Category
Breast implant removal (explant)
Breast implant revision (keep implants)
What to consider
Primary goal
Remove implants; may remove part/all capsule; may add lift
Correct issues; adjust pocket/position; often with implant exchange
Decide if you want to remain implant‑free or keep volume
Common reasons
Rupture, pain, BIA‑ALCL investigation, infection, personal preference, suspected BII
Size change, asymmetry, rippling, contracture, malposition, animation deformity
Document symptoms and prior operations for your consult
Surgery details
Implant removal; capsulotomy/capsulectomy as indicated; optional lift or fat transfer
Pocket repair (capsulorrhaphy), capsule release, plane change, implant exchange
Your capsule quality and implant plane guide the plan
Anaesthesia & setting
Usually general anaesthesia in accredited hospital
Usually general anaesthesia in accredited hospital
Day surgery vs overnight depends on complexity
Scars
Often via previous incision; lift adds mastopexy scars
Typically through existing incisions; may extend if needed
Indicative costs (AU)
$6,000–$12,000+; with total capsulectomy often $8,000–$15,000+
$9,000–$16,000+; add lift often $12,000–$20,000+
Medicare/private cover
Possible if medically necessary (e.g., rupture, severe contracture, infection, BIA‑ALCL investigation) with referral and eligible item
Possible for documented complications; cosmetic-only changes usually not covered
Recovery
Light duties ~3–7 days (simple); 1–2 weeks with capsulectomy/lift; exercise 4–6 weeks
Light duties ~1–2 weeks; exercise 4–6 weeks; support garment as advised
Risks
Bleeding, infection, seroma, contour changes, asymmetry, sensation changes, need for lift
Bleeding, infection, contracture recurrence, malposition, implant issues, reoperation
Longevity
No future implant maintenance; breast shape may evolve over time
New implants are not lifetime devices; future surgery may be needed
Discuss realistic lifespan and maintenance with your surgeon
Best for
Those wanting to be implant‑free or with specific medical indications
Those who want to keep volume but correct problems
Align choice with your goals and clinical findings