Breast Implant Removal: What to Expect Before, During, and After

As interest in breast implant removal grows, many patients want straightforward information about both the procedure and the recovery.

It’s natural to ask, “What do breasts look like after implant removal?” The answer depends on your anatomy, implant type, and how your body has changed over time.

Dr. Cassileth provides detailed consultations so you can make informed choices about breast implant removal and the likely appearance and feel of your breasts afterward.

Why Women Choose Breast Implant Removal

Health is a common motivation for breast implant removal.

Issues such as capsular contracture or Breast Implant Illness, which may present as fatigue or joint pain, lead many to explant surgery. The National Library of Medicine reports that 96% of women feel partial or full symptom relief after implant removal with capsulectomy.

Lifestyle changes, such as pregnancy or weight loss, can shift preferences toward a more natural look.

Implants may also rupture or wrinkle with age, requiring removal.

Cultural shifts, influenced by public figures like Camille Grammer, have made explant surgery more accepted and accessible in Beverly Hills.

Breast Implant Removal: What to Expect Before the Procedure

Consultation and Evaluation

The initial consultation is an essential part of the breast implant removal process.

Dr. Cassileth reviews medical history, previous surgeries, and the reasons for seeking explanation. A thorough examination of the implants and natural breast tissue helps identify concerns such as capsular contracture or shape changes.

Imaging, such as ultrasound or MRI, may be recommended for detailed surgical planning.

During this visit, patients are encouraged to discuss their goals, recovery expectations, and available options.

Choosing the Right Procedure

Several approaches exist for breast implant removal. Dr. Cassileth may remove only the implants or perform a capsulectomy to address surrounding scar tissue.

In cases of implant rupture or thickened capsules, an en bloc capsulectomy, removing the implant and capsule together, may be recommended. Post-removal options include breast lift or fat grafting for enhanced contour, or implant replacement if preferred.

The surgical plan is customized to address your individual needs and goals.

Preparing Physically and Mentally

Preoperative preparation is a key part of the breast implant removal process.

Dr. Cassileth provides clear instructions regarding fasting, medication adjustments, and essential postoperative care.

Emotional responses are common as surgery approaches; support from family, friends, or caregivers can help reduce anxiety. Open communication with support networks and preparing a restful home environment can ease the transition.

It is important to approach recovery gradually, allowing sufficient time for healing.

What Happens During Breast Implant Removal Surgery

The Surgery Step-by-Step

On surgery day, anesthesia is used for a safe and comfortable experience. Incisions are planned to follow natural contours or existing scars whenever possible, reducing their appearance after healing.

Implants are gently removed, and if there is significant scar tissue or rupture, capsule removal is also completed. Additional options, such as a breast lift for reshaping or fat transfer to add natural volume, may be included.

Each procedure is individually tailored, balancing surgical precision with the patient’s aesthetic goals.

For more details, see our Breast Implant Removal page.

Duration and Immediate Post-Op Experience

Most breast implant removal procedures last one or two hours, depending on complexity.

Following surgery, patients recover in a supervised setting where nurses attend to comfort and safety. It is common to experience grogginess or mild soreness as anesthesia wears off.

Comfort measures, such as warm blankets and snacks, are available.

Dr. Cassileth meets with each patient before discharge to review post-operative care and answer questions. Most patients are discharged the same day, supported by a companion for the journey home.

Recovery After Breast Implant Removal: What You Should Know

First Few Days Post-Surgery

The early recovery period after breast implant removal emphasizes rest and gradual return to daily activities. Typical experiences include:

• Pain and Swelling: Some level of pain and swelling is expected. A surgical bra or bandage offers necessary support.
• Mobility and Self-Care: Gentle movement is encouraged, but limit activity to short walks and avoid heavy lifting or stretching.
• Sleeping Positions: Use pillows to maintain a back-sleeping position; avoid side or stomach sleeping until advised.
• Daily Routines: Allow extra time for self-care tasks, and seek help as needed.

With each day, gradual improvements in comfort and function are typical.

Weeks 2–6: Healing & Adjustments

During the post-operative weeks, expect ongoing improvement and return to routine activities:

• Physical Healing: Reduction in swelling and discomfort is common. Incisions may remain sensitive or itchy during the healing process.
• Work and Exercise: Many individuals can return to office work after two weeks. Light physical activity is generally permitted by week four, progressing to full exercise by week six with medical clearance.
• Scar Care and Follow-Ups: Proper scar care is essential. Follow Dr. Cassileth’s instructions and attend scheduled appointments for optimal recovery.

Each week fosters increased comfort and function.

Emotional Adjustment

Emotional adjustment is a natural aspect of recovery following breast implant removal.

Patients may experience a range of feelings, from relief and increased comfort to periods of self-doubt or concern about appearance. These reactions are normal and may fluctuate throughout recovery.

Allowing time for both physical and emotional healing is important.

Support from friends, family, or others who have undergone similar procedures can provide reassurance.

Professional support, such as journaling or speaking with a counselor, may also be beneficial.

Breast Implant Removal Before and After: What Results to Expect

The question, “what do breasts look like after implant removal”, is an important part of planning. Each patient’s results are unique, influenced by natural anatomy and the use of optional procedures like lifting.

Clear information about these factors supports a positive and realistic outlook for the final outcome.

What Do Breasts Look Like After Implant Removal?

No two outcomes are identical. After removal, the breasts usually appear smaller and may feel softer than before. Upper pole fullness typically decreases.

Skin that retains good elasticity can reshape well, giving a smoother profile. In contrast, skin with less elasticity may settle with gentle sagging or extra folds.

For those wanting a firmer look, a breast lift can be performed simultaneously.

If a lift isn’t selected, breasts will assume their natural contour, following the body’s underlying structure. Comprehensive consultation covers each possibility, ensuring realistic expectations.

Realistic Outcomes & Examples

Following breast implant removal, breasts generally transition to a softer and more natural contour.

Initial changes may seem significant, but it is normal for swelling and asymmetry to resolve gradually. True results often become apparent after several weeks. Viewing breast implant removal before and after photos can provide a realistic perspective on healing and potential outcomes.

Regular follow-up appointments offer an opportunity to discuss any concerns and monitor progress throughout recovery.

Is Breast Implant Removal Right for You?

The decision to pursue breast implant removal is personal and may be influenced by several factors. Consider the following signs:

• Ongoing pain or persistent discomfort
• Capsular contracture, noticeable rippling, or implant movement
• Symptoms consistent with Breast Implant Illness
• Desire for a change in breast shape or lifestyle
• Concern about the age of implants or risk of rupture

Clarifying your priorities can help guide the process. During consultation, key questions may include:

• What surgical and recovery options are available?
• What are the likely results of breast implant removal in my specific case?
• Are there non-surgical alternatives worth exploring?

A thorough discussion with your surgeon helps ensure your decision aligns with your goals.

Common Myths About Breast Implant Removal

It’s normal to have questions or concerns during the decision-making process.

The abundance of conflicting information about breast implant removal can be overwhelming. Addressing common misconceptions can provide greater clarity and reassurance:

What Feels Right for Your Next Chapter?

After reviewing information, considering myths, and seeking guidance, making a decision about breast implant removal becomes a personal process. Reflect on the following questions:

• What do you hope to achieve with this procedure?
• What type of support will be most helpful during your recovery?
• Have you chosen a medical team that prioritizes clear communication and patient care?

Take time to gather information, ask questions, and choose the care that aligns with your needs.

FAQs

How do I know if breast implant removal is right for me?

Breast implant removal may be appropriate if you have discomfort, health concerns, or simply want a change. A thorough consultation helps assess your needs and set realistic expectations.

What do breasts look like after implant removal?

After breast implant removal, breasts are usually smaller and softer, with some sagging or volume loss. Skin elasticity and whether a lift is performed will affect the final result. Viewing breast implant removal before and after photos can provide perspective

How long does it take to see results after breast implant removal?

Swelling and bruising are normal at first. Most results become visible within a few weeks, but it can take several months for your breasts to fully settle.

Are there ways to improve the look of my breasts after implant removal?

Yes. Options like a breast lift or fat grafting can restore shape or fullness. Your surgeon will advise what fits your goals.

Where can I see breast implant removal before and after photos?

Most board-certified surgeons, including Dr. Cassileth, share breast implant removal before and after photos online. These images can help you understand what breasts look like after implant removal.