What Is Breast Implant Removal?
Breast implant removal, also known as explant surgery, refers to the surgical removal of breast implants. In some cases, only the implant is removed, while in others, surrounding scar tissue (the capsule) may also be partially or fully removed.
The capsule is a natural layer of scar tissue that forms around any implant placed in the body. Sometimes this capsule can tighten or harden, leading to discomfort or distortion of the breast.
In specific circumstances, such as when breast implant – associated anaplastic large cell lymphoma (BIA-ALCL) is confirmed or strongly suspected, an en bloc capsulectomy may be recommended. This involves removing the implant and capsule together in one piece. It is important to understand that en bloc removal is not required in every case and is generally reserved for situations where cancer or other serious pathology is suspected.
Each operation is carefully tailored, with the surgical plan depending on the individual’s medical history, current symptoms, and goals.
Why Patients in Newcastle Consider Breast Implant Removal
Patients in Newcastle and the Hunter region seek advice about breast implant removal for a range of reasons.
Some of the most common include:
- Device-related concerns – such as implant rupture, deflation, capsular contracture, or implant malposition. These issues may cause discomfort or visible changes in the breast.
- Personal preference – some patients no longer wish to maintain implants long-term or prefer not to undergo future surgeries for replacement.
- Medical reasons – including confirmed or suspected complications, or rare conditions associated with breast implants.
One important consideration is breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), a rare type of immune system cancer that has been linked primarily with textured breast implants. It may present years after surgery with symptoms such as swelling, fluid accumulation, or breast asymmetry. Although uncommon, this condition highlights the importance of regular follow-up and prompt assessment of any breast changes.
Other rare conditions under ongoing study include different forms of lymphoma and very rare cases of squamous cell carcinoma within the capsule. Australian health regulators continue to monitor and update guidance in this area.
Ultimately, the reasons for implant removal are highly individual. Dr. Yezdi Mistry supports patients in Newcastle by providing the information and clinical guidance they need to make a decision that feels right for their circumstances.
Dr. Yezdi Mistry’s Approach to Breast Implant Removal in Newcastle
As a Specialist Plastic and Reconstructive Surgeon with FRACS (Plastic Surgery) accreditation, Dr Yezdi Mistry applies his comprehensive surgical training and experience in his Newcastle-based practice. After completing specialist training in Plastic and Reconstructive Surgery and obtaining his FRACS qualification in 2013, Dr Mistry relocated to Newcastle in 2015, where he continues to work in both public and private practice.
At his Charlestown clinic, Dr. Mistry provides individualised care for patients considering breast implant removal. His approach includes:
- A detailed consultation where he listens carefully to the patient’s concerns and goals.
- A full review of medical history, including the type of implants and any previous breast surgeries.
- A physical examination, and when appropriate, imaging tests such as ultrasound or MRI to assess the implants and surrounding tissues.
- A discussion of the surgical options available, including removal alone, removal with partial or total capsulectomy, or removal with replacement.
Dr. Mistry believes that open, honest discussion is central to patient-centred care. He provides clear explanations about potential risks and outcomes, ensuring patients feel informed and supported at every stage.
Who May Be Suitable for Breast Implant Removal
Suitability for breast implant removal varies depending on each person’s circumstances.
Patients who may consider the procedure include those experiencing:
- Implant rupture or deflation.
- Capsular contracture causing pain or distortion.
- Concerns about implant position, symmetry, or changes in appearance.
- A preference not to maintain implants long-term.
- Medical advice to remove implants due to complications or pathology.
Overall health, lifestyle, and individual goals all play a role in determining suitability. For patients in Newcastle, a consultation with Dr. Yezdi Mistry allows for a thorough discussion of whether breast implant removal is appropriate and what outcomes may be realistic.
The Procedure – Step by Step Explanation
Breast implant removal is performed in a hospital or accredited surgical facility, with anaesthesia administered by a qualified anaesthetist.
The process usually includes:
- Pre-operative planning – Dr. Mistry reviews medical information, explains surgical options, and prepares a plan tailored to the individual.
- Anaesthesia – administered to ensure patient comfort during surgery.
- Incisions – often made through the same scars as previous implant surgery, when possible.
- Implant removal – the implants are carefully removed.
- Capsule management – depending on findings, the capsule may be left alone or partially or fully removed. In cases of suspected implant-associated lymphoma, en bloc removal is considered and tissue is sent for pathology.
- Closure – incisions are closed with fine sutures and dressings are applied.
The length of surgery and specific techniques used will vary based on the complexity of the case.
Recovery and Healing Expectations
Recovery after breast implant removal varies between individuals.
Immediately after surgery, patients are monitored as they wake from anaesthesia. Some may return home the same day, while others may stay overnight depending on the procedure and their individual needs.
In the first few days, swelling, bruising, and discomfort are expected. These gradually improve over time. Dr. Mistry provides guidance on wound care, activity restrictions, and follow-up appointments.
Most patients can return to light daily activities within a couple of weeks, but full recovery and return to strenuous activity may take longer. Healing times depend on the individual, the complexity of surgery, and whether capsulectomy was performed.
Follow-up care in Dr. Mistry’s Newcastle clinic ensures that healing is progressing as expected and that any concerns are addressed promptly.
Risks and Considerations
All surgery carries some risks, and breast implant removal is no exception.
General surgical risks include bleeding, infection, and delayed wound healing. Anaesthetic risks are also present, though modern anaesthesia is highly monitored and carefully managed.
Specific risks related to implant removal may include:
- Changes in breast shape or volume after removal.
- Altered nipple or skin sensation.
- Asymmetry between breasts.
- Seroma, or fluid collection, around the surgical site.
- The possibility of requiring further surgery in the future.
There are also rare but important risks linked to implants themselves, such as BIA-ALCL. For this reason, removed capsules may sometimes be sent for pathology to provide further reassurance and information.
During the consultation process, Dr. Yezdi Mistry discusses all relevant risks to ensure patients in Newcastle can make fully informed decisions.
Why Choose a Specialist Plastic & Reconstructive Surgeon in Newcastle
Breast implant removal is a complex procedure that benefits from specialist training and experience. Choosing a Specialist Plastic & Reconstructive Surgeon such as Dr. Yezdi Mistry in Newcastle means that patients are receiving care from a surgeon who has undergone rigorous training and is accredited by the Royal Australasian College of Surgeons.
Dr. Mistry is a member of leading professional organisations including the Australian Society of Plastic Surgeons (ASPS), the Australian Society of Aesthetic Plastic Surgeons (ASAPS), and the International Society of Aesthetic Plastic Surgeons (ISAPS).
By consulting with Dr. Mistry in Charlestown, patients across Newcastle and the Hunter region can access experienced surgical care and ongoing support before, during, and after breast implant removal.
Call to Action
If you are considering breast implant removal in Newcastle, arranging a consultation with Dr. Yezdi Mistry, Specialist Plastic & Reconstructive Surgeon, is the appropriate next step. At his Charlestown clinic, Dr. Mistry provides individualised advice, clear explanations, and professional care tailored to your needs.
Contact the clinic to book your consultation and begin the conversation about your options.
