Removing silicone implants?

Are you considering removing your silicone implants? There may be several reasons why you want to remove your implants.

You may have had them for a long time and want to reduce the size of your breasts, while others may experience discomfort or discomfort from the implants. 

Whatever your reason and whatever you want to do, this article is for you. We'll try to answer any questions you may have. We'll explain what your options are, the risks and what you can expect in terms of results.

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Different reasons for removing silicone implants

  1. Want a natural breast profile
    Some patients want to remove their implants because they want a more natural breast profile.
  2. Implant wear and tear
    Silicone implants may require replacement or removal over time.
  3. Health reasons
    In some cases, capsular contracture, silicone leakage or other complications may occur that make it necessary to remove the breast prosthesis.

Remove or exchange? Here are your options

There are several options for those who want to remove their implants.

1. Removing silicone implants - Explant prosthesis

The silicone prosthesis is usually removed through the original scar. The surgeon will need
usually do not expand the scar as long as the breast with the prosthesis is "normal" and patients
do not have any complaints.

2. Removing silicone implants with capsule or silicone leakage

Capsular contracture, also known as "hard capsule", or silicone leakage requires more surgical effort. Capsular contracture is characterized by the breast becoming hard due to the body's reaction to the prosthesis.

In the case of capsular contracture, the breast implant itself is removed and either the entire capsule or the part of the capsule that is affected.

In the event of silicone leakage, silicone removal is performed by removing the remains of the implant together with the free silicone in the prosthetic cavity. During the operation, a decision is made as to whether anything needs to be done with any capsule.

Again, the surgeon uses the old scars, but sometimes the scars need to be widened slightly to gain access and do what is necessary.

3. Replacing silicone implants

It is usually possible to replace the implant at the same time as the old one is removed. This also applies to those being treated for capsular contracture or silicone leakage.

There is then the possibility to customize the size of the silicone implant and to some extent its placement.

4. Removing silicone implants and simultaneous breast augmentation with your own fat

Breast enlargement with your own fat is an operation that is being performed more and more often, especially in connection with the removal of breast implants.

The benefits of this operation include the following:

  • Silicone implants are removed
  • The breast is filled with natural, own tissue
    • The loss of volume due to the removal of the implant is reduced as the breast tissue is filled with its own tissue.
  • The tissue used to shape the breast is taken from areas of the body where it is desirable to remove fat. Typical areas are "problem areas" that do not respond to exercise and diet.

There are limits to how much volume you can achieve with this method, but it's a good option for those who want a little more fullness in their breasts after
the prostheses are removed.

5. Removing silicone implants and simultaneous breast lift

Breast lift at the same time as the removal of prostheses is an option for those who have developed sagging during the time they have had prostheses. A breast lift can also be combined with fat grafting to the breast.

6. Other alternatives

There are further options, such as "En bloc" removal of implants
and capsule. "En bloc" removal of encapsulated prosthesis has been a topic at congresses and in
literature in recent years, but is performed to a lesser extent as no obvious benefits have been seen with the en bloc method. En bloc removal requires a
larger scars than with regular implant and capsule removal.

How to get your implants removed

Book an appointment for a consultation

If you are considering removing your silicone prostheses, get in touch with us at Klinikk A for a no-obligation consultation. If you live far away, we can arrange a video consultation.
During the consultation, we create an individual treatment plan and thorough information
about what the treatment entails.

The operation takes place in Oslo

The operation takes place in Klinikk A's delicate premises in Oslo. There is easy access by car and public transport.

The procedure itself

Anesthesia

Removal of breast implants takes place under general anesthesia.

Duration of the operation

The duration of the operation varies depending on the treatment in question. It can vary from 30 minutes to 3 hours and is clarified during the consultation prior to surgery.

The procedure itself

The surgeon removes the implant and otherwise does what has been agreed in advance.
Drains are rarely installed, but occasionally they may be necessary.

Here you can read a general article about the time before, during and after surgery. 

Waking up after surgery

You'll wake up in our post-operative ward, where our staff will take care of you.

Follow-up

The first check-up is usually after 7-14 days, the next check-up is usually after 3-6 days.
months. The check-ups are included in the price you pay for the surgery.

Downtime

Usually, the downtime is shorter and less demanding when dentures are removed compared to when they are inserted. Of course, this also depends on the procedure performed. We recommend planning for reduced activity and office work for 1 - 2 weeks after such an operation.

Practical and useful information

Exercise after surgery

For the first 2 - 3 weeks after surgery, you should take it easy in terms of exercise.
Only after 6 weeks can you start exercising normally, but listen to your body.

Scar

The scar is usually bandaged during surgery with a liquid plaster, tape (Micropore) and a white bandage (Mepore). The white, outer bandage is only removed when you take your first shower.
The tape on the inside of the skin is retained until the first check on Klinikk A.

Dusjing

You can usually shower 3-4 days after surgery.

Results after implant removal

When implants are removed, you can expect your breasts to return to their natural shape. During the first 3 months, the breast will adapt to the removal of the implants and take on its new shape and size. For many, this is acceptable.

If you want to change the prosthesis, lift the breast or enlarge the breast with your own fat, it will affect the result.

During a preoperative consultation, the surgeon will clarify what results you can expect.

Risks and complications

All surgeries have a risk of complications. The most common are bleeding, infection and unfavorable scarring. If new implants are inserted, a capsular contracture may develop. In general, the incidence of
complications of this type of surgery are low.

Frequently asked questions about silicone implant removal (FAQ)

How much does it cost to remove silicone?

The price of removing silicone dentures depends on which treatment is planned.
See our overview of prices to get an idea.

If there is a medical indication, you may be entitled to have silicone implants removed at a public hospital. This applies, for example, to severe capsular contracture or silicone leakage.
Replacement of prosthesis, breast lift or breast augmentation with your own fat is not covered by the public sector.

Today's prostheses are of very high quality. Both Mentor and Motiva offer a lifetime guarantee that the prostheses will not fracture in the body. The quality of prostheses has steadily improved as a result of technological developments.

Silicone implants inserted a few years ago are not of the same high quality. Some patients experience spontaneous leakage from the silicone implants after
many years. This can be clarified on ultrasound or MRI.

Silicone leakage can manifest itself in several ways. Many people describe noticing that their breasts have changed, either in shape or firmness. If you experience such changes, please contact one of our surgeons for an assessment.

Breast Implant Illness, BII, is a term for a condition where some women experience diffuse symptoms with silicone implants. Examples include fatigue, musculoskeletal pain, lack of energy and headaches. This phenomenon has been researched quite extensively, and no clear connection between silicone prostheses and such symptoms has been proven. However, some women do experience an improvement in their symptoms after removal of the prostheses.

If you have had silicone implants for 10 years, we recommend a check-up. The surgeon can then make a recommendation regarding the recommended time to remove or replace the prostheses.

Today's prostheses are of a very high quality, and we usually say that it's good to have a 15-year perspective in terms of when it might be appropriate to do something about them.
current prostheses.

In general, it is better to replace silicone implants a little early. It is easier to preserve a good result if implants are replaced before a capsule or silicone leak occurs.

Questions about removing or replacing silicone implants?
Contact Klinikk A for more information.

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