Before the intervention, the patient arranges with the surgeon on whether she asks for the same implant size or has a different idea about the volume of her breasts. Immediately before the operation, the surgeon provides a photo documentation, creates a sketch of the intended surgery on the skin and answers any patient’s questions.
Occasionally it is appropriate to combine the replacement with breast modelling or other interventions (removal of capsule, capsulotomy, breast correction with fat transfer, etc.). The intervention is performed under general anaesthesia and takes approximately between half an hour to 2 hours depending on the type of treatment. The surgeon first extracts the original implant and cleans thoroughly its cavity in case of its rupture. According to the diagnose, capsulotomy or capsuloectomy (removal of capsule) is performed, or also breast modelling, correction of asymmetry, transfer of implants into a new cavity under the gland or beneath the muscle, or the implants are inserted into the same location. When the implant has been inserted, the wound is closed again in order to minimize any scars.
In certain cases, the breast implant only needs to be removed. This is a relatively unexacting intervention sometimes associated with breast modelling. An implant removal usually requires no more than 30 minutes and is performed under general anaesthesia. The intervention causes minimum pain, in case of need it is feasible with common analgesics.
The resulting appearance of breasts after the removal of implant depends on a number of factors. In particular, they include implant size, implant location and skin elasticity. When large implants are removed, a rather unaesthetic result may be produced. This is why the surgeon usually combines such removal with breast modelling, after which the breasts are firmer and lifted.