Explantation: Breast Implant Removal or Replacement of Breast Implants | Top Melbourne Plastic Surgeons
Wanting to explant your existing breast implants? Seeking to remove your breast implants entirely OR to replace them with a new set in a different size, or newer model, such as the latest innovative implants by Motiva or Mentor?
Our Specialist Plastic Surgeons in Melbourne provide some of the best known techniques for removal or replacement of your breast implants, including breast lift surgery, breast reshaping, uplift surgery or resizing breasts AFTER breast implant exchanges, explantation or uplift procedures.
There are a few different reasons why you may decide you want your breast implants removed or replaced (explanted).
Sometimes you get breast implants at an early stage of life, and later decide later you want them removed.
Perhaps their time is up in terms of soft silicone implant warranty ending and/or estimated durability reaching its peak time frame.
Or you may simply feel it’s NOW TIME to have a re-operation on your implants, and you’re weighing up what to choose next (to remove your implants entirely – or simply replace them)?
Removal of Breast Implants or Exchanging Implants for a larger or smaller size is called Explantation Surgery.
Explantation surgery means to remove existing Breast Implants with future options being having NO implants, new implants in a similar size or larger size (or even smaller), and/or a breast uplift or breast reduction.
Our top Surgeons for Breast Augmentation are all FRACS recognised and include the following Australian Specialist Plastic, Reconstructive and Reconstructive Surgeons: Dr Craig Rubinstein FRACS (Plas) Dr Douglas McManamny FRACS (Plas), Dr Rebecca Wyten FRACS (Plas), Dr Geoff Barnett FRACS (Plas) and Dr Richard Maxwell FRACS (Plas). Dr Richard Sackelariou, FRACS (Plas) offers a Sydney consultation location well as Melbourne locations.
Breast Implant REMOVAL – OVERVIEW
- An incision is made, usually in the under-breast crease or IMF
- Your surgeon carefully removes your existing implants (if under warranty, these may need to get sent back to the manufacturer)
- Cleans out and sterilises your breast pocket and/or may remove the breast capsule (capsulectomy)
- Sutures the skin again (see OTHER OPTIONS, below).
Best Options for Removing Implants: This VARIES from patient to patient
- It’s your personal DECISION as to WHAT HAPPENS after your breast implants are removed.
- Your SKIN strength or skin health – and existing breast tissues – need time to adjust; and may determine what’s best for you after removing your implants.
- If you already decided you want to REPLACE your breast implants with newer types of implants, this is usually done AFTER explantation of your original implants and before you are re-sutured.
- If you are having implants removed due to a complication such as capsular contracture, your Surgeon will guide you as to best-practice methods or alternatives and how long you might want to wait before your re-operation.
If you are NOT having new breast implants put in, then:
- You should ideally wait 12 months to assess how your skin heals and what your breasts LOOK like.
- Factors to consider after breast implant removal include your skin sagging (ptosis), skin condition, breast size preferences, your lifestyle, and other factors.
ONCE you assess how your breast area LOOKS after recovery from having your implants removed, THEN you can make decision about WHAT TO DO NEXT – such as having a breast uplift or new breast implants inserted (or both).
- Some Surgeons perform what’s called an internal bra lift vs a full breast lift – ask your Surgeon about these options during a consultation.
- If you have a complication, you may be restricted on what your best options are OR how long you may need to wait for re-operation.
- Otherwise, if you’re just having implants removed, or replaced, your Surgeon will advise you on choosing between some of the best available protocols for reshaping your breasts, including if FAT GRAFTING or an “internal bra” or FULL BREAST LIFT surgery may be a good option or your skin and breast shape.
Download Our Breast Augmentation GUIDE
Medical Terminology associated with Explantation Surgery
- Explantation – the removal of a breast implant (also known as EXPLANTING or to EXPLANT a breast prosthesis)
- Implant Removal – complete removal of breast implants WITHOUT replacement
- Breast Implant Replacement – removing existing breast implant(s) and inserting NEW implants into the chest area pocket, either above or under the muscle or both (dual-plane)
- Breast Prosthesis – a type of implant that is external to your own tissues, e.g. saline or silicone breast implants, that are inserted into the body under the skin, muscles and/or other tissues.
- Capsulectomy – surgical removal of the capsule that forms around a breast implant once in place; especially if capsular contracture has occurred (hardening/tightening of capsule or scar tissue)
- Manufacturer’s Warranty – usually a 10 year period in which the implant’s durability is guaranteed to remain intact and – if fails – the period of time the manufacture will EXCHANGE your implants for a new pair / new set (this varies from supplier to supplier and there are terms and conditions; e.g. any faults or failures have to be implant related and the original pair or set need to be returned to the supplier in order to get the new set covered; surgery costs are still external (warranties ONLY apply to implants, not to surgery costs).
- Breast Lift (Mastectomy) – a lifting and rearranging of the breast mound and nipples to an uplifted and more centralised location on the chest wall/breast area.
- Reduction Mammoplasty – breast reduction, usually of natural tissues and repositioning of the Reduction Mammoplasty nipple aerolar complex (NAC)
- Suture – stitches or staples used to connect skin that has had an incision or surgical cut
- Scar – a mark where the skin was cut with a surgical blade or laser
- Hybrid Breast Augmentation – a method that uses breast implants for volume and breast projection, PLUS fat grafting (fat transfer) via liposuction, for extra cleavage shaping and/or implant edge covering in thin patients. It’s a COMBINATION procedure of fat grafting with breast implants.
- Recovery – the healing period or time frame and protocols for AFTER you have surgery
- Plastic Surgeon – a Specialist for cosmetic, plastic and reconstructive procedures, who has studied for at least 12 years and undergone substantial training and examination
- Cosmetic Surgeon – usually a GP, skin doctor or dentist who has NOT had specialist qualifications in plastic surgery and does NOT have operating rights in accredited private Hospitals; may have taken a year long course as opposed to the extensive training of a Plastic Surgeon, who is FRACS (Plas)
- FRACS – Royal Australasian College of Surgeons – a body that oversees surgical recognition and testing for Specialists in Australia who pass extensive exams
- ISAPS, ASAPS, ASPS – groups that only Plastic Surgeons can belong to.
- Surgery Risk – a potential unwanted outcome or complication that may be of concern
- Keller Funnel – a device and insertion method for inserting silicone breast implants with minimal handling
- Mentor or Motiva – Australian approved quality breast prosthesis for augmentation surgery (breast enlargement)
- Risks – health concerns or potential risks of having surgery or of having a complication
Common reasons for removing or replacing breast implants with new ones include:
- lifestyle changes that leave you wanting a DIFFERENT bra cup size or appearance change
- a desire to go smaller or larger than your original breast implants
- ‘Boob envy’ – wanting to exchange your implants for a larger size
- losing weight or having skin ptosis (drooping skin) and needing an uplift or “internal bra lift” breast uplift
- life events such as pregnancy, weight changes, silicone sensitivity
- breastfeeding or ageing related considerations
- sagging skin AFTER having babies or menopause
- having large-sized breast implants and finding they interfere with breastfeeding comfort
- a scenario where you have a complication or health concern with original breast augmentation surgery such as:
- double bubble
- bottoming out
- uni-boob or mono-boob (breasts too close in the middle)
- capsular contracture
- sensitivity to silicone
- uneven breasts in size or shape
- movement of the implant in the chest area/pocket
- other (see below)
- personal reasons such as:
- changing professions
- taking up competitive sports
- wanting to do more vigorous activities where a flatter or lower-projecting chest will feel more comfortable, such as exercising or running
- when having larger implants has impacted your competitive sporting edge
- other changes to your size ideals or aesthetic preferences
Other factors that may lead to breast implant removal or replacement surgery:
- Implant Wrinkling
- Skin sagging or skin concerns
- Excessive Movement of your implant(s)
- An unusual Allergic Reaction to a specific type or brand of implant (we use high-quality Mentor implants)
- Breast Asymmetry (the two are not identical in either shape or position)
- Breast implant surgical complications such as infections or bleeding
- Lifestyle ideal changes or size preference changes
Ageing Breast implants: Should you take OLD implants OUT?
Implants do have a suggested lifespan or warranty period of about 10 years according to most quality breast implant manufacturers.
But every woman ages differently, and there are many types of implants used over the past several decades – so there’s not necessarily a right or wrong answer.
It’s a personal decision as to how long you have implants and whether or not your replace them or remove them and at what time in life you do so.
HOWEVER, our TOP breast Surgeons in Melbourne have best-practice protocols for CHECKING your BREAST IMPLANT status every year after surgery and conducting MORE comprehensive tests or images, if required, at or around the 10 year post-op mark.
Surgery TIP: Visit your Plastic Surgeon every year to assess your breast implant results and to monitor your implants over time PLUS make a note about when your 10 year Surgical Review or extensive medical assessments are due.
KEEP your medical files up to date! If you’ve moved, changed your phone number and/or changed your address or other contact info – or if you experience any unusual symptoms or failed to attend your regular check ups – please call us today for a REVIEW. Ph: 0388491444
Best ways to reduce complication risks with Breast Augmentation or replacement of existing implants:
- Choose a Surgeon who prioritises patient safety and sanitation at all levels of your surgery
- Be sure your Surgeon is an experienced expert in Breast Augmentation (ask how many they have performed this year and over their lifetime)
- Have surgery in a reputable facility (an accredited hospital rather than a back room) and be sure you choose a QUALITY implant manufacturer such as Mentor or Motiva (not a cheap unknown brand or less reputable brand)
- Don’t smoke (not before and not after)
- Don’t do too much too soon
- Follow your surgeon’s advice
- Don’t go overseas for cheaper offers because you could end up disfigured, as many overseas patients who had botched results discovered
- Know the difference between a cosmetic doctor and a bonafide Plastic Surgeon (a Specialist Plastic Surgeon)
Recognise that some complications may occur randomly and may not be predictable.
- So notify and see your Surgeon immediately if you have any concerns or symptoms of a potential complication.
- If you suspect a serious complication or experience a sudden change to your breast implant results, and you cannot get in to see your original Surgeon, seek urgent medical attention if required.
- Choosing a less trained surgeon or cheap breast implant brand that doesn’t have a quality reputation
- Smoking – greatly increases your risks of health complications including problems with your augmentation surgery;
- If you smoke, tell your SURGEON and
- DO NOT HAVE SURGERY until you are firmly a non-smoker.
- Insist on Surgeons who value the 14 Step Methods – our team takes special steps such as the best-practice method of 14 steps to reduce complication RISKS for getting breast implants – ask us how we do this.
- Use a HOSPITAL not a clinic back room – We also perform revision breast surgery procedures at Melbourne Hospitals – ask your Surgeon for details.
Choosing the BEST Surgeons for a Breast Implant Removal Operation (or Size Replacement)
Our Surgeon’s affiliations include:
Our Surgeons offer breast augmentation, explantation and breast implant replacement procedures with best-practice methods including using high-quality Mentor and Motiva implants with 10 year warranties, inframammary incision methods using the Keller Funnel, fat grafting to breasts after liposuction, Hybrid Breast Augmentation (fat transfer and breast implants) and more! For more information on our Breast Augmentation Surgeons, click on individual surgeon links below.
Melbourne | Top Breast Explantation and Breast Lift Plastic Surgeons
Read the Breast Augmentation Surgeon BIOS of some of the best Plastic Surgeons in Melbourne for your procedure.
Dr Craig Rubinstein, Dr Doug McManamny, Dr Geoff Barnett, Dr Rebecca Wyten, Dr Richard Sackelariou and Dr Richard Maxwell are all FRACS qualified Plastic Surgeons.
Our Surgeons offer breast augmentation, explantation and breast implant replacement procedures with best-practice methods including using high-quality Mentor and Motiva implants with 10 year warranties, inframammary incision methods using the Keller Funnel, fat grafting to breasts after liposuction, Hybrid Breast Augmentation (fat transfer and breast implants) and more!
For more information on our Breast Augmentation Surgeons, click on individual surgeon links below.
Depending on your choice of Surgeon for breast augmentation, you may have your surgery in ONE of the following Hospital locations in Melbourne or Berwick:
Sydney surgery – 1800 033 333
Our Surgeons are experts at Breast Augmentation, Implant Removal and implant replacement, sizing estimations, surgery planning and scar minimisation.
Breast Augmentation BEFORE & AFTER PHOTOS
You can ALSO see photos at your consultation or our EVENT NIGHTS.
Explantation: Will it FIX a botched boob job? It depends.
If you have a BOTCHED breast job, find out if we can help by asking for an assessment of removal of your implants.
- Not all surgeries go to plan, such as if you choose a less experienced doctor for your procedure
- You may want a revision if your first surgery didn’t address your concerns or ended up problematic
- Some women want implant removal due to an earlier botched cosmetic surgery procedure that resulted from a less trained doctor or from cheap overseas surgery options (read the dangers of medical tourism)- or if you had surgery by a GP or Dermatologist skin doctor instead of a qualified Specialist Surgeon with FRACS
- Or perhaps you’re on this page because you experienced problems with an inferior implant or the wrong type of implant (e.g., a cheap implant option or one that is found to potentially need replacement).
- You may seek to remove your breast implants completely and/or replace your breast implants with a more reputable brand or reliable type.
Cancer screening may also be a reason to seek removal of your breast implants.
- Recently diagnosis or suspicion of Breast Cancer
- Family members experiencing breast surgery meaning you may be at higher risk and need to screen more frequently
- Interference with Breast Screening Mammograms (if you have a personally high risk factor or genetic risk factors)
Breast Implant Removal or Replacement? Which is best for you?
Considerations for Swapping Out vs Removing Your Breast Implants
The best way to assess what’s best and what options might suit your needs is to meet with a seasoned Surgeon and openly discuss what’s troubling you about your current breast augmentation results. Your Surgeon may ask you the following questions:
- Are your breast implants causing you pain?
- Have your augmented breasts unusually hardened? There are options to handle capsular contractor – ask your Surgeon during a consultation.
- Are you unhappy with the look of your current breast implants? Perhaps a different size, profile shape or placement strategy can help; or maybe liposuction of the breast area or fat transfer can enhance the outcome.
- Are you wanting to live life with a smaller breast area? You can remove or replace your breast implants – and leave the look as is – or get a breast lift with or without implants, if required.
- Do you want to move back towards the breast size or shape that existed before you had your breast augmentation?
We can resize your breast implants through a replacement surgery – or even lift, reduce and resize heavy breast tissues through a Reduction Mammoplasty.
Breast size not suiting your lifestyle at the moment? Want a natural looking result including more exercise and fashion freedoms?
Our Leading Plastic Surgeons for Breast Surgery in Melbourne or Sydney can help Remove Breast Implants or Replace them with a more suitable size if you’re not happy with your Breast Augmentation
Learn more about our Team’s Top Melbourne based Specialist Plastic, Cosmetic & Reconstructive Surgeons.
Dr Craig Rubinstein – Plastic and Cosmetic Surgeon
Dr Richard Maxwell – Plastic and Cosmetic Surgeon
Dr Douglas McManamny – Plastic and Cosmetic Surgeon
Dr Geoff Barnett – Plastic and Reconstructive Surgeon
Dr Richard Sackelariou – Plastic and Reconstructive Surgeon
Dr Rebecca Wyten – Plastic and Cosmetic Surgeon
Choose one of our expert Surgeons for:
- Explant Surgery (Removing Breast Implants)
- Breast Implant Exchange Surgery (Replacing Breast Implants after a primary Augmentation)
- Tuberous Breast Surgery (Augmentation for underdeveloped or Tubal Breasts)
- Breast Implant Revision Surgery and complex or corrective Breast Surgery
- We also perform Removal of Breast Implants with several breast implant replacement options
These surgeries include corrective surgery for uneven, asymmetric breasts or nipple resizing, breast lifts (mastopexy), breast lifts with augmentation using breast implants or liposuction and fat transfer to breasts.
Resizing your breasts after getting implants or after weight changes is possible with our top Surgeons.
NEXT STEPS: Want more information before scheduling a consultation with your Surgeon?
* DOWNLOAD A GUIDE about the procedure or contact us
* Book a 15 MIN CHAT with the Patient Care Team
* Attend a FREE MONTHLY INFORMATION EVENING and hear from our Team of Specialist Plastic Surgeons and past patients.
Please Contact Us using the form below to arrange a consultation with one of our Specialist Plastic Surgeons or to speak with our Patient Care Team on (03) 8849 1444<tel:0388491400>.
Visit our FAQ pages, learn more about your procedure and also have a look at our BEFORE & AFTER PHOTOS.
Our team of Specialist Plastic Surgeons’ affiliations include:
Australian Society of Plastic Surgeons (Find specialist plastic surgeons), Australian Society of Plastic Surgeons (Patient Safety Regulated by Plastic Surgery Regulation Laws), Australian Society of Plastic Surgeons (Information for patients), Australian Health Practitioner Regulation Agency AHPRA (Register of practitioners), Health Victoria (The Department of Health and Human Services)
The information we provide is of a general nature. For information in relation to your own situation, a consultation with a Surgeon is required. Phone us on (03) 8849 1444 to arrange to see one of our Melbourne or Sydney Plastic Surgeons to review your health and medical history and attain a surgical consultation and surgery quote. Visit our Disclaimer Page for information on why results can vary from patient to patient.x