Implant Removal and Replacement

what is an implant removal and replacement ...

Breast implants are not lifetime devices. Over time, factors such as ageing, lifestyle changes, or evolving aesthetic goals may influence your decision to remove or replace implants. For individuals with older implants or implant-related concerns, removal and replacement surgery may be considered as part of ongoing care.

Types of Implant Removal and Replacement ...

Removal and Replacement with New Implants

Some individuals choose to maintain breast volume following implant removal by having new implants placed. This may involve selecting a different implant size, shape, or material.

Depending on the condition of the existing implant pocket and scar tissue, the new implants may be placed in the same pocket, or a new one may be made during surgery. Reasons for choosing this option can include:

  • Making changes to the appearance of breast symmetry or proportions.
  • Replacing older implants based on age, condition, or changes in personal preferences.
  • Responding to changes in tissue quality or skin elasticity over time.

Removal with Fat Transfer (Autologous Grafting)

In this procedure, fat is harvested from another area of the body, such as the abdomen, thighs, or flanks, using liposuction. The fat is then processed and injected into the breast tissue to provide volume and shape using the patient’s own tissue.

This approach may be considered by individuals who prefer not to use synthetic implants. The degree of volume achieved with fat transfer varies and may require more than one session, depending on the desired outcome.

Removal with Breast Lift (Mastopexy)

In some cases, removal of implants can result in breast ptosis (excess skin) or changes to breast shape. A Breast Lift may be performed to reshape and elevate the breast tissue.

This procedure can be performed on its own or alongside an implant replacement, depending on the amount of volume desired. The surgical technique used (such as periareolar, vertical, or Wise pattern incisions) will depend on skin elasticity and the degree of lift required.

Implant Removal Only (Explant)

Some individuals choose to have their implants removed without replacement. This may be based on personal preference or concerns about long-term implant use.

In some cases, implant removal is performed with a capsulectomy (removal of the surrounding capsule), particularly if there are signs of discomfort, calcification, or if the individual is exploring options related to Breast Implant Illness (BII). While BII is not currently recognised as a formal medical diagnosis, some patients report systemic symptoms and choose implant removal as part of their care.

am I a suitable candidate ...

Suitability for Breast Implant Removal and Replacement is determined through a detailed consultation, taking into account your medical history, current health, implant condition, and personal goals. You may be considered a candidate for this procedure if you:

  • Have concerns about existing implants, including changes in shape, discomfort, or a suspected complication. These may include conditions such as capsular contracture, where the scar tissue around the implant becomes firm or tight, or implant rupture, which can occur over time and may be identified through imaging.
  • Have older implants and are considering revision due to their age, changes in appearance, or evolving medical guidelines relating to implant safety and monitoring.
  • Have experienced changes in body shape, weight, or lifestyle, and feel that your current implants no longer reflect your preferences or physical comfort.
  • Are experiencing physical symptoms such as heaviness, discomfort, or shoulder and neck strain that may be associated with the size or position of your implants.
  • Are no longer satisfied with the implant size, shape, or position, and wish to change implant type (e.g., from round to anatomical) or adjust the volume.
  • Are exploring options related to systemic symptoms you may associate with your implants.
  • Are in good general health, with no unmanaged medical conditions that would significantly increase the risk of surgery or affect healing.
  • Are not currently pregnant or breastfeeding, and have allowed sufficient time for the breast tissue to stabilise following weaning, where applicable.
  • Do not smoke, or are willing to cease smoking before and after surgery, as nicotine can impair circulation and increase the risk of complications.
  • Have realistic expectations and understand that results vary based on factors such as surgical history, anatomy, and individual healing.

The procedure is performed in a fully accredited private hospital in Melbourne, under general anaesthesia.

Surgical steps generally include:

  • Reopening previous incision lines: Typically in the inframammary fold or around the areola, to reduce new scarring.
  • Removal of the implant: There will be a removal of the existing implant and, where required, the surrounding capsule. Our surgeons use techniques to help reduce trauma to the breast tissue and chest wall.
  • Thorough inspection of the pocket: Determining if it needs to be reshaped, tightened, or expanded, depending on whether a new implant is placed.
  • Insertion of new implants: If applicable, using a Keller Funnel (a no-touch device) that reduces contamination and supports accurate placement, which reduces tissue stress.
  • Addition of fat grafting or lifting: This will occur if it has been planned by your surgeon to alter shape and firmness.

Yes, you will require a GP referral. As of 1 July 2023, AHPRA (Australian Health Practitioner Regulation Agency) requires all patients to obtain a referral from a GP (General Practitioner).

Recovery is an important part of the surgical process. Your surgeon will provide personalised aftercare instructions and ongoing support to guide you through each phase. A supportive post-operative bra is provided and should be worn day and night for approximately 4 weeks, then during the day for an additional 8 weeks. This helps support healing and implant positioning (where applicable).

While individual experiences vary, many patients report the following general timeline:

  • First 7–10 days: Swelling, tightness, and discomfort in the chest area are to be expected. Oral medication may be prescribed to help manage discomfort. Light walking is recommended early to support circulation and reduce the risk of complications.
  • 2–3 weeks: Most individuals can return to desk-based work and light daily activities. Strenuous movements, particularly involving the upper body, should still be avoided unless advised otherwise.
  • 4–6 weeks: Many patients receive clearance to resume driving, low-impact exercise, and wear soft bras without underwire. Swelling typically continues to dissipate during this time.
  • 3–6 months: The area continues to settle, and the outcome becomes more apparent. Scar tissue softens over time, and ongoing healing can continue for several months.

As with any surgical procedure, a Breast Implant Removal and Replacement involves potential risks. During your consultation, your surgeon will discuss possible risks and complications as part of the informed consent process. Visit our Risks and Complications page for more information. Risks and complications can include, but are not limited to:

  • Bleeding or haematoma requiring drainage
  • Infection at the surgical site
  • Delayed wound healing, particularly in patients with certain health conditions
  • Altered nipple or skin sensation, which may be temporary or permanent
  • Scarring, which may become raised or stretched in some cases
  • Implant complications, such as displacement or asymmetry, may occur if implants are replaced
  • Anaesthetic-related risks, especially in patients with underlying health concerns

Following your consultation with your surgeon, a detailed quote will be provided, outlining all associated costs. The cost of this surgery depends on several variables, including:

  • Whether implants are removed, replaced, or supplemented with fat grafting or a breast lift
  • The complexity of capsule removal or pocket reshaping
  • Anaesthetist and hospital fees
  • Type of implant selected (if applicable)
  • Post-operative garments and follow-up requirements

In some cases, Medicare item numbers may apply, particularly if the surgery is being performed due to complications such as rupture or capsular contracture. If eligible, this may also contribute to private health fund rebates, depending on your level of cover.

How do I know if my breast implants need to be removed or replaced? 

Implants don’t need to be removed on a set timeline unless there’s a specific concern. So recurring signs that revision may be needed include visible changes in shape, discomfort, hardening (capsular contracture), suspected rupture, or simply a change in your aesthetic goals.

Can I have my implants removed and not replaced?

Yes. Many patients choose to have their implants removed without replacement. Depending on your breast tissue, skin tone, and preferences, you may also consider a Breast Lift or Fat Grafting to alter the breast appearance after removal. Your surgeon will help guide you through the options that may align with your goals.

What happens to the capsule or scar tissue around the implant?

The capsule is the body’s response to a foreign object. In many cases, especially if it’s soft and not causing problems, it may be left in place. However, if there is discomfort, calcification, or distortion, the surgeon may remove part or all of the capsule during surgery. This is known as a capsulectomy and will be discussed during your consultation.

Is breast implant illness (BII) real, and can removal help?

Breast Implant Illness (BII) is a term used by some individuals who report systemic symptoms they believe are related to their implants, such as fatigue, joint pain, and brain fog. While research is ongoing and no definitive medical cause has been confirmed, some patients do report symptoms reduced following implant removal. Our surgeons provide a balanced, informed discussion on this topic during your consultation, allowing you to make decisions based on your own health and experiences.