Breast implant removal is a surgical procedure that involves removing breast implants, with or without the surrounding scar tissue (capsule), to address patient-specific concerns such as implant-related complications, changes in personal preferences, or medical reasons.
The aim is to help address these concerns while supporting a natural breast appearance suited to your anatomy.
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“I focus on balance and softness, customising implant placement to complement your proportions and preserve natural movement.“
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What can a Breast Implant Removal help with?
The surgical procedure aims to:
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Remove implants and, if needed, surrounding capsule (capsulectomy)
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Address excess skin or tissue laxity from long-term implants
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Restore breast contours in line with your individual anatomy
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Support balanced breast appearance
Overall benefits:
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Resolution of implant-related issues
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Adjustment of breast contours to suit your body
- Ensure understanding of the procedure, recovery, and outcomes
- Help make an informed decision
Am I a good candidate?
Suitable candidates generally:
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Are in good overall health without active breast cancer or uncontrolled medical conditions affecting healing.
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Do not smoke or are willing to stop smoking for this procedure, as smoking can impair wound healing, increase the risk of complications such as poor scarring, and negatively affect recovery.
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Do not have medical conditions that affect blood clotting or wound healing, such as bleeding disorders, uncontrolled hypertension, poorly managed diabetes, or cardiac problems.
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Have realistic expectations about changes to breast appearance post-removal, assessed individually regardless of age.
Procedure Options
Simple Implant Removal (En Bloc or otherwise)
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Focuses on removing the implant while leaving the capsule intact if no complications are present.
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Uses incisions similar to those from original implant placement, often leading to smaller scars.
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Generally suited to patients with intact implants seeking straightforward removal with less tissue disruption.
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Can be performed as a stand-alone procedure or combined with others (for example, breast lift) if required.
Implant Removal with Capsulectomy
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Involves removing the implant along with the surrounding scar tissue (capsule), fully or partially depending on thickness and adherence.
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Addresses capsular contracture or other capsule-related issues by clearing thickened or calcified tissue.
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Provides support to breast tissue by reducing internal pressure and irritation.
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Can be tailored according to capsule condition and breast tissue characteristics.
Implant Removal with Breast Lift (Mastopexy)
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Targets excess skin and tissue laxity after implant removal, particularly if breasts have stretched over time.
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Repositions nipple and areola to suit post-removal breast contours.
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Effective for restoring breast shape without implants.
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Typically involves a longer recovery due to combined tissue adjustment.
Implant Removal with Fat Grafting
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Removes implants and uses your own fat (harvested from another area) to fill contours if volume loss is a concern.
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Particularly beneficial for addressing hollowing or deflation after removal.
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Supports natural breast fullness using autologous tissue.
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May be combined with capsulectomy if needed.
Procedure snapshot
Hospital stay: Day procedure or 1 night for observation and care
Post-operation recovery:
- Take 1-2 weeks off work to allow for initial healing
- Avoid heavy lifting and intense exercise for 4-6 weeks
- No driving for 1 week to ensure safety during recovery
- No smoking for at least 6 weeks before and after the procedure to support optimal healing
Your surgical team includes:
- Dr Vlad ILLIE, highly qualified plastic surgeon with extensive training both in Australia and internationally
- Specialist anaesthetist to ensure your comfort and safety throughout the procedure
- Accredited hospital facilities meeting the highest standards of care
Expected results:
- Removal of implants and resolution of related concerns
- Adjusted breast contours suited to your anatomy
- Scars that fade over time with proper care
Dr ILLIE is committed to delivering results that align with your anatomy while prioritising your wellbeing throughout the entire process.
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Incisions are carefully placed in the inframammary fold, around the areola, or along previous scar lines, depending on the technique and implant position.
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The surgeon accesses the implant pocket and removes the implant intact or in pieces if ruptured.
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Capsule is assessed and removed partially or fully (capsulectomy) if indicated.
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Excess skin is trimmed, and tissues are adjusted to suit post-removal contours.
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Incisions are closed with fine sutures or surgical tape to minimise scarring.
Surgical Considerations
Breast Anatomy & Ageing
The breast consists of glandular tissue, fat, and skin supported by ligaments. Implants can alter this structure over time, leading to changes that may prompt removal.
Tissue and Skin Changes
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Implants occupy space, stretching skin and potentially causing thinning or laxity.
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Long-term presence can lead to rippling, asymmetry, or palpable edges.
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Capsule formation around implants is normal but may thicken (contracture), causing firmness or pain.
Implant Complications
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Rupture (silent or evident) releases contents into the capsule or tissue.
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Biofilm or infection risks around implants.
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Displacement due to gravity, weight changes, or poor pocket support.
How These Changes Progress Over Time
Early Years Post-Implantation:
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Mild capsule formation and position settling.
5-10 Years: -
Potential for contracture, rippling, or bottoming out.
10+ Years: -
Increased risk of rupture, skin thinning, or discomfort from gravity and tissue fatigue.
Changes occur in layers, from capsule and implant integrity to skin envelope. Understanding these helps Dr ILLIE tailor treatments that address specific areas, aiming for balanced results.
Types of Incisions
The choice of incision depends on the extent of correction needed and prior scars:
Inframammary Incision:
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Placed in the breast crease for access to submuscular or subglandular implants.
Peri-Areolar Incision: -
Around the areola edge, suitable for smaller adjustments.
Axillary Incision: -
In the armpit for select cases with prior access.
Effectiveness
Breast implant removal can provide significant improvement in comfort and contours by:
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Eliminating implants and capsule issues
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Adjusting excess skin
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Restoring breast position
While the procedure does not prevent natural tissue changes, it can address implant-related concerns, resulting in contours suited to your body.
Duration and Recovery
Procedure Duration:
The surgery generally takes around 2 to 4 hours. Patients may go home the same day or stay one night for monitoring.
Recovery Timeframe:
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Allow approximately 1-2 weeks off work for initial healing.
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Avoid heavy lifting and intense exercise for at least 4-6 weeks.
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Stop smoking 6 weeks before and after to promote recovery.
Swelling and Bruising:
Swelling and bruising are common and may last 2-4 weeks, gradually reducing.
Full Recovery:
Significant improvement within the first month; full settling takes several months.
Duration of Results:
Results depend on factors including:
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Skin quality and elasticity
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Lifestyle such as weight stability
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Overall health
Dr Vlad ILLIE will discuss these during consultation to set realistic expectations.
Potential Risks and Complications
- Anaesthesia Risks: Reactions to anaesthesia are possible. Discuss your medical history beforehand.
- Bleeding and Haematoma: Accumulation of blood may require attention.
- Blood Clots: Formation near sites can pose risks.
- Infection: Possible at incisions, may need antibiotics.
- Scarring: Some prominence possible despite careful placement.
- Nerve Injury: Temporary numbness or sensation changes.
- Changes in Breast Sensation: Nipple or breast area alterations, usually temporary.
- Skin Laxity or Asymmetry: Post-removal tissue settling may vary.
Seroma: Fluid collection requiring drainage.
Safety Measures & Surgeon Expertise
Why is it important to choose a fully qualified, board-certified plastic surgeon?
Choosing a certified Specialist Plastic Surgeon (FRACS) who is a member of the Australian Society of Plastic Surgeons (ASPS) or ASAPS ensures your surgeon meets the highest professional standards. A fully qualified and AHPRA-registered surgeon has completed rigorous training and adheres to strict professional requirements. Board certification and specialised training in body contouring surgery indicate that the surgeon has the expertise to perform procedures safely and competently, thereby reducing the risk of complications.
What qualifications and training does Dr Vlad ILLIE have?
Dr ILLIE is a fully qualified plastic surgeon with specialised training in breast surgery. He is registered with AHPRA and holds relevant certifications that demonstrate his commitment to maintaining high standards of surgical care and patient safety.
How does Dr ILLIE ensure surgical safety?
- Conducts comprehensive pre-operative assessments to understand your health status and individual needs.
- Develops a personalised surgical plan tailored to your breast anatomy and goals.
- Uses refined, evidence-based surgical techniques to minimise tissue trauma and promote smoother recovery.
- Works within accredited surgical facilities that adhere to strict hygiene and safety protocols.
- Collaborates with experienced anaesthetists and nursing staff to monitor your wellbeing throughout the procedure.
What role do consultations play in safety?
Dr ILLIE prioritises thorough consultations to:
- Explain the procedure clearly, including potential risks and realistic outcomes.
- Answer all your questions to ensure you have a full understanding before proceeding.
- Discuss lifestyle factors such as smoking cessation and health optimisation to support healing.
- Set clear expectations to help you make an informed decision.
How are risks minimised during and after surgery?
- Careful patient selection and preparation, including managing any medical conditions.
- Strict adherence to infection control and surgical safety checklists.
- Post-operative monitoring and follow-up appointments to detect and manage any issues early.
- Providing detailed aftercare instructions to support recovery.
Recommendations for Patients
Maintain open and honest communication with Dr ILLIE throughout your surgical journey. It is important to provide a complete and accurate medical history, including any medications, allergies, or previous procedures. Discuss any concerns or questions you have, as well as your expectations, to ensure a clear understanding of the procedure and realistic outcomes.
Follow all preoperative instructions carefully. This may include:
- Adjusting or temporarily stopping certain medications as advised to reduce risks during surgery.
- Ceasing smoking at least six weeks before the procedure to support better healing and reduce complications.
- Maintaining a balanced diet and staying well-hydrated to prepare your body for surgery.
- Arranging for support on the day of surgery and during the initial recovery period, as you may have limited mobility.
Adhere strictly to postoperative care guidelines provided by Dr ILLIE and his team. This includes:
- Proper wound care and hygiene to prevent infection.
- Avoiding heavy lifting, strenuous exercise, and smoking for the recommended duration to promote healing.
- Taking prescribed medications as directed to manage pain and reduce inflammation.
- Attending all scheduled follow-up appointments to monitor your recovery progress.
Be vigilant for any signs of complications and contact the clinic promptly if you experience:
- Severe or persistent pain that is not relieved by medication.
- Redness, warmth, swelling, pus, or fever, which may indicate infection.
- Excessive bleeding or swelling beyond what was explained during your consultation.
- Any other unexpected symptoms or concerns regarding your recovery.
Following these recommendations carefully helps to minimise risks, supports effective healing, and contributes to achieving the best possible results from your procedure.
Combined Surgical Interventions
Breast Implant Removal + Mastopexy
Targets skin laxity post-removal for adjusted contours and nipple position.
Breast Implant Removal + Fat Grafting
Frequently Asked Questions
What is capsular contracture and why remove the capsule?
How does breast appearance change after implant removal?
What imaging is needed before breast implant removal?
When is en bloc removal recommended?
En bloc capsulectomy removes implant and capsule intact without opening the pocket first, ideal for ruptured silicone implants or thick capsules to minimise silicone spread or contamination. It requires careful dissection to avoid damaging chest wall structures—suited to specific cases based on your anatomy.
Dr Vlad ILLIE is a highly regarded specialist plastic, reconstructive and cosmetic surgeon in Sydney, with excellent results in facelift and lip lift surgery in Sydney.
How long after implant placement is removal common?
Many seek removal 10-20 years post-placement due to rupture risk (higher in older silicone types), contracture, or lifestyle changes. Timing depends on symptoms, not a fixed schedule; regular check-ups help monitor.
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Dr Vlad ILLIE is a highly regarded specialist plastic, reconstructive and cosmetic surgeon in Sydney, with excellent results in facelift and lip lift surgery in Sydney.
Will I lose breast sensation after surgery?
What preparation is required before surgery?
Dr Vlad ILLIE is one of the best facelift and lip lift plastic surgeons in Sydney.
Are there non-surgical options for implant concerns?
What follow-up is involved post-surgery?
How do I select the right surgeon for my breast implant removal?
- Confirm they are a certified Specialist Plastic Surgeon (FRACS) and a member of the Australian Society of Plastic Surgeons (ASPS) or ASAPS, ensuring they meet the highest professional standards.
- Look for surgeons with substantial, specialised experience in breast procedures, including deep knowledge of breast anatomy and advanced breast augmentation techniques.
- Review their before‑and‑after portfolio to assess consistency, attention to detail, and alignment with your aesthetic goals.
- Ensure they operate in accredited surgical facilities, which support safety, sterility, and appropriate standards of care.
- Choose someone you feel comfortable with, who listens to your goals and concerns and communicates clearly throughout the process.
- Dr ILLIE exemplifies these qualities, combining FRACS‑accredited training with extensive experience in breast surgery, personalised care, clear communication, and a strong commitment to patient safety.
Dr Vlad ILLIE is one of the best facelift and lip lift plastic surgeons in Sydney.
how Dr Vlad ILLIE’s Approach Stands Out
Dr ILLIE has completed comprehensive international fellowships in Oxford, UK and Stuttgart, Germany, specialising in microsurgical reconstruction, complex facial revision surgery, and advanced cosmetic techniques. His background includes managing challenging reconstructive cases, including head and neck reconstruction, which contributes to his precise surgical skill set.
- Minimal Visible Scarring
- Preservation of Breast Sensation and Function
- Balanced Contours Without Over-Resection
- Natural Breast Shape Without Distortion
- Smooth Tissue Handling Without Laxity
- Attention to Skin Quality
- Avoidance of Excessive Tissue Removal
- Use of Layered Tissue Techniques
- Personalised Approach Based on Anatomy
- Comprehensive Post-Surgery Care
Further information
For breast augmentation and facial cosmetic surgery interventions, please book a consultation with Dr Vlad ILLIE, Specialist Plastic Surgeon and Fellow of the Royal Australasian College of Surgeons. Dr ILLIE will provide further information on the treatment and specific recommendations for your circumstances.
For additional emotional care through your wellness journey, we can also provide psychological support.
Schedule a Consultation
Ph (02) 9101 4707
Fax (02) 9182 0092
office@drvladillie.com.au
Sydney Centre for Plastic Surgery
Suite 1702, Westfield Tower 2
101 Grafton St
Bondi Junction NSW 2022
Gosford Private Medical Centre
Suite 2, 213 Albany St North,
Gosford NSW 2250
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