You may have chosen breast implants years ago to feel more confident, balance your proportions, or reconstruct your body after surgery. But now, something’s changed. Maybe your aesthetic goals have shifted, or you’re experiencing discomfort or complications. Whatever the reason, you’re not alone in reconsidering your implants, and exploring breast implant removal is an empowering step toward feeling comfortable in your own skin again.
At New York Group for Plastic Surgery, our expert surgeons understand that your goals may evolve over time. Whether you’re thinking about removing your implants for personal, aesthetic, or medical reasons, we help you navigate the decision carefully. In this guide, we walk you through what implant removal entails and help you determine whether you may be a suitable candidate for the procedure.
What is breast implant removal?
Breast implant removal, also known as explant surgery, is a surgical procedure that involves taking out silicone or saline implants from a previous breast augmentation or reconstruction. Just like augmentation, removal is a surgical procedure performed under general anesthesia, typically using the same incision sites to minimize additional scarring.
The reasons for undergoing this procedure vary. For some, it’s a planned decision after 10 to 15 years, when implants begin to wear down. For others, it’s prompted by medical complications like capsular contracture (tightening of scar tissue around the implant), implant rupture, or other health concerns. Some patients opt to have the implants replaced during the same surgery, while others choose to go implant-free and may combine the removal with a breast lift.
You may be a candidate for breast implant removal if:
You are experiencing physical discomfort
If your implants are causing neck, shoulder, or back pain, or simply feel too heavy over time, you may be a good candidate for removal. Larger implants, in particular, can contribute to postural issues and chronic tension in surrounding muscles. As your body changes with age, what once felt manageable may start to feel burdensome.
You are noticing visible changes in your implants
You may notice changes such as rippling, shifting, or asymmetry in your breasts. If your implants appear too high, too tight, or oddly shaped weeks or months after surgery, it could be a sign of capsular contracture or implant migration. These changes can affect both the aesthetics and comfort of your breasts, often leading patients to consider removal or revision.
You are concerned about implant rupture
Although implant rupture is uncommon, it remains a potential risk as implants age. A saline implant rupture is obvious due to the rapid deflation of the breast. Silicone implant ruptures, however, are less noticeable and often referred to as “silent ruptures” because the cohesive gel does not absorb into the body. MRI or ultrasound imaging is often needed to detect them.
You have developed capsular contracture
Capsular contracture occurs when the scar tissue that naturally forms around your implant hardens and contracts. This can lead to pain, a misshapen breast appearance, or both. In severe cases, removing both the implant and the hardened capsule is the most effective treatment. Some patients choose to replace the implant afterward, while others do not.
You are experiencing unexplained systemic symptoms
Some women report a group of symptoms that fall under what is often called “breast implant illness” (BII), which may include fatigue, joint pain, brain fog, rashes, and hair loss. Many patients with BII experience relief after implant removal. If you’ve had thorough medical evaluations and symptoms persist, removal may be worth discussing with a specialist.
You are worried about long-term health risks
There is a very rare but serious condition called Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), a cancer of the immune system that has been linked to textured implants. While the risk is low, some women choose to proactively remove their implants. If you have developed swelling, lumps, or discomfort, consult a plastic surgeon promptly.
You no longer feel your implants reflect your lifestyle or aesthetic
As time passes, your aesthetic goals may evolve. Some women feel that implants no longer align with their body image, especially as they enter their 40s, 50s, and beyond. You may prefer a smaller breast size, want a more natural look, or wish to return to your original contour. If this resonates with you, you may consider implant removal, possibly with a lift or fat transfer.
You underwent breast reconstruction and are seeking a new direction
If you received implants after a mastectomy or other reconstructive procedure, your perspective may change over time. Whether due to medical issues or a desire for a different reconstruction method, you may be considering removal. Your surgeon can help you explore alternative reconstruction options or discuss going flat if that aligns with your personal goals.
Partner with experienced plastic surgeons
At New York Group for Plastic Surgery, we’ve helped countless women navigate the complex decision to remove breast implants. Whether your reasons are medical, aesthetic, or emotional, our team will guide you through every stage of the process so you can feel confident in your choice. If you’re considering breast implant removal, schedule your personalized consultation in NYC today.
