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Breast Implant Removal Sydney (Capsulectomy)

Capsular contracture is a complication after a breast augmentation procedure that can happen from a few months post-surgery to decades later.

Around all implants, a fibrous capsule (scar tissue) is formed to keep it in place and protected.

For reasons that are not totally understood, this capsule can sometimes become thicker and contract. In its severe form, it causes discomfort and can distort the breasts. In these rare circumstances, the capsule needs to be surgically removed and the implant replaced.

Breast Implant Removal Sydney - Dr André Safvat - Plastic Surgeon Sydney

Dr Safvat only uses newer 5th generation implants, which means the risk of capsular contracture is significantly reduced.

History of Breast Implants

The first breast implant was done in 1962 by Cronin & Gerow in the US. These 1st generation implants were viscous silicone in a thick shell. They had a very high incidence of capsular contracture.

The 2nd generation implants were developed in mid to late 70’s and had a less viscous silicone, inside a thin smooth shell. This resulted in less capsular contracture but increased the incidence of the shell rupturing and the silicone gel leaking out.

The 3rd generation implants were developed in the early to mid-80’s to stop shell failure. The shell was more sophisticated and stronger.

The 4th generation implants had the same shell as the 3rd generation implants but the surface was roughened and called textured surface. This again has been shown to decreased capsular contracture in the sub-glandular implants.

The 5th generation implants are like the 4th but the silicone gel inside is cohesive gel. This decreased the chance of leaking even if the shell was ruptured.

The capsular contracture rate of the new textured cohesive gel implants (5th generation) is less than 5% for cosmetic augmentation and 15% for breast reconstruction post-mastectomy. It increases to 40% in post-radiotherapy (Breast Cancer) patients. Dr Safvat only uses newer 5th generation implants, which significantly reduces the chance of capsular contracture.

Breast Implant Removal Technique

If capsular contracture is present, the capsule (scar tissue) and the implant will need to be surgically removed. An incision is made under the breast to avoid obvious scarring and to provide better access for removal of the capsule. If the patient’s wish is to also have new implants, they are placed in the same pocket or in a new pocket depending on the patient’s breast shape and position.

Dr Safvat only uses newer 5th generation implants from top quality companies, which significantly reduces the risk of capsular contraction. The procedure is done under a general anaesthetic in a fully accredited hospital with the participation of a specialist anaesthetist.

Recovery

Upon discharge the patient is required to wear a medical garment (bras) for six weeks and needs to have 1-2 weeks off work to rest at home. Walking is actively encouraged postoperatively but exertion and heavy lifting are not allowed for 3-4 weeks.

Breast Implant Removal FAQs

How much does breast implant removal cost?

In some cases, Capsulectomy has an item number and patients may get a rebate from Medicare and their health fund. The hospital costs may be covered by private health funds depending on the patients’ level and type of cover. At your first consultation, Dr Safvat and his team will discuss all the costs associated with the surgery.

Smoking and being overweight have been shown to cause more complications after surgery. Dr Safvat will insist that you stop smoking at least 4 weeks before your surgery. He will also strongly encourage and help you to lose any excess weight. Being physically healthy and at a stable weight will ensure you have a positive experience and achieve the best results.

Will implant removal cause my breasts to sag?

Unfortunately, removing your implants will cause your breasts to revert to their original state. If you originally underwent augmentation due to sagginess, your breasts will look like they once did once your implants are removed. If your implants were much larger than your natural breasts, they may look different after removal, mainly because your skin will have stretched. Dr Safvat can take you through your options and determine whether you would benefit from a breast lift after implant removal. This could result in a more natural-looking result after surgery.

My implants are older than 10 years, do I need to have them removed?

Most breast implants last for a minimum of 10 years, provided no complications occur. If you aren’t experiencing any issues and you’re still happy with the shape and size, implant removal is not necessary. With this being said, if you haven’t had your implants checked in a while, you may want to do this at the 10-year mark to ensure they’re still healthy. From there, you can discuss your options with Dr Safvat and determine whether you should remove or replace them.