FAQ: Breast Implant Removal
If you considering in replacing your old implants for a new size, exchanging for a new implant, or just simply removing it because you no longer want implants.
This surgery will remove the current implants you have permanently or just replace them.
The risks and complications are similar to other aesthetic surgery. They include local such as hypertrophic scar and or keloid, asymmetry, skin ischemia and loss and hematoma this is more common in smoker. The systemic complications include blood clot and PE and other anesthesia risks. In healthy patients in the hands of board certified Plastic Surgeons, the complication rates are in fact not very high.
There are no nonsurgical options to remove implants.
The surgery is basically a reverse regular breast augmentation, it requires an incision to be made where the implant will be removed physically.
This will depend on how successful your previous breast augmentation went and the state of your health in the future.
The chances will vary due to the patient’s skin elasticity, age, and texture of their skin.
The location of the incision will determine the size of the incision, which will depend on what incision technique is most suitable for you.
There will be visible scars but they are hidden.
Please refer to my website for photos or request for any during consultations.
In my work, breast augmentation is one of the most popular procedures done and that includes replacements of implants, which requires the removal of the implant.
You can contact my office for an estimate cost. The actual cost will be discussed with you during the initial consultation after understanding your goal and after examination to decide the type of correction you need.
This surgery should take approximately 1 hour.
You will have compression dressing during your first 24 hours after surgery.
The swelling should settle within a few weeks.
In general the breasts should feel fairly normal within a few weeks to few months.
Most of our patients can breastfeed normally after surgery.
Breast implants can make it more difficult to read mammograms, therefore the patient may need to inform your doctor after the surgery.
Pain is usually very minimal after surgery. My patients usually do not need to take any narcotic after 72 hours.
Patients may take extra strength Tylenol, Tylenol 3, Percocet to help with the pain.
I do not usually use drain after breast augmentation.
Patients are recommended to wear loose clothing that will not compress or irritate the chest area.
The surgery is an outpatient procedure. Patients are kept in the clinic for a couple of hours until they have awoken from the surgery and are ready to leave.
Patients can return to their normal routine in a few days.
Patients can return to their normal routine in a few days and if you are not using narcotics.
Patients can return to their normal routine in a few days but avoid any heavy lifting.
The choice of anesthesia will be discussed and chosen for you before surgery by an anesthesiologist that will review your medical history.
An anesthesiologist will be at the clinic to assist during the surgery and will evaluate your medical history before the surgery to determine any allergies or possible reactions to anesthesia. The anesthesiologist will discuss the possible options of anesthesia for you and address any concerns you may have.
I review all patient medications on initial consultation, pre-operative appointment and day of surgery.
In general, all medication that may cause bleeding or prolong bleeding time may need to be stopped or alter. One should not stop any medication without consulting with your family physician and the specialist that put you on these drugs.
For my patients, general lab tests such as CBC, electrolytes, liver function, INR, PTT, cardiogram are fairly routine, Other tests may be ordered if one has special medical condition.
You should not have anything to eat or drink 6 hours prior to the surgery.
We recommend that you arrive at time we have indicated during your pre-op appointment. We will also try you on your mobile phone if the time of surgery has been changed.
It can be found on my website, by calling or our mobile app.
Yes, patients should arrange for a drive home since they will be sedated during the surgery and will feel drowsy afterwards. It is not recommended for the patients to drive themselves home.
- Arrange for personal items you might need during your hospital stay
- Arrange for someone to take care of responsibilities at home and work
- Arrange for someone to take you home from the hospital
- Arrange for someone to stay with you the first night after surgery
- Call your doctor if you think of other questions
- Notify your doctor if you get sick within 10 days of your surgery (even minor illnesses like a cold)
- Stop eating and/or drinking as advised by your doctor
- Do not smoke or drink alcohol 24 hours before your surgery
- Make sure you have the doctor’s contact information
- Make sure you have directions to the hospital/office for visitors
- Wear a button-front shirt and loose clothing to the clinic/hospital
The surgery can vary from 1-3 hours.
You usually wake up within 10 minutes from the procedure.
They may need to wait an hour after surgery to see you.
If you are at risk for blood clots, medication will be provided for you after you discuss your concerns with your doctor.
Yes, patients are provided with antibiotics to take.
- Make sure your identity has been confirmed with name and date of birth
- Make sure your procedure has been confirmed
- Make sure the correct site of your surgery has been marked
- Make sure the correct side of your surgery has been marked
- Confirm any allergies and side-effects you might have
- Make sure you understand and have signed the informed consent forms
I usually talk to you in the recovery room as well as with one to two days after surgery in your postoperative visit to explain how your surgery went.
This depends on your medical conditions and I will discuss this with you at your preoperative consultation.
I usually like you to continue with your usual medication with exception of medication that can cause bleeding. I will discuss this with you further.
My usual protocol does not use drains, tubes or catheters because I use special closure technique to decrease the needs of these devices.
You can drink water and liquid shortly after the procedure.
My procedure is usually as an outpatient and you will be staying for a few hours after. I only let my patient go home if they are ready.
You need to meet all the discharge criteria before you can go home.
You will be given pain medication to take afterwards and I will inform you in more detail after the surgery.
You should have the medication filled before the day of surgery.
Any mediation that can cause bleeding or alternate your medical condition need to be stopped or changed before surgery. I will be discussing with you in detail at pre operative visit.
You should keep the area clean with minimal contact and avoid swimming.
You should remove the bandage dressing after 24 hours and after the removal of the dressing, it is encouraged that you start on stretching exercises.
You could shower after the bandage or dressing has been removed.
I usually like to see my patients the first one to two days after surgery.
Your bandages will be removed the next day after surgery.
The sutures will be removed 5 days post-operatively.
It is recommended that patients remain braless during the recovery process and if the patient wishes to wear a bra, they must make sure that the breast does not feel too tight.
You will be sore and in pain, it is suggested that patients rest the first day and continue to increase activity when the pain and soreness has subsided.
Patients can return to their normal routine in a few days and try to avoid any heavy lifting.
Patients can return to their normal routine in a few days and if you are not using narcotics.
Sexual activity can be resumed after 2-3 weeks and if the patient does not feel comfortable after the given time frame, they may prolong when to be sexually active again.
- Make sure your care providers wash their hands before and after your care
- Do not wait until your pain is severe before you ask for pain medication
- Make sure the call button is within reach before medical staff leave the room
- Sit on the edge of the bed for a few minutes before you stand up to prevent getting dizzy
- Do not get out of bed without help if you feel weak or dizzy
- You have a fever higher than 100.4 degrees Fahrenheit
- You have shortness of breath or chest pain
- You notice increased redness, swelling, warmth, or pain around your surgical incision
- You notice that your incision is separating or you have infected discharge from your incision
- Your dressing is repeatedly soaked with blood
- You have pain that your existing pain medications cannot control
- Take pain and other medications as prescribed
- Do not drive when you are on prescription pain medications
- Do not soak in a bath or go swimming for ten days after your surgery
- Keep your incisions clean and dry
- Wear a special supportive bra as long as advised by your doctor
- Avoid strenuous exercise and heavy lifting as long as your doctor advises
- Follow your doctor’s instructions on resuming normal daily activities
- Follow your doctor’s instructions on resuming sexual activity