Implant replacement or removal
Over time, implants may need replacing, for example because of capsular contracture or a small tear. Some women would rather have their implants removed altogether. Together we discuss the best route, possibly combined with a lift or your own fat.
Where:Velthuis Kliniek Rozendaal and the Alexander Monro Hospital
At a glance
- Duration
- 1 to 2.5 hours
- Anaesthesia
- General anaesthetic
- Hospital stay
- Usually day surgery
- Back to work
- Light work after 2 weeks, heavy work after 6 weeks
- Exercise
- After 6 weeks
Who is it for?
- Your breast has become hard, painful or changed shape because of capsular contracture
- A tear or leak has been found
- You would like a different size, or no implants at all
- You are worried about your implants and would like advice
The procedure
Under general anaesthetic I remove the implant, often together with the capsule around it.
I then place a new implant, or reshape the breast without one. If you have little tissue of your own, a breast lift or your own fat can improve the shape.
If the condition of your implants is unclear, an ultrasound or MRI scan may be needed first.
Recovery, step by step
First 2 weeks
Take it really easy. You wear a firm sports bra day and night.
Weeks 2 to 6
You gradually build up your daily activities again. Keep wearing the bra day and night. No sport and no heavy physical work.
After 6 weeks
You can exercise and do heavy physical work again.
After 3 to 6 months
Your breasts have settled into their new shape.
This is a general guide. We will discuss your own recovery time in the consultation.
Risks and complications
Care matters in every surgical treatment. Complications cannot always be prevented, but we do everything we can to keep the risks as small as possible.
In the consultation I take the time to explain what you can expect from the treatment and which risks may be involved. That way you can make a well-informed, confident choice that is right for you.
- Bleeding after the operation or bruising
- Wound infection
- Slow wound healing
- Scars that stay thick or red
- Capsular contracture returning
- A less full or sagging breast after removal without a lift
You can also read the official information from the Dutch Society for Plastic Surgery (NVPC). It is only available in Dutch:
- NVPC information leaflet on silicone breast implants (in Dutch)
- NVPC information on BIA-ALCL and breast implants (in Dutch)
In the consultation I always explain this further, in English if you prefer.
Insurance cover
This depends on the reason. If there is a medical problem with an implant, the costs may be covered. In the consultation I explain what applies in your situation.
Frequently asked questions
Should I have my implants replaced as a precaution?
No. Without symptoms or abnormalities, it is usually not necessary. It is sensible to have them checked if you notice changes.
What will my breasts look like without implants?
That depends on your skin and your own breast tissue. Sometimes they look emptier or sag a little. A lift or your own fat can help.
A good conversation is the first step.
In the consultation I take the time to answer your questions. You go home with honest advice and no obligation.