Explant Surgery: What to Expect

Over the past few decades, breast implants have helped countless women achieve their desired body aesthetics, but not all journeys with implants are lifelong. For a growing number of women, explant surgery—the removal of breast implants—has become a thoughtful and empowering decision. Whether due to health concerns, cosmetic reasons, or lifestyle changes, explant surgery is a procedure that requires just as much planning and knowledge as the initial augmentation. If you're exploring options for breast implants in Islamabad or you're concerned about post-operative issues such as pain after breast implant surgery, understanding what to expect from explant surgery is crucial.

In this guide, we’ll walk you through the reasons for implant removal, the surgery itself, the recovery process, and what kind of results you can anticipate.

What Is Explant Surgery?

Explant surgery is the surgical removal of breast implants, with or without surrounding scar tissue (called a capsule). The procedure may also include a breast lift (mastopexy) if natural tissue has stretched or sagged over time. Some women opt for explantation due to health concerns, while others may simply desire a more natural look.

It is a personal decision—one that should be made with the guidance of a qualified plastic surgeon. If you're in Pakistan, consulting with a trusted medical provider for breast implants in Islamabad ensures safe handling, skilled technique, and proper post-surgical care.

Common Reasons for Explant Surgery

There are various medical, emotional, and aesthetic reasons why someone might choose to undergo explant surgery:

1. Capsular Contracture

This occurs when scar tissue tightens around the implant, causing pain, firmness, or an unnatural appearance. Removing the implant and capsule can relieve discomfort and improve symmetry.

2. Implant Rupture or Leakage

Both saline and silicone implants are susceptible to rupture over time. In such cases, explantation is required to remove the damaged implant and avoid complications.

3. Breast Implant Illness (BII)

Some women report systemic symptoms like fatigue, brain fog, muscle pain, and rashes linked to their implants—a condition referred to as BII. Though not fully understood, many find relief after implant removal.

4. Desire for a Natural Look

Aesthetic preferences change. Some women wish to return to their natural breast size or prefer a more subtle appearance with age or after lifestyle changes such as motherhood.

5. Cancer Risk or Recall Concerns

In rare cases, certain textured implants have been linked to BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma). Patients may choose to remove their implants as a preventive step.

Types of Explant Procedures

Depending on your unique needs, your surgeon may recommend one of the following techniques:

1. Simple Explantation

Only the implants are removed, and the surrounding capsule is left in place if it's soft and not causing any problems.

2. Total Capsulectomy

Both the implant and the entire capsule of scar tissue are removed. This is common in cases of rupture, capsular contracture, or BII symptoms.

3. En Bloc Explantation

The implant and capsule are removed together, without opening the capsule inside the body. This method is typically used when there’s concern about leakage or contamination.

4. Explant with Lift

If the skin has stretched or sagged, a breast lift may be performed alongside implant removal to reshape the natural tissue for a firmer, more youthful look.

What to Expect Before Surgery

Before your surgery, your surgeon will conduct a thorough consultation, reviewing your:

• Medical history

• Current health status

• Implant type, placement, and condition

• Goals and expectations

You may be advised to:

• Stop certain medications and supplements

• Avoid smoking or alcohol

• Undergo pre-operative imaging or lab tests

Your surgeon will also explain the procedure, potential outcomes, and the recovery process to help you make an informed decision.

The Surgery: Step-by-Step Overview

Explant surgery typically takes 1 to 3 hours, depending on the technique used and whether a lift is included. It is performed under general anesthesia in an accredited surgical facility.

Steps Involved:

1. Incision is made—usually along previous scar lines for minimal visibility.

2. Implant removal takes place, with or without surrounding capsule.

3. Optional lift or reshaping is done to enhance natural contour.

4. Incision closure using sutures; drains may be placed to prevent fluid buildup.

Once the surgery is complete, you'll be monitored in a recovery room before going home the same day or staying overnight, depending on your case.

Recovery and Aftercare

Recovery from explant surgery varies based on the procedure’s complexity and your body’s healing capacity. Most patients return to normal activities within 2 to 4 weeks, but full recovery may take several months.

What to Expect:

• Mild to moderate pain for the first few days

• Swelling and bruising that gradually subsides

• Compression garments may be worn to support healing

• Drain removal usually happens within 5–7 days

• Sutures are typically removed or dissolve within two weeks

Pain, especially pain after breast implant surgery, is usually manageable with prescribed medications and rest. Always follow your surgeon’s instructions for wound care, medication, and activity restrictions.

Results and Expectations

Results from explant surgery can vary depending on how long you’ve had implants, the quality of your skin, and whether a lift was performed. While some breast volume is lost, many women appreciate the restored natural appearance and feel.

It’s important to have realistic expectations. Breasts may not return exactly to their pre-augmentation state, but they will continue to soften and settle into a more natural shape over time.

Emotional Considerations

For some, explant surgery is not just a physical change but an emotional one. Many women report feeling liberated, healthier, and more in tune with their natural selves post-surgery. However, it’s also normal to feel a sense of loss or anxiety during recovery.

Support groups, mental health counseling, and open communication with your surgeon can help ease the emotional transition.

Conclusion: Trust Experts for Safe, Supportive Care

Explant surgery is a highly personal and often empowering decision. Whether driven by health concerns, cosmetic desires, or lifestyle changes, the process should be guided by a knowledgeable and compassionate surgical team. If you're exploring your options for breast implants in Islamabad, or you're seeking help with implant removal, working with an experienced provider is essential for a safe and satisfying outcome.

At SKN Cosmetic Clinic, you’ll find board-certified plastic surgeons with years of experience in breast surgery, explantation, and aesthetic restoration. Their patient-centered approach ensures that your health, goals, and confidence remain at the heart of every decision.