One of the implications of having a breast implants is that at some point they may need to be replaced or removed altogether.
There are a number of reasons for this including capsular contracture (scar tissue around the implant), visual changes to the appearance like rippling and mechanical failure of the implant.
For some, the capsule can cause some discomfort and other symptoms so some people ask for removal for physical reasons too. For patients with symptoms of breast implant illness, implant removal may be requested, which may be combined with a capsulectomy called en-bloc resection.
In the initial consultation, my objective is to understand your motivations, reservations and expectations. I will enquire about your medical history and will complete an examination. There are a number of choices to be made: whether to remove the implant together with the capsule (the scar tissue around the implant); whether to replace the implant and if so with what size of implant. Finally some patient might benefit from an uplift at this time also. It is also possible to transfer fat to the breasts to increase the volume following implant removal and reshaping.
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