Breast implant removal

Breast implant removal is an operation to take out your breast implants. You may choose to have your implants replaced during the procedure.

In some cases, surgery is needed because you’ve had complications with your existing implants.

Reason for having breast implant removal 

Breast implants are not designed to last a lifetime. They typically need replacing every 10–15 years. Your consultant may recommend removal if your implants are reaching the end of their lifespan.

Your preferences may also have changed. You might want a different implant size, or decide not to have implants at all.

Sometimes, implant removal is needed due to complications, such as:

• Capsular contracture — hardening of scar tissue around the implant, causing discomfort and a misshapen look
• Implant leak
• Implant movement 

Is breast implant removal right for you?

If your current implants are reaching the end of their lifespan, or if you’ve experienced complications, your surgeon may recommend having them removed.

You may consider removal if your breast shape has changed over time due to weight changes or ageing. It may also be that you’re no longer happy with your current breast size and would prefer larger or smaller implants.

The benefits will depend on your reasons for having the procedure. These may include relief from discomfort, a more natural appearance or a simplified lifestyle as less maintenance is needed.

Like any surgery, breast implant removal carries some risks. Your surgeon will help you decide if it’s suitable for you, based on your personal goals and medical history. You’ll have at least 2 weeks between your consultation and your operation to ensure you feel confident about your decision.

Alternative treatments to breast implant removal

If you’re unsure about having your breast implants removed, your surgeon will discuss the different options. If your implants aren’t causing any issues, they may recommend waiting rather than going ahead with surgery. If your implants are nearing the end of their lifespan, they may recommend replacing them instead.

There are additional treatments that can be done at the same time as breast implant removal:

• Auto augmentation involves repositioning your breast tissue to enhance the shape of your breasts for a more natural look
• Breast uplift (mastopexy) involves removing excess skin and lifting the breast tissue to improve shape and position of your breasts; this can be done with or without implant replacement
• Fat transfer uses fat taken from another area of your body, like the tummy or thighs, which is then injected into your breasts

Breast implant removal involves taking out the implants, which sit either beneath your breast tissue or behind the chest muscle. To access them, your surgeon will make a cut under the breasts or around the nipple area.

Where possible, your surgeon will make the cut in the same place as your original scar, to minimise additional scars. If you’re having your implants replaced, new ones can be inserted during the same operation. The wound will then be closed with stitches and a dressing applied.

How to prepare for surgery

If you’re considering breast implant removal, the first step is to book a consultation with one of our specialist surgeons. They’ll talk to you about your reasons, what results you’re hoping to achieve and if the procedure is suitable for you. They’ll also review your medication and medical history. Make sure you mention all medications, including herbal and over-the-counter products.

Your surgeon might adjust any medication or advise you to stop taking anything that increases the risk of bleeding, such as non-steroidal anti-inflammatory drugs (NSAIDs).

To support your recovery, aim to maintain a healthy weight with a balanced diet and regular exercise. If you smoke, it’s important to stop at least 4–6 weeks before surgery to reduce the risk of complications.

Make sure you attend all appointments and ask any questions to understand the procedure, risks and recovery. You’ll also need to stop eating and drinking (ie to fast) for a few hours before your operation — your admission letter will include full instructions.

Who will be involved?

Your surgery will be performed by a consultant plastic surgeon who is registered with the General Medical Council (GMC). A consultant anaesthetist will give you the anaesthetic and monitor you throughout the procedure. You’ll also be supported by a team of nurses and recovery staff before, during and after your operation.

How long does the procedure take?

The operation usually takes between 1–2 hours.

Anaesthetic choices

Breast implant removal surgery is usually performed under general anaesthesia, so you’ll be asleep and won’t feel anything during the procedure.

Pain during surgery and straight after surgery

You won’t feel any pain or discomfort during the operation, as you’ll be under a general anaesthetic. It’s normal to have some pain straight after surgery, but you’ll be given pain relief to help you manage this.

What happens straight after surgery

You’ll be taken to a recovery area where your care team will monitor you as you wake up. You’ll have dressings on your chest. You may have some small tubes called drains underneath your skin to help drain excess blood or fluid.

Your hospital stay

You will usually need to stay in hospital for 1 night, so the team can monitor your recovery.

You should be able to do some light activities after around 2 weeks from surgery. You can usually return to normal activities within 4–6 weeks.

Short-term side effects

It’s normal to experience pain, discomfort, swelling and bruising in your breasts after surgery. This should gradually ease over the next few weeks.

After the operation

You’ll have dressings on your chest and may have drains (small tubes under the skin) — these are usually taken out within a few days. You’ll likely experience some pain, swelling and bruising after surgery, but this will gradually improve over the following weeks.

When you return home, take things easy. Sitting upright can help reduce swelling. You may be advised to wear a special support bra for at least 2 weeks to support your healing. Your surgeon will advise on how long to wear it.

Before you leave the hospital, a follow-up appointment will be arranged to check your recovery.

Wound care

Your care team will explain how to look after your wounds while you recover. As the cut for breast implant removal is usually made in the same place as your original scar, you shouldn’t have any new scars.

Pain relief

It’s normal to have some pain and discomfort after surgery. You’ll be given pain relief to help manage this in the days following your operation. As pain can affect how well you heal, it’s important to tell your care team if your pain isn’t well controlled. Your medication can be adjusted if needed.

Smoking

If you smoke, it’s important to stop at least 4–6 weeks before your surgery. This can reduce your risk of complications and support recovery.

Driving

You won’t be able to drive for at least 1–2 weeks after surgery. Your surgeon will advise you on this.

Time off work

You’ll usually need to take 1–2 weeks off work to help recovery.

How your loved ones can help

When you’re ready to leave the hospital, you’ll need someone to drive you home, as you won’t be able to drive. It’s also a good idea to ask friends or family to help with things like shopping or housework while you recover.

What you should/shouldn’t do after surgery

After your surgery:

• Avoid heavy lifting and strenuous exercise — including gym workouts — for at least 4–6 weeks
• Don’t wear an underwired bra until your surgeon advises it’s safe
• Follow instructions on how to care for your wounds
• Wear your special support bra as recommended by your surgeon

Things you can do to help with recovery

To support your recovery:

• Avoid smoking
• Attend your follow-up appointments
• Eat a healthy, balanced diet
• Rest — avoid strenuous activity for at least 4–6 weeks

When can you resume normal activities?

You should be able to resume normal activity within 4–6 weeks after surgery.

What to expect in terms of results

Breast implant removal is usually a straightforward procedure. It may take several months for your breast shape to fully settle. Your final result will depend on your skin, age and overall health. Your surgeon will advise on what to expect.

Breast implant removal is a common procedure, but like all surgery, it carries some risks:

• Being unhappy with the end result
• Needing further surgery
• Thick, red and painful scars that can take time to improve

General risks:

• Allergic reaction to the anaesthetic
• Blood clots in a vein
• Excessive bleeding
• Infection

Signs of infection to look out for:

• Discharge from the wound
• A high temperature (fever)
• Pain
• Swelling
• Your breast feeling unusually hot to the touch

Call your care team immediately if you notice any of these symptoms or if something doesn’t feel right.