in selected cases to address skin laxity after implant removal
– Fat grafting: may be considered in selected patients to adjust contour/volume
– Implant exchange: may be considered if the plan is to replace implants rather than remove them
Your surgeon will explain the recommended plan, incision placement, scar expectations, and the trade-offs of each option during consultation.
Anesthesia
Implant removal and revision surgery is commonly performed under general anaesthesia. The anaesthesia plan depends on the extent of the procedure, patient factors, and the facility’s protocols and will be discussed during consultation.
Preparation typically includes:
– Medical review: medical history, medications and supplements, and relevant investigations (where required)
– Medication guidance: you may be asked to stop certain medications/supplements that can increase bleeding risk (where clinically appropriate)
– Nicotine cessation: nicotine can impair healing; you may be asked to stop smoking/vaping/nicotine products for a specified period before and after surgery
– Support planning: arrange transport and post-operative support, especially if general anaesthesia is used
– Fasting instructions: follow the facility’s instructions prior to anaesthesia
Return to Work: Timing varies depending on the extent of surgery and the physical demands of your job.
Return to Exercise: Light activity may be resumed as advised. Strenuous exercise and heavy lifting are typically restricted for a period determined by your surgeon.
Appearance over time: Breast contour may change during healing. There is no single timeline that applies to everyone.
A breast augmentation is a very customized procedure, and selecting an experienced surgeon is paramount. Dr. Lajevardi focuses on patient safety, naturally appearing results, and transparency throughout the process.
