Breast implant removal, also known as explant surgery, is a surgical procedure in which breast implants—whether silicone or saline—are carefully removed from the breast pocket. For some women, this is a relatively simple procedure that can be done using the same incisions as the original augmentation, minimizing new scarring. However, in more complex cases—such as implant rupture or capsular contracture—additional surgical expertise is required to ensure safe and effective results.

Whether due to physical discomfort, cosmetic changes, or health concerns, more and more women are choosing to explore implant removal as a way to feel more aligned with their bodies. Below, we explore the most common reasons for explant surgery and what you can expect during the process.

Women opt to have their implants removed for a variety of reasons:

1. Aging or Outdated Implants

Breast implants aren’t lifetime devices. Although they don’t have an official expiration date, most have a recommended lifespan of 10 to 20 years. Over time, the integrity of the implant shell can degrade, increasing the risk of complications such as rupture or capsular contracture. Even in the absence of symptoms, many surgeons recommend reassessing your implants around the 10-year mark. At this point, removal—or replacement—can be considered as a proactive step to maintain long-term breast health.

2. Changes in Appearance or Aesthetic Goals

As bodies change due to age, pregnancy, breastfeeding, or weight fluctuations, implants that once felt “just right” may no longer match your goals or lifestyle. Some women begin to feel their implants look too large, unnatural, or are no longer reflective of their personal image. If your current breast size or shape makes you feel self-conscious, explant surgery may offer a path toward a more natural silhouette. Dr. Barrett works closely with patients to determine whether a breast lift, fat transfer, or even smaller implants might be part of the solution.

3. Pain, Discomfort, or Physical Strain

If your implants are causing persistent soreness, tightness, or back and neck strain, your body may be telling you it’s time for a change. In some cases, implants may be too large for a patient’s frame or may shift over time, causing discomfort. Others may experience pain due to hardened scar tissue around the implant. Dr. Barrett carefully evaluates each patient’s symptoms and anatomy to identify whether implant removal—or downsizing—is the best course of action. Fat transfer may also be used to restore shape naturally after removal.

4. Capsular Contracture

Capsular contracture occurs when the scar tissue that naturally forms around the implant begins to harden, contract, or distort, leading to physical discomfort or an unnatural appearance. While some level of capsule formation is expected and even helpful in keeping the implant in place, excessive tightening can be painful and disfiguring. The only effective treatment is surgical removal of both the implant and the scar tissue—often through a procedure known as total capsulectomy or en bloc capsulectomy when appropriate.

5. Implant Rupture

Ruptures can occur in both saline and silicone implants. With saline implants, a rupture is typically obvious—the breast will visibly deflate as the saline is safely absorbed by the body. In contrast, silicone ruptures may go unnoticed and are often called “silent ruptures.” These require MRI or ultrasound imaging for detection. If left untreated, silicone can migrate outside the implant shell, potentially leading to discomfort or inflammation. Prompt removal is recommended when a rupture is confirmed.

6. Visible Rippling or Palpability

Women with thin tissue coverage or who have experienced significant weight loss may start to notice visible rippling or feel the texture of the implant under the skin. This can be both aesthetically and physically bothersome. If subtle weight gain doesn’t improve the issue, Dr. Barrett can explore solutions such as repositioning the implant, switching implant types, or removing the implants entirely and restoring natural volume through fat grafting or skin tightening procedures.

7. Autoimmune Symptoms and Breast Implant Illness (BII)

Some women report experiencing a broad range of symptoms following breast augmentation—including chronic fatigue, joint pain, hair loss, brain fog, and digestive issues—a condition often referred to as Breast Implant Illness (BII). While research on BII is still evolving, anecdotal reports continue to rise. These symptoms appear more frequently in individuals with pre-existing autoimmune conditions or a family history of such diseases. In these cases, Dr. Barrett may recommend an en bloc capsulectomy, removing both the implant and its surrounding capsule intact to reduce potential inflammation or silicone leakage.

What to Expect from Your Explant Surgery:

Explant surgery is not one-size-fits-all. The approach depends on your individual anatomy, the condition of your implants, and your desired outcomes. For some, this may mean simple implant removal, while others may benefit from additional procedures like a breast lift, fat transfer, or scar tissue removal.

Regardless of the approach, it’s essential to choose a board-certified plastic surgeon with deep experience in breast surgery and explantation. A skilled surgeon like Dr. Barrett combines surgical precision with an artistic eye, ensuring results that are not only safe—but beautiful and aligned with your goals.

Is Breast Implant Removal Right for You?

Whether you’re facing discomfort, cosmetic concerns, or health-related issues, explant surgery may offer a renewed sense of confidence and physical well-being. At Barrett Plastic Surgery, our team is here to help guide you through the process with empathy, expertise, and a clear plan tailored just for you.

Curious about your options?

Schedule a consultation today and take the next step toward feeling more at home in your body.