Breast Implant Removal and Replacement FAQs

When considering Breast Implant Removal, Replacement, or Revision surgery many patients have questions about what the process involves and what to expect. This blog answers some frequently asked questions to provide clear and general information about these procedures.

It’s important to remember that the information provided here is for educational purposes only and should not be taken as medical advice. Individual recommendations and suitability for surgery can only be assessed during a consultation with a qualified Specialist Plastic Surgeon, like Dr Gary Kode.

Breast Implant Removal and Replacement Surgery – General FAQs

How do I know when my breast implants need replacing?

Individuals that have had a Breast Augmentation with Implants know that they do not last forever. There are several reasons that implants may need to be replaced including; 

• Changes in appearance: Changes in the size or shape of your breasts, visible rippling or wrinkling of the implant, or unevenness. 
• Pain or discomfort: Pain, tenderness, or discomfort in the breast or armpit.
• Changes in feel: If you notice hardening of the tissue around the implant (capsular contracture) or lumps.
• Implant rupture: A decrease in breast size, hard lumps, or tingling can signal a ruptured implant, especially silicone implants.
• Lifestyle changes or personal preference: A desire to change the size or shape of your implants.

How many times can you replace breast implants?

There is no specific limit to the number of times breast implants can be replaced. As they are not permanent devices they will need to be removed or replaced eventually due to either implant rupture, capsular contracture or personal preference and lifestyle changes. 

How long do Breast Implants last? 

The estimated lifespan of implants is approximately 10 – 15 years, however, this is just an estimate. You should attend regular check-ups with your surgeon to monitor their condition and determine if implant replacement is needed.  

There are several factors that can affect implant longevity, including; 

• Individual Health: Your body’s response to the implant influences it’s lifespan. 
• Implant Type: Newer implants are often more durable, but all implants have a finite life. 
• Implant Placement: The position of your implants can influence how long they last. Implants placed below the muscle are subject to constant pressure and movement from the chest muscles, which can affect their longevity compared to implants placed above the muscle.
• Lifestyle Factors: Pregnancy, weight changes and ageing can all affect how long implants last.
• Complications: Problems such as implant rupture or capsular contracture (thick scar tissue forming around the implant) can necessitate removal or replacement. 

Can implants be removed and replaced at the same time?

Yes, breast implants can be removed and replaced during the same surgical procedure. This is known as breast implant revision surgery or Implant Removal and Replacement. It may be a suitable option for patients who wish to update or change their implants.

During the procedure, the old implants (and sometimes the surrounding capsule of scar tissue) are removed and new implants are inserted. The replacement implants may differ in size, shape, or type of filling, depending on your goals and what is medically appropriate. These details will be discussed during your consultation with your plastic surgeon.

Can I get my implants removed and not replaced?

Yes, breast implants can be removed without replacement. This procedure is known as breast explant surgery. In some cases, it may be performed with additional procedures such as a Breast Lift (Mastopexy) or Fat Transfer to help address changes in breast shape and volume. The final outcome will depend on factors such as skin elasticity, the amount of breast tissue and the presence of any scar tissue (capsule) around the implant.

Is a Breast Lift part of Breast Implant Removal?

No, a Breast Lift (Mastopexy) is not necessarily part of Breast Implant Removal Surgery although it may be performed to address the present of excess skin that has stretched overtime due to the presence of breast implants.

The decision to undergo a Breast Lift depends on the individuals anatomy, skin and tissue quality and personal desires. This will be discussed during your consultation with your plastic surgeon.   

Can breast implants make you sick? 

Some people report a range of symptoms they attribute to their breast implants. This is often referred to as Breast Implant Illness (BII). Symptoms may include fatigue, joint or muscle pain, “brain fog,” and skin or hair changes. While BII is not a technically recognised medical diagnosis research is ongoing to understand the link between implants and these symptoms.

Another condition to be aware of is Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), which is a rare cancer of the immune system that has been linked to textured breast implants.

If you have concerns about your implants or are experiencing unexplained symptoms, it’s important to discuss them with your plastic surgeon. 

Do breast implants expire?

Breast implants do not technically have an expiry date, however, they do not last a lifetime. Implants may deteriorate or develop complications over time that require revision surgery. On average, implants may last approximately 10 to 15 years, though this is only an estimate. Some people may need revision sooner, while others are able to keep their implants for longer without issues. Regular follow-up with your surgeon is important to monitor implant condition.

Breast Implant Removal and Replacement Surgery – Procedure FAQs

How long does Breast Implant Removal and Replacement surgery take?

Breast Implant Removal and Replacement surgery can take anywhere from 1 to 3 hours depending on the complexities of the procedure, the technique used, whether just the implant or the surrounding capsule are being removed and if other procedures are being performed at the same time. 

What happens if I get my breast implants removed?

If you opt to have your breast implants removed (explant surgery) and not replaced, the appearance and feel of your breasts will change. 

The size of the implants, how long they were in place, your skin elasticity, the amount of breast tissue and scar tissue (capsule) that has formed will all impact the appearance of your breast after implant removal.

Some people may find that their breasts appear flatter, emptier, or sit lower on the chest after implant removal. Additional procedures such as a Breast Lift (Mastopexy) or Fat Transfer may be discussed to help support the shape of the breast following removal.

It’s important to talk with your surgeon during consultation about your specific circumstances and what changes you may expect after implant removal.

Can I replace my implants with smaller/bigger ones?

Yes, you can change the size of your implants for either larger or smaller implants during implant removal and replacement surgery/Implant revision. 

During your consultation, your surgeon will discuss your goals, examine your breast tissue, skin elasticity and chest anatomy to determine the appropriate implant size and type for your desired outcome.

What happens to your body when you remove an implant?

Several things can happen when you remove breast implants; 

• Changes in Breast Shape and Volume: The breast will likely appear smaller and deflated. Skin that has been stretched by the implant may not retract, which can result in excess breast tissue. Breasts may also appear asymmetrical if they have responded differently to the implants over time. The overall appearance is also influenced by the proportion of breast tissue compared to the implant size. For example, patients with smaller implants and a larger amount of breast tissue may notice only slight changes, whereas those with larger implants and less breast tissue are more likely to experience a more significant change in breast shape.
• Changes in Sensation: Numbness or altered sensation in the nipples or breast tissue may occur temporarily or, in some cases, permanently. Sensation usually changes over time, but the degree of recovery varies between individuals.
• Changes in the Implant Pocket: The capsule (scar tissue surrounding the implant) may change size after removal or be surgically addressed by the surgeon to alter the breasts shape. 
• Other Adjustments: Some patients notice a change in posture or clothing fit due to the reduced breast volume.

Your surgeon will discuss what changes to expect based on your individual anatomy, the size of your previous implants and any additional procedures you may have at the time of implant removal.

What happens to the pocket after Breast Implant Removal?

The “pocket” refers to the space where the implant sits. After implant removal, this pocket may gradually shrink and change shape. This depends on factors such as the size of the implant, how long it was in place, the condition of your skin and the amount of breast tissue you have.

In some circumstances, the pocket may remain stretched or irregular. To address this, your surgeon may tighten or adjust the pocket during surgery, particularly if new implants are being placed. 

If implants are not being replaced, procedures like a Breast Lift may be considered to help support the breast tissue and manage changes in breast shape.

What are the Risks of Breast Implant revision surgery?

All surgical procedures carry risks, and breast implant revision surgery is no exception. Risks include:

• Infection
• Bleeding or haematoma
• Poor Scarring
• Changes in sensation
• Asymmetry
• Capsular contracture
• Implant rupture or leakage
• Fluid accumulation (seroma)
• Delayed wound healing
• Need for further surgery

Your individual risk profile will depend on factors such as your health, surgical history, type of implants and whether the surgery involves removal, replacement, or both. For more information please visit our Risks and Complications of Plastic Surgery Page.

Breast Implant Removal and Replacement Surgery – Recovery FAQs

How long is the recovery period after Breast Implant Removal and Replacement?

The recovery period after Breast Implant Removal and Replacement varies depending on the complexity of the procedure and individual healing. The following is what patients can generally expect during the recovery period:

• Initial Recovery (First Week): Patients will experience swelling, bruising and discomfort. Most people can perform light activities but should avoid strenuous movements and lifting heavy objects.
• Moderate Recovery (Weeks 2–4): Swelling and bruising typically begin to lessen. Many patients are able to return to desk-based work or non-strenuous daily activities. You may still need to use support garments to aid healing and maintain breast shape.
• Full Recovery (4–6 Weeks and Beyond): Most swelling has dissipated by this stage. Patients can gradually resume exercise or more physically demanding activities. Final results will continue to settle over several months.
  

Your surgeon will provide tailored guidance on activity restrictions, support garments and follow-up appointments to monitor healing.

Are drains required after implant removal?

Drains are not always used after Breast Implant Removal and Replacement surgery. Whether your surgeon uses them or not depends on factors such as the surgical technique, the size of the implant pocket and the amount of fluid expected to accumulate.

If drains are used, they are typically temporary and removed after a few days. If no drains are placed, your surgeon may recommend wearing a support garment to help manage swelling and support healing.

Your surgeon will determine the need for drains during your procedure and provide instructions on care if they are used.

How long do I have to sleep on my back after Breast Surgery?

It is generally recommended to sleep on your back for at least 2–4 weeks. Sleeping on your back can help reduce pressure on the breasts, support healing and help maintain the shape of the breast tissue and implant pocket.

Some patients may need to extend this period, depending on their surgeon’s advice and their individual healing progress. Using extra pillows to elevate the upper body slightly can also help reduce swelling and discomfort during the early recovery.

When can I shower after implant removal?

Individuals can usually shower after drains (if used) have been removed. This typically occurs within a few days depending on your surgeon’s instructions. Patients should make sure that only warm water is used and they should avoid scrubbing near or around the incision sites and pat the area dry afterward. 

If your surgeon has applied a Hypafix or other adhesive dressing, follow their instructions on when and how to remove it or keep it protected during showering.

Always follow the specific guidance provided by your surgeon, as timing may vary depending on the type of surgery, individual healing and whether drains were used.

What not to do after Breast Implant Removal and Replacement?

There are several things patients are advised to avoid after surgery to support healing and reduce the risk of complications, including:

• Avoid heavy lifting or strenuous exercise for at least 3–4 weeks
• Avoid pressure on the chest. Do not sleep on your stomach or side as this will put pressure on your breasts.
• Avoid manipulating the incision sites: Do not scratch, rub, or pick at your incisions or sutures.
• Avoid tight or restrictive clothing. Do not wear bras, tops, or garments that apply excessive pressure.
• Avoid alcohol and smoking: Smoking or drinking alcohol can slow healing and increase risk of complications.
• Eat a balanced, nutritious diet to provide your body with the vitamins, minerals and protein needed for wound healing, tissue repair, and maintaining your energy levels. It also supports your immune system, which plays a role in reducing the risk of infection.
• Stay hydrated. Adequate fluid intake helps circulation, assists with flushing out medications and anaesthetic from your system and reduces the chance of constipation, which can sometimes occur after surgery or when taking pain medication.

Always follow the personalised instructions provided by your plastic surgeon. Recommendations may vary depending on the specifics of the procedure.

Breast Implant Removal and Replacement Surgery – Appearance and Long Term Result FAQs

How long does it take for skin to retract after Breast Implant removal?

The time it takes for skin to retract after breast implant removal varies significantly depending on;

• The size of the implants removed
• The age of the patient and their skin health
• How long they had the implants
• The patients skin elasticity and the amount of breast tissue they have
• Whether a Breast Lift (Mastopexy) is performed.

Most patients notice changes in the breast shape within the first few weeks after surgery as swelling subsides. The skin gradually tightens over several months although residual laxity may remain. It can take up to a year or more for the breasts and surrounding skin to settle into their final position and appearance.

In cases where significant skin laxity remains, a Breast Lift may be recommended. Individual results vary. A plastic surgeon can provide a more personalised estimate based on your anatomy and surgical plan.

What do breasts look like after having implants removed?

The appearance of breasts after implant removal can vary significantly and depends on several factors. One of the key considerations to consider is the proportion of breast tissue compared to the size of the implants. Patients with smaller implants and more breast tissue may notice only slight changes to breast shape and volume. Whereas, those with larger implants and less breast tissue are more likely to experience significant change in breast shape and volume.

In most cases, breasts appear smaller, flatter, and less full once implants are removed. Excess skin may also be present, particularly if the implants were large or had been in place for many years, which may have stretched the skin. Asymmetry, which can sometimes be masked by implants, may also become more noticeable following removal.

In some cases, a Breast Lift (Mastopexy) or Fat Grafting can be performed at the same time as implant removal to address changes in shape and volume. 

Individual outcomes vary and a consultation with a plastic surgeon like Dr Gary Kode can provide guidance on what to expect based on your anatomy and the size of implants being removed.

Breast Implant Removal and Replacement Surgery – Costs and Medicare FAQs

How much does breast implant revision cost in Australia?

The cost of Breast Implant Revision surgery (Removal and Replacement surgery) in Australia varies based on factors such as the complexity of the procedure, the brand of implants used, the type of implant (size, filling, shape etc), whether it is being performed alongside other surgeries, the surgeon’s fees, the hospital fee and more. 

The only way to determine the cost of surgery is to attend a consultation with a plastic surgeon, during which they will assess your situation and tailor a quote for your specific procedure. 

Is Breast Implant Replacement covered by Medicare?

In general Medicare rebates are not available when new implants are inserted, even if there was a previous medical complication. You may be eligible for a Medicare rebate for the removal of your implants if you meet specific criteria. 

You can claim a Medicare rebate for implant removal if:

• The original implants were inserted to treat breast cancer or a developmental abnormality. 
• The removal is due to a documented medical complication such as;
  • Implant rupture
  • Migration of prosthetic material
  • Symptomatic capsular contracture. 
• There is documented evidence that removal alone would result in an unacceptable deformity.

Is Breast Implant Removal and Replacement Surgery covered by Private Health Insurance?

Private health insurance may provide some cover but this depends on the reason for surgery and your level of cover.

• If the procedure is considered medically necessary some policies may cover part of the hospital, theatre, and anaesthesia costs.
• If the surgery is for cosmetic reasons only, it is usually not covered.

You will need to check your policy details to understand what is included, whether an MBS (Medicare Benefits Schedule) item number applies, and what out-of-pocket costs may remain.

Book a Consultation

Breast Implant Removal and Replacement surgery is a personal decision that comes with many considerations. While these FAQs provide general information, they are not a substitute for professional medical advice.

Every patient’s situation is unique. In order to understand your options, risks, and expected outcomes you will need to attend a consultation with a qualified specialist plastic surgeon like Dr Gary Kode.

If you are thinking about Breast Implant Revision (Breast Implant Removal and Replacement) Surgery, consider organising an appointment with your surgeon. This will give you the opportunity to discuss your goals and receive advice tailored specifically to your needs.