Breast Implant Removal (Explantation Surgery) in Sydney
Technical Explanation of the Procedure
Breast implant removal in Sydney, also known as explantation surgery, is a procedure performed to remove breast implants for medical, aesthetic, or personal reasons. Some patients seek explant surgery due to implant ageing, changes in preferences, capsular contracture, rupture, or symptoms they associate with their implants. Importantly, surgery planning depends on implant types, capsule characteristics, and breast tissue anatomy.
A./Prof. Tim Papadopoulos (FRACS) customises breast implant removal surgery in Sydney for each patient. During consultation, Dr Tim assesses the implants, the capsule (scar tissue surrounding the implant), and the quality of the breast skin. He then discusses the safest surgical approach, scarring, recovery, and realistic outcomes.
Surgical Options in Breast Implant Removal
1) Simple implant removal
In selected patients, Dr Tim removes the implant while preserving surrounding tissues. This approach may be appropriate when the capsule is thin, symptoms are minimal, and implant removal alone meets the patient’s goals.
2) Capsulectomy (implant and capsule removal)
When clinically indicated, Dr Tim may remove the implant along with the capsule (the scar tissue that forms around the implant). The extent of capsulectomy depends on anatomy and the reason for explant surgery.
Options may include:
Total capsulectomy: Dr Tim removes the entire capsule.
Partial capsulectomy: Dr Tim removes part of the capsule when appropriate.
En bloc capsulectomy: Dr Tim removes the implant and capsule together as a single unit in selected cases (e.g., when rupture is present or when this approach is clinically appropriate).
Dr Tim will explain which approach is suitable for you and why.
Additional Procedures That May Be Combined with Explant Surgery
Fat transfer (optional)
Some patients elect to undergo fat grafting during implant removal to restore selected volume and improve contour. Suitability depends on donor fat availability and tissue characteristics.
Breast lift (mastopexy) (optional)
After implant removal, some patients experience loose skin or breast ptosis. In these cases, Dr Tim may recommend a breast lift to reshape the breast and reposition the nipple-areola complex.
Tailored Planning and Expected Outcomes
Breast implant removal can involve a wide range of surgical strategies. Therefore, careful planning is essential. Dr Tim focuses on safe technique, proportionate reshaping, and scar placement. However, outcomes vary between individuals. Dr. Tim will discuss risks, limitations, and realistic expectations during a consultation.
Quick Facts About Breast Implant Removal
Procedure Duration: 1–3 hours, depending on complexity.
Anaesthesia: General anaesthesia.
Hospital Stay: Day procedure or overnight stay.
Results: Immediate improvement; final results visible after the swelling subsides (3–6 months).
Longevity: Permanent removal of implants; additional procedures may be performed if desired.
Best Candidates: Individuals experiencing implant complications, health concerns, or wish to return to a natural breast appearance.
What to Expect
Before Surgery:
Your consultation with Dr. Tim will include a comprehensive assessment of your medical history, current concerns, and goals for explantation. Diagnostic imaging may be recommended to assess the condition of the implants. Dr. Tim will discuss the appropriate surgical technique for your needs, whether a simple removal, capsulectomy, or combination procedure with a breast lift or fat transfer. Preoperative instructions, including fasting and avoiding certain medications, will be provided.
During Surgery:
The procedure is performed in a fully accredited surgical facility under general anaesthesia. Depending on the chosen technique:
An incision is made along the original implant scar or in an inconspicuous location.
The implant is removed, and the surrounding capsule is excised if necessary.
Additional procedures may be performed, such as a breast lift or fat transfer.
The incision is closed with sutures, and a supportive dressing or surgical bra is applied.
After Surgery:
After the procedure, you will rest in a recovery area before being discharged home or staying overnight, depending on the complexity of the surgery. Mild swelling, bruising, and discomfort are normal and typically subside within a few weeks.
1. What is breast implant removal?
Breast implant removal is a surgical procedure to remove breast implants, often combined with capsulectomy, breast lift, or fat transfer for optimal results.
2. Who is a good candidate for this procedure?
Good candidates include individuals experiencing implant-related complications, health concerns, or those who wish to restore their natural breast appearance.
3. How long does the recovery process take?
Most patients return to light activities within 1–2 weeks, but full recovery, including strenuous activities, may take 4–6 weeks.
4. Will I need additional procedures after implant removal?
Additional procedures, such as a breast lift or fat transfer, may be recommended to improve breast shape and contour after implant removal.
5. Are the results permanent?
Yes, the removal of implants is permanent. However, additional surgeries may be desired to achieve specific aesthetic goals.
6. Will there be visible scars?
Scars are typically minimal and placed in discreet locations, such as along the original implant incision, and fade over time with proper care.
7. Is breast implant removal painful?
The procedure is performed under general anaesthesia, ensuring no discomfort during surgery. Post-operative discomfort is manageable with prescribed pain relief.
Risks
While breast implant removal is a safe and commonly performed procedure, potential risks include:
Infection or delayed wound healing.
Scarring (typically minimal and fades over time).
Asymmetry or dissatisfaction with the aesthetic outcome.
Changes in breast sensation (temporary or permanent).
Rare complications, such as bleeding, fluid accumulation, or anaesthesia-related risks.
Recovery Tips
Follow Post-Operative Instructions: Adhere to Dr. Tim’s guidelines for wound care and activity restrictions.
Wear a Supportive Bra: A surgical bra provides the necessary support and minimises swelling.
Avoid Strenuous Activities: Avoid heavy lifting, intense exercise, and strenuous activities for at least 4–6 weeks.
Sleep on Your Back: Avoid sleeping on your stomach to reduce pressure on the chest.
Stay Hydrated and Rest: Proper hydration and rest promote faster healing.
Scar Management: Follow scar care recommendations to promote healing and minimise visibility.
Dr Tim is a certified cosmetic and plastic surgeon, past president of the Australasian Society of Aesthetic Plastic Surgery (ASAPS), a member of the Australian Society of Plastic Surgeons (ASPS) and a Fellow of the Royal Australasian College of Surgeons (FRACS). Tim is also an International member of the American Society of Plastic Surgeons. Dr Tim is a member and Board Director of the International Society of Aesthetic Plastic Surgery and an international active member of the American Society of Aesthetic Plastic Surgery.
He has undertaken 8-12 years of specialist training beyond his basic medical degree to become a Fellow of the Royal Australasian College of Surgeons (FRACS) which is the only institution accredited to train surgeons in Australia and New Zealand. He is the current Head of the Department of Plastic & Reconstructive Surgery at Westmead Private Hospital.
As a Sydney plastic surgeon Dr Tim focuses on cosmetic surgery of the face, breast and body.
Dr Tim is a certified cosmetic and plastic surgeon, past president of the Australasian Society of Aesthetic Plastic Surgery (ASAPS), a member of the Australian Society of Plastic Surgeons (ASPS) and a Fellow of the Royal Australasian College of Surgeons (FRACS). Tim is also an International member of the American Society of Plastic Surgeons. Dr Tim is a member and Board Director of the International Society of Aesthetic Plastic Surgery and an international active member of the American Society of Aesthetic Plastic Surgery.
He has undertaken 8-12 years of specialist training beyond his basic medical degree to become a Fellow of the Royal Australasian College of Surgeons (FRACS) which is the only institution accredited to train surgeons in Australia and New Zealand. He is the current Head of the Department of Plastic & Reconstructive Surgery at Westmead Private Hospital.
As a Sydney plastic surgeon Dr Tim focuses on cosmetic surgery of the face, breast and body.
Dr. Tim is a highly experienced specialist plastic surgeon known for his commitment to patient safety, advanced surgical techniques, and meticulous care. He prioritizes evidence-based procedures to deliver natural-looking, long-lasting results.
Precision
With an exceptional eye for detail and surgical expertise, Dr. Tim ensures every procedure—whether facelift, body contouring, or breast augmentation—is performed with precision, artistry, and the latest medical advancements.
Your Wellbeing & Comfort
Dr. Tim takes a patient-centered approach, guiding you from consultation to post-operative care. He provides personalised surgical plans to help you make informed decisions, ensuring your safety, comfort, and satisfaction throughout your cosmetic surgery journey.
Professional Integrity
As a specialist plastic surgeon, Dr. Tim is dedicated to excellence in aesthetic surgery. His contributions to medical education, training future surgeons, and speaking at global conferences reinforce his reputation as a leader in the field of cosmetic surgery.
Have Questions About Cosmetic Surgery?
Understanding your options is important. Our team is available to provide factual information about procedures and answer any concerns you may have. Book a consultation to receive professional advice tailored to your needs.
