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5 Signs to Consider Breast Implant Removal (Explant Surgery)

Breast augmentation is one of the most popular cosmetic surgeries worldwide, offering women the opportunity to achieve their desired silhouette. However, as time passes, some individuals find themselves contemplating breast implant removal, also known as explant surgery. Whether it’s due to personal preference, health concerns, or changes in lifestyle, several signs can indicate it’s time to consider explant surgery. If you’re experiencing any of the following, please consult our board-certified plastic surgeons at the New York Group for Plastic Surgery.

Physical Discomfort and Pain

One of the primary reasons women opt for breast implant removal is the physical discomfort and pain associated with their implants. Over time, breast implants can cause various issues such as capsular contracture (the tightening of scar tissue around the implant), implant rupture, or shifting of implants. These issues can lead to chronic pain, tightness, or discomfort in the chest area, making everyday activities challenging and affecting your overall quality of life. If you’re experiencing persistent physical discomfort, please consult your plastic surgeon.

Ruptured Implants

Breast implants can rupture due to various factors, such as trauma, wear and tear over time, or manufacturing defects. While saline implants typically deflate visibly when ruptured, silicone implants may leak silently, making detection more challenging. If you suspect that one or both of your breast implants have ruptured, seek medical attention promptly. Ruptured implants can cause discomfort and changes in breast shape or size, and in the case of silicone implants, may require surgical removal to prevent silicone leakage into surrounding tissues.

Capsular Contracture

Capsular contracture is a complication that occurs when the scar tissue (capsule) surrounding the breast implant tightens and contracts, leading to firmness, distortion of breast shape, and discomfort. This condition can range from mild to severe and may require surgical intervention to alleviate symptoms and restore breast aesthetics. If you’re experiencing symptoms of capsular contracture, such as breast hardness, pain, or changes in breast appearance, it’s essential to consult your plastic surgeon. Explant surgery may be recommended to remove the implants and the thickened capsule.

Changes in Breast Appearance

As the years go by, our bodies naturally change, and this can impact the appearance of breast implants. Weight fluctuations, pregnancy, breastfeeding, and aging can affect the shape, size, and symmetry of the breasts. In some cases, women may notice changes in the appearance of their implants, such as rippling, sagging, or asymmetry, which can be distressing and impact self-esteem. If you’re unhappy with the way your breast implants look or feel, explant surgery may be an option to restore a more natural appearance to your breasts.

Concerns About Implant Safety

In recent years, there has been growing concern about the safety of breast implants, particularly regarding the risk of developing Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), a rare type of cancer linked to certain types of implants. While the overall risk of developing BIA-ALCL is low, some women may feel uneasy about the health implications of having breast implants long-term. If you have concerns about the safety of your implants or have been diagnosed with BIA-ALCL, explant surgery may be recommended.

Breast implant removal is a deeply personal decision that should be carefully considered in consultation with a board-certified plastic surgeon. If you’re unsure whether breast implant removal is right for you, schedule a consultation with our board-certified plastic surgeons at the New York Group for Plastic Surgery. Our plastic surgeons can discuss your symptoms and identify the most suitable treatments.


New York Group for Plastic Surgery specializes in breast reconstruction, DIEP flap, augmentation, reduction, and implant revision to name a few. To learn more about the aesthetic procedures we offer and their cost, contact us and we’ll provide you with all the information you need to make a decision and start your journey to a more confident you.

Contact Us (914) 366-6139