Question
Breast implant removal is a simple procedure that can potentially be performed under deep sedation instead of general anaesthesia.
The level of complexity depends on if it is a case of symptomatic (leak, capsular contracture etc) removal or asymptomatic (“I just want the implants out”) removal.
Another consideration is if you would want fat grafting, breast lifting or even new implants at the same surgical setting.
Thank you and best regards,
Dr Samuel Ho
Consultant Plastic Surgeon
This is usually a simple and straightforward procedure, although several factors need to be considered. If the implant has ruptured then any silicone gel that has leaked out does need to be removed.
There will usually be a layer of scar tissue, called the capsule, that will have gradually formed around the implant over the years. If this capsule is thin and soft, it may not need to be removed. However, if the capsule is thick and hardened, then either partial or complete removal (capsulectomy) may be required. Other reasons for removing the capsule totally would be an abnormal-looking capsule or any suspicions of cancer.
Advantages A softer and more adaptable gel, which results in a more natural appearance when standing and lying down, with movement and softness more similar to natural breast tissue. The softer gel makes inserting the implants possible through a smaller incision. A nano-textured surface. This has a finer texture compared to conventional breast implants. This reduces the risk of complications such as seroma, capsular contracture, and BIA-ALCL. The formation of a thin, soft capsule will allow the breast to remain soft over time.
Thank you for your question. If the capsule is soft and not calcified it can be left alone. Having said that, I do find that there is a slightly higher risk of seroma if the capsule is left intact compared to removing it. Some patients prefer to remove all of the capsule. This is certainly possible. I find it easier to do it in an enbloc manner, meaning the entire capsule and implant are removed as one piece. However, doing this will usually mean it has to be done through a larger scar.
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