Overview
In implant removal surgery, the reason for the decision, the condition of the implant and the surrounding capsule are evaluated together. Pain, stiffness, suspicion of tear, or personal preference may lead to different surgical plans. Removal of part or all of the capsule is not a procedure that is required equally in everyone; The justification for the scope should be explained. When the implant is removed, the breast may appear smaller, looser, or have a different contour. Existing breast tissue, implant size and skin elasticity affect this change. If there are general complaints associated with the implant, other possible causes are also evaluated; Removal cannot be promised to relieve all symptoms.
What is evaluated?
- Reason for removal request, implant characteristics, capsule hardness and evaluation of imaging results.
- Examining findings such as new swelling, fluid accumulation, mass, or persistent pain.
- Discussion of the tissue that will remain after implant removal, excess skin and expectations for breast volume.
Approach and options
- The need for removal of the implant alone or selective intervention in the capsule may be evaluated.
- If skin laxity is evident, lifting may be discussed at the same time or at a later stage.
- Monitoring healing in appropriate tissues without fat transfer or additional volume intervention can be evaluated.
Recovery and follow-up
The use of dressings, support bras and drains when necessary is planned according to the surgical scope. In the first period, a feeling of emptiness or irregularity is observed along with swelling and changes in skin harmony. Increasing pain, fever, or fluid accumulation should be evaluated. The need for subsequent shaping is renegotiated depending on the healing status of the tissues.
Risks and limits
- Fluid buildup, bleeding, or infection.
- Skin laxity, collapse and contour irregularity.
- Change in nipple or skin sensation.
- Tissue damage and wound healing problem depending on the extent of capsule intervention.
- Persistence of complaints or need for additional surgery.
The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.
You can ask in the consultation
- How much of the capsule is recommended to be removed and what is the justification for this?
- What can the expected breast shape be like after the implant is removed?
- Should lift or fat transfer be evaluated at the same time or later?
Resources
- ASPS – Breast implant removal ↗
- ASPS – Implant removal technique ↗
- ASPS – Implant removal risks ↗
- ASPS – Implants and reported systemic symptoms ↗
- ASPS – After implant removal ↗
Access to sources: September 2026. The content has been prepared for general information purposes.