Explant (Implant Removal)
what is an implant removal ...
Breast implant removal, often called an explant, is a surgical procedure to remove one or both breast implants. Some people choose explant surgery due to discomfort, changes in implant appearance over time, suspected implant issues, or a preference to live without implants.
Explant surgery is performed by Specialist Plastic Surgeons. Results vary between individuals, and the most appropriate approach depends on your implant history, breast tissue, skin elasticity, and whether the capsule around the implant needs to be addressed.
types of implant removals ...
Your surgical plan is tailored to your anatomy and goals. Your surgeon will recommend the most suitable option based on clinical findings and your goals. Common approaches include:
- Implant removal only
- Implant removal with capsule treatment, where some or all of the capsule is removed if clinically appropriate
- Implant removal with a breast lift to improve shape where skin laxity is a concern
- Implant removal with fat transfer in selected patients who want some volume using their own tissue
- Implant removal with replacement if you wish to maintain breast volume
am I a suitable candidate ...
If you have significant skin laxity, very large implants, or limited breast tissue, your surgeon may discuss whether a lift, fat transfer, or a staged approach is more appropriate. You may be suitable for implant removal if you:
- Want your implants removed for personal reasons or due to implant-related concerns
- Are in good general health and able to undergo surgery and anaesthesia
- Have realistic expectations about breast shape changes and scarring
- Understand that additional procedures may be recommended to support shape, such as a lift
- Can follow post-operative instructions and attend follow-up appointments
what the procedure involves ...
Your journey begins with a consultation and clinical assessment with a Specialist Plastic Surgeon. This includes discussing your implant history, your goals after removal, and what outcomes are realistic for your breast tissue and skin. If implant rupture or other concerns are suspected, your surgeon may recommend imaging before surgery.
Surgery is typically performed in an accredited hospital under general anaesthesia. The surgeon commonly reopens previous incision lines where possible to reduce additional scarring. The implant is removed, and the capsule is assessed. Depending on your situation, the capsule may be left in place, partially removed, or fully removed when clinically appropriate. The pocket is then inspected and managed to support a safe outcome and help the breast settle as predictably as possible.
If you are likely to have loose skin or a lower breast position after removal, a breast lift may be discussed. If you want to maintain some volume without implants, fat transfer may be considered for selected patients.
do I require a GP referral ...
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 ...
Recovery varies depending on whether implant removal is performed alone or combined with capsule treatment, a breast lift, fat transfer, or replacement. A supportive post-operative bra is typically used for a period advised by your surgeon to support healing and comfort.
General recovery expectations may include:
- First 7 to 10 days: swelling, tightness, and discomfort are common
- 2 to 3 weeks: many people return to desk-based work and light daily activities, depending on comfort and the extent of surgery
- 4 to 6 weeks: many people resume driving and low-impact exercise once cleared by their surgeon
- 3 to 6 months: ongoing settling continues, and scars often soften over time
potential risks and complications ...
As with any surgical procedure, an Explant (Breast Implant Removal) 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:
- Infection, bleeding, fluid collection, or delayed wound healing
- Scarring and scar quality concerns
- Asymmetry or contour changes as the breasts settle
- Changes in nipple or breast sensation, often temporary but sometimes longer-lasting
- Anaesthesia-related risks
procedure fees ...
Under AHPRA guidelines, specific prices are not listed online. However, during your consultation with your surgeon, you will receive a clear, individualised quote that reflects your treatment plan. Fees vary depending on:
- Whether one or both implants are removed
- Whether capsule treatment is required
- Whether a lift, fat transfer, or replacement is included
- Hospital, theatre, and anaesthesia requirements
medicare eligibility ...
Implant removal is commonly performed for cosmetic reasons, so Medicare rebates are not usually available. In some medically indicated situations, Medicare item numbers may apply, such as when surgery is performed due to complications like rupture or significant capsular contracture. Eligibility is assessed case by case and depends on clinical documentation.
FAQs ...
Will my breasts look saggy after implant removal?
Breast shape after removal depends on skin elasticity, implant size, and how long the implants have been in place. If looseness is expected, your surgeon may discuss whether a breast lift could help support the shape.
Do I need the capsule removed as well?
Not always. Some patients have implant removal without capsule removal, while others may benefit from partial or complete capsule removal depending on clinical findings such as contracture, calcification, or rupture concerns.
What is the difference between capsulectomy and en bloc removal?
Capsulectomy refers to removing some or all of the capsule. En bloc removal generally describes removing the implant and capsule together as one unit and is typically reserved for specific clinical situations. Your surgeon will explain what is appropriate for you.
Can implant removal be combined with a breast lift?
Yes, many patients combine these procedures if they want a more elevated breast shape after implants are removed. Suitability depends on your anatomy and surgical plan.
Can implant removal be combined with fat transfer?
Sometimes. Fat transfer may be considered for selected patients who want some volume using their own tissue, understanding that volume change is generally more modest and results vary.
How long will I need off work and social activities?
Many people return to desk-based work within 2 to 3 weeks, depending on comfort and what was performed. If you have important events, planning a buffer can help swelling and bruising settle.
When can I exercise again?
Light walking is usually encouraged early. Heavier training typically waits until your surgeon clears you, often around 4 to 6 weeks or longer, depending on your procedure and healing.
Will I have visible scars?
Scars are expected with any surgery. Incisions are often planned along previous scar lines where possible, and scars usually fade over time, although scar quality varies between individuals.
What if I want to stay the same size after removal?
If maintaining volume is important, your surgeon can discuss options such as implant replacement or a combined approach. The safest plan depends on tissue quality, pocket condition, and your goals.
why choose me clinic ...
With over 35 years of experience in plastic surgery, aesthetic cosmetic medicine, and skin rejuvenation, Me Clinic is built around a simple priority: patient-first care.
We take time to understand you as an individual and curate an approach that feels meaningful and appropriate for your needs. We listen, we care, and we support you through your journey — from consultation through to aftercare.
Our team of Specialist Plastic Surgeons can advise on suitable options to address your concerns. In an ever-evolving field, we focus on evidence-informed care and contemporary treatment options, with suitability always assessed on an individual basis.
Surgeons who perform Breast Implant Removal (Explant) at Me Clinic …
Book your Implant Removal consultation ...
If you are considering Implant Removal (Explant), a consultation with a Specialist Plastic Surgeon is your opportunity to discuss your concerns, learn about suitable options, and understand what your personalised plan may involve.
For all surgical procedures, you will need a valid GP Medical Referral to have a medical or cosmetic consultation with Me Clinic’s Specialist Plastic Surgeons. To begin your journey, call 1300 852 050 or enquire via our contact form.
We look forward to hearing from you soon and answering any further questions you may have.