Breast Implant Removal and Replacement
Is Breast Implant Removal and Replacement right for you?
We help you decide.
There are a number of concerns facing patients today who have had breast implants and are considering the possibility of having them removed.
Some of the concerns voiced by patients regarding their breast implants are as follows
Dr Georgina Konrat
BSc BSc (Hons) MBBS FACCS Cosmetic Surgery Cosmetic Medicine
Breast implant removal surgery can be very complex depending on the type of breast implants originally placed, whether or not the implant is ruptured and for how long the implant has been ruptured. The position of the breast implant over or under the muscle also affects the surgery decision making process as well as if capsular contracture is present and the Grade of the capsular contracture. Just as important are the emotional and psychological concerns involved in removing breast implants.
Dr Konrat will assist you to make the choice that is right for you as an individual and also one that is the best choice for your health and well being going forward. Our patients not only need our advice but need out support throughout what can be a very challenging process for most patients.
Breast Implant Removal Australia
Price upon consultation
You will be provided with an accurate quote during your consultation, so you can be assured that you will be receiving a treatment specifically tailored to your individual needs. Our consultation with you, is the groundwork we do to ensure that you can put your trust in us. We try at all times to keep all our procedures within an acceptable and ethical cost estimate allowing patients the opportunity to make personal life changes they need or desire.
There are many reasons why patient seek removal of breast implants. If you have any of the concerns listed below or you have other concerns which are not mentioned in the list then you may wish to consider a consultation for more information or advice regarding ‘explant’ or Removal of your breast implants.
If your breast implants need to be removed or replaced for whatever reason, it is important to consult with a doctor who has extensive experience and who can help you achieve the best results possible. Dr Konrat, one of a very few qualified female Cosmetic Doctors in Queensland, has made a particular study of remedial breast surgery and has extensive experience with complicated breast implant removal. As a woman, she has an ‘insider’s understanding’ of how a woman needs to look and feel. Her constant goal is to provide women with the best visual and well-being outcome, whatever the circumstances.
Reasons for breast implant removal surgery
Life changes, or changes in personal circumstances can occasionally lead previous breast augmentation patients to seek implant revision or removal. It is very important to discuss this with a qualified practitioner, who can explain the details and implications of this surgery.
Concerns with breast implants may include
- Deflation or rupture
- Shifting or rotating out of position
- Wrinkling, rippling, sagging or asymmetry of the implants
- Neck, shoulder and upper back tension or pain
- Formation of scar tissue that tightens around the implant (capsular contracture)
- Formation of dead tissue around the implant (necrosis), which may prevent the wound from healing.
- Calcuim deposits
- Capsular contracture
- BIA-ALCL (Breast Implant Associated Anaplatic Lare Cell Lymphoma) A rare immune cell cancer related to breast implants
- A recent diagnosis of breast cancer or following treatment for breast cancer
Recommendations for breast implant removal and replacement surgery
Cosmetic surgeons know that not every breast augmentation works out perfectly for every patient. There are some risks involved in breast implant surgery and some patients do experience complications.
Dr Konrat will always support you through any issues that may develop, to minimise any stress and fear you might experience and also to provide any additional procedure that is necessary.
Permanent removal is sometimes the best or the only solution. Breast enlargement surgery actually changes the state of the natural breast tissue, and if the implants are removed, the breast skin may be stretched and the loss of volume may result in a “saggy” appearance. In many cases, the breast will contract and slowly reduce once the implants are removed, and the result can be acceptable. Significant loss of volume and drooping of the breasts may need Mastopexy or breast lift surgery at the time of removal of implants to achieve an aesthetically desirable result. Removal of breast implants can be simple and straight-forward, or it can be a complex and sometimes difficult surgery requiring skill and experience.
Dr Konrat has removed many different types of breast implants in many different circumstances and her aim is to achieve the best possible aesthetic, functional and healthy outcome possible for each patient.
Many women are concerned that when they have their breast implants removed, they will be left with thin, sagging empty volume breasts. This is possible depending on many factors, but there are procedures that can be performed at the same time as removal of breast implants or a short time later, to ensure that the results are aesthetically pleasing to each individual patient and is consistent with their needs and desires.
We encourage you to book a personal consultation with Dr Konrat, where she will assess you, explain the procedure in detail and help you to understand all the benefits as well as the risks and complications of surgery in general and breast surgery in particular. You will also be given the opportunity to discuss any of your concerns and what is your ideal outcome.
Dr Konrat will ask important questions about you and your health (your medical history).
Dr Konrat will examine your breasts with their implants, noting their condition, size and shape, the quality of your skin and other physical details to assist in planning to address your issues for the best possible outcome.
Dr Konrat will provide you with her informed opinion on the options available to you and will discuss her reasons for her recommendation.
You will make a final decision as to if/how to proceed to address the issues you have with your implants. We understand that you may not remember or understand everything you hear in your consultation, so we encourage you to make notes as soon as possible after the consultation, and to call or email Dr Konrat with any questions or concerns you may have about your intended surgery.
If you decide to have your implants replaced, Dr Konrat will assist you to choose the new implants in the same manner as for any breast augmentation surgery.
- In-depth consultation with Dr Georgina Konrat regarding your concerns and ideal outcome.
- Dr Konrat will ask important questions about you and your health (your medical history).
- Dr Konrat will examine your breasts with their implants, noting their condition, size and shape, the quality of your skin and other physical details to assist in planning to address your issues for the best possible outcome.
- Dr Konrat will provide you with her informed opinion on the options available to you and will discuss her reasons for her recommendation.
- You will make a final decision as to if / how to proceed to address the issues you have with your implants. We understand that you may not remember or understand everything you hear in your consultation, so we encourage you to make notes as soon as possible after the consultation, and to call or email Dr Konrat with any questions or concerns you may have about your intended surgery.
- If you decide to have your implants replaced, Dr Konrat will assist you to choose the new implants in the same manner as for any breast augmentation surgery.
- Our breast implant removal Brisbane surgery is done in an accredited Day Surgery Hospital under either general anesthesia or local anesthesia combined with sedation (twilight anesthetic).
- The procedure usually takes between 30 minutes and 2 hours depending on the complexity of reasons for removal in the first place.
- Dr Konrat carefully removes the implants through an opening or incision in the crease below the breasts called the inframammary fold (If the implant is filled with saline, the surgeon may choose to deflate it first to facilitate removal.
- If the implants are to be removed because of infection, hematoma, necrosis or capsular contraction, then those issues will be dealt with when the implants have been removed.
- If new implants are to replace the old implants, then the new implants chosen in consultation with Dr Konrat will be placed in the space (the surgical pockets) that have been prepared following the removal of the old implants.
- The small opening through which the implants are removed is then closed with sutures and a dressing or surgical tape placed to seal the wound. In some cases you may have drains, which will be removed in the few days after surgery.
- For the first few days after your breast implant removal Brisbane surgery, there may be mild discomfort, swelling and bruising.
- Initial recovery from breast implant removal surgery is usually quick, providing there were no complicating factors such as infection prior to surgery. Many patients will be able to return to everyday activity within a few days, and full activity within two weeks. Full recovery often takes a few months.
- Emotional Effects of Breast Implant Removal – Some women suffer from psychological distress after breast implant removal. The change in the body’s shape affects some women as profoundly as a mastectomy affects others. It is normal to feel some sadness after witnessing such a drastic body transformation. Dr Konrat and her staff are aware of the challenges patients face and their role is to guide and support you in your post operative journey.
- Removal of Large Breast Implants: If your implants were large and particularly if they were subglandular (on top of the muscle and under the breast tissues), and you opt not to replace the breast implants you may be left with significant cosmetic deformity of your breasts. Breasts may also be smaller than they were before the implants because of hormone changes or weight loss.
- Sagging can become more apparent after breast implant removal if you choose not to replace the implants
- Seroma – this is a collection of fluid that sometimes occurs following surgery. If there is a danger of this, Dr Konrat will insert a drainage tube for the first couple of days after the surgery.
- Hematoma – these are collections of blood or large bruises that can form where the fibrous capsule and implant have been removed..
- Change in Nipple and Skin Sensation – some change in sensation is not unusual right after surgery. Most patients regain normal sensation within a few months of surgery. Occasionally, partial or permanent loss of nipple and skin sensation or hypersensitivity may occur in one or both breasts. Changes in sensation may affect sexual response or the ability to breast-feed a baby.
- Chest Wall Deformity – in very rare cases, the chest wall (the underlying rib cage) may appear deformed upon removal of the implants. Chest wall deformity has been reported following the use of tissue expanders and breast implants. The significance of chest wall deformity is not fully understood, but is not believed to produce any known health consequences.
GENERAL RISKS OF SURGERY
Because surgery is such a vital part of modern medicine, there is a tendency to forget that there are risks associated with every type of surgery. While these risks are small, every person undergoing surgery should be aware of the risks.
All internal and external wounds need time to heal after surgery. Sutures and other material are used to hold wounds closed while they heal.
Despite taking precautions, infections can occur during and just after surgery. These may be general, such as pneumonia, or specific to breast surgery. Because of their generally good health, breast implant patients usually have a lower risk of developing general infections such as pneumonia.
- Patients have a risk of forming a blood clot in the leg (deep vein thrombosis) that breaks off and gets stuck in the lung circulation (pulmonary embolism). This is minimized by the wearing of surgical ‘stockings’ during the surgery, and by getting the patient out of bed as soon as possible.
- You will also be encouraged to breathe deeply when you wake up from the anesthetic as this expands your lungs and helps ensure your blood oxygen levels are good.
Risks of Anesthesia
As a rule, these risks are very low in cosmetic surgery patients, because the patients are generally in good health. Dr Konrat will take a full medical history, will order a number of tests prior to surgery and will make lifestyle recommendations to ensure your health is optimal before the surgery. This will minimise any general risks.
Mental Health disorders and Elective Surgery
- It is important that all patients seeking to undergo elective surgery have realistic expectations that focus on improvement rather than perfection.
- Complications or less than satisfactory results are sometimes unavoidable, may require additional surgery and can be stressful.
- Please discuss openly with Dr Konrat in your consultation prior to surgery, any history of emotional depression or mental health disorders. If you are unsure whether a matter is relevant, please mention it anyway. Although many individuals may benefit psychologically from the results of elective cosmetic surgery, the effects on mental health can never be predicted and could possibly have a negative influence on emotional stability.
Not sure where to start?
Let us help you.
We would love to help you explore your options at our Brisbane cosmetic clinic and realise your vision, so please get in touch and we’ll be more than happy to assist you.