Should You Consider Breast Explant Surgery?

Breast augmentation has long been a popular cosmetic procedure in the U.S., with thousands of women opting for implants to enhance their figure. But for some, the journey doesn’t end there—whether due to changes in personal preferences or health-related concerns, breast implant removal, also known as breast explant surgery, has become an increasingly common choice.

In fact, according to 2023 data from the American Society of Plastic Surgeons, over 41,000 explant surgeries were performed in the United States. So how do you know if it’s the right choice for you?

When Implants No Longer Align With Your Lifestyle

Many women pursue breast augmentation with a specific vision in mind—whether it’s to boost confidence, enhance symmetry, or simply feel better in clothing. But as time passes, expectations and needs can change.

1. Cosmetic Dissatisfaction

Some women are immediately dissatisfied with how their implants look or feel. Others notice changes over time—like sagging, asymmetry, or shifting due to aging or weight fluctuations—that make implants feel out of place.

2. Lifestyle and Physical Comfort

As your lifestyle evolves, your implants may no longer suit you. High-impact fitness routines, back pain, or simply a preference for a more natural look may prompt you to reconsider.

3. Maintenance Fatigue

Implants require long-term care—regular check-ups, potential replacements, and monitoring. For some, this ongoing responsibility eventually outweighs the initial benefits.

Health Concerns That May Require Implant Removal

Beyond cosmetic reasons, medical issues are another driving force behind explant procedures. Common conditions include:

● Capsular Contracture

This occurs when scar tissue forms tightly around the implant, causing pain, distortion, or hardness in the breast.

● Implant Rupture

Saline or silicone implants can rupture due to trauma or aging. Saline ruptures are usually obvious, while “silent” silicone ruptures may go unnoticed without an MRI.

● Breast Cancer Treatment

While implants don’t cause or worsen breast cancer, they can complicate treatment. In many cases, removing the implants helps streamline surgical and radiation planning.

● Autoimmune Responses or BII

A growing number of women report symptoms attributed to breast implant illness (BII)—including joint pain, fatigue, memory fog, and digestive issues. While research is ongoing, some women find relief after explant surgery.

What Happens During Breast Explant Surgery?

The procedure is typically performed under general anesthesia. Surgeons often reuse the original augmentation incision site to minimize scarring. In addition to removing the implant, the surrounding scar tissue capsule may also be removed if necessary.

After surgery, you may wear a compression bra to aid healing. Recovery times vary, but many return to regular daily activities within a week. If you’re planning additional procedures (like a breast lift), your surgical plan may be tailored accordingly.

Restoring Your Look After Implant Removal

Removing implants doesn’t mean compromising on appearance. There are several options to restore or enhance breast shape:

• Smaller Implants: Many women choose to replace their implants with a smaller or more natural size.

• Fat Transfer: Using liposuction, fat from other parts of the body can be injected into the breasts for a subtle volume boost.

• Breast Lift (Mastopexy): To combat sagging or loss of fullness, a lift can reposition the breast tissue and tighten skin.

Your plastic surgeon will guide you through the best options based on your goals and anatomy.

Final Thoughts

Choosing to remove breast implants is a highly personal decision influenced by lifestyle, health, or aesthetic preferences. The most important step? Consult with a board-certified plastic surgeon who can assess your situation and help you navigate your options with care and clarity.