Breast implant removal

What is breast implant removal, and how is the procedure performed?

Breast implant removal is a surgical procedure aimed at removing breast implants that were previously inserted. There are various reasons for this procedure. In the case of medical reasons, it may be necessary due to an implant rupture, the formation of a fibrous capsule (known as capsular contracture), inflammation, or other implant-related complications. Aesthetic decisions, on the other hand, include changes in the patient’s preferences or a desire to improve the appearance of the breasts, which have changed as a result of natural processes such as skin aging or a reduction in breast volume following childbirth and breastfeeding. Sometimes, implant removal is part of preventive healthcare, for example, to reduce the risk of complications.

The procedure is performed under general anesthesia, which means the patient is completely unconscious during the surgery, ensuring complete comfort and safety. The surgery typically lasts between 60 and 90 minutes, though this may vary depending on the complexity of the procedure and the need for additional steps, such as removing the fibrous capsule (known as a capsulectomy) or performing simultaneous breast contouring, for example, through a breast lift.

If the implant removal procedure is performed through pre-existing scars, this minimizes the risk of new scarring, which significantly improves the aesthetic outcome. Depending on the patient’s needs, the procedure may also include additional steps, such as reshaping the breasts, to achieve the most natural and aesthetically pleasing result.

After the procedure, the surgeon places stitches and then applies dressings designed to protect the surgical site and support the healing process.

How to Prepare for Breast Implant Removal?

Every surgical procedure requires proper preparation to ensure the patient’s safety and the maximum effectiveness of the surgery. In the case of breast implant removal, the first step is a consultation with a plastic surgeon, who will discuss the reasons for and goals of the procedure in detail and plan its scope. During the visit, the doctor will conduct a thorough medical history review and schedule the appropriate preoperative tests, which may include:

• complete blood count
• coagulation tests (APTT, INR)
• ECG
• chest X-ray
• hepatitis B vaccination (if not already administered)

Another important aspect is preparing for surgery in terms of medication. One week before the procedure, you should stop taking medications that affect blood clotting, such as aspirin or anti-inflammatory drugs. On the day of the procedure, you must fast, which means you should not eat or drink anything for 6 hours prior to surgery.

In addition, it is advisable to avoid stimulants such as alcohol and cigarettes before the procedure, as they can affect the healing process. It is also important to avoid any infections in the days leading up to the surgery and to try to maintain the best possible state of health.

Recovery After Breast Implant Removal Surgery

Recovery after breast implant removal surgery requires patience and adherence to the doctor’s recommendations to ensure proper healing. In the first few days after surgery, the patient may experience swelling, bruising, and a feeling of tightness around the breasts. This is a natural result of the surgery that subsides within a few days.

An important part of recovery is wearing a special compression bra for 4–6 weeks after the procedure. This type of undergarment supports the healing process, reduces swelling, and helps shape the breasts’ natural appearance. The bra should be worn 24 hours a day, and its use can be gradually reduced after the designated period has elapsed.

For the first 2 weeks, you should limit physical activity and avoid lifting heavy objects. You should also avoid using saunas, tanning beds, and exposure to intense sunlight. The full healing process can take anywhere from a few weeks to several months, depending on your individual body’s response.

What are the contraindications for the procedure?

Although breast implant removal is a relatively safe procedure, there are several contraindications that may prevent the surgery from being performed. The most important of these include:

• pregnancy and breastfeeding
• active infections
• uncontrolled diabetes and hypertension
• blood clotting disorders
• autoimmune or cancerous diseases
• skin infections in the breast area

The final decision to proceed with the surgery is based on an analysis of preoperative test results and a consultation with a doctor, who will assess the patient’s health and determine whether the procedure can be performed.

Breast implant removal is a procedure that requires careful preparation and a well-considered decision. Thanks to modern medicine and the skills of plastic surgeons, this procedure can be performed efficiently and safely, bringing the patient satisfaction and an improved quality of life.