Implant Removal / Replacement
What are breast implants?
Breast implants are medical devices made of an outer silicone shell and filled with either sterile saline (salt water) or silicone gel. They are surgically placed beneath the breast tissue or chest muscle to:
- Enhance the size and shape of the breasts (breast augmentation)
- Reconstruct the breast following mastectomy or injury
- Correct congenital breast conditions, such as asymmetry or developmental abnormalities
Important note: Breast implants are not lifetime devices. Over time, they may need to be replaced or removed due to natural wear, changes in the body, or complications.
When is breast implant replacement considered?
Breast implant replacement surgery may be considered when a person wishes to change or customise the results of their initial breast augmentation. Common reasons include:
- Altering the size, shape, or type of implant
- Achieving an appearance consistent with the individual’s features
- Correcting aesthetic concerns, such as asymmetry or dissatisfaction with the initial outcome
- Replacing implants that have reached the end of their functional lifespan
Your health practitioner will assess whether replacement is appropriate based on your health, desired outcome, and the condition of the existing implants.
When might breast implant removal without replacement be recommended?
In some cases, breast implants may need to be removed without replacement, such as when:
- There is a rupture, deflation, or leak of the implant
- Breast cancer treatment requires implant removal
- Complications arise, such as infection, capsular contracture (scar tissue tightening around the implant), or poor healing after augmentation
- Significant sagging or changes in breast tissue occur over time
- The individual decides to return to their original breast size
Your practitioner will provide guidance on whether replacement or complete removal is the safer and more appropriate option for your situation.
Recovery after implant replacement or removal
Recovery time will depend on the extent of the procedure and whether a replacement was performed. Generally:
- Swelling, bruising, and discomfort are common in the first few days and managed with prescribed medications.
- A supportive surgical bra may be recommended to protect and support the breasts during healing.
- Most individuals return to light activities within 1–2 weeks, but strenuous exercise or heavy lifting should be avoided for 4–6 weeks or as directed by your practitioner.
- Follow-up appointments are essential to monitor healing and check for any complications.
Risks and potential complications
As with any surgery, breast implant replacement or removal carries certain risks. These may include:
- Infection
- Bleeding or haematoma (blood accumulation under the skin)
- Scarring, which may vary in appearance depending on healing
- Changes in breast or nipple sensation, which may be temporary or permanent
- Rupture or damage to the implant during removal
- Asymmetry or dissatisfaction with the final appearance
- Poor wound healing or delayed recovery
Not all risks can be predicted, and outcomes vary depending on factors such as individual healing, lifestyle, and overall health. Your practitioner will discuss these risks thoroughly during your consultation.
Expected outcomes
Breast implant replacement or removal can help address concerns related to breast shape, implant longevity, and comfort. However, it is important to have realistic expectations, as results depend on factors such as skin elasticity, the natural breast tissue, and future life events like pregnancy, breastfeeding, and ageing.
Key considerations
- Breast implants are not permanent and will likely require future surgery at some point.
- Carefully consider your motivations and goals before proceeding with replacement or removal.
- A consultation with a qualified, registered health practitioner is essential to determine whether this procedure is appropriate for you and to fully understand potential outcomes and risks.