Breast Implant Removal: Procedure, Recovery & Costs 2025

Breast implant removal is a surgical procedure for those who wish to remove their implants for various reasons, including health concerns, changes in aesthetic preferences, or complications such as capsular contracture, implant rupture, or breast implant illness (BII).

This guide covers everything you need to know about the procedure (step-by-step), what recovery looks like, estimated costs, and before-and-after photos.

What is Breast Implant Removal?

Breast implant removal, also known as explant surgery, is a surgical procedure performed to remove breast implants from a patient who has had breast augmentation or breast reconstruction. Implants may be removed with or without the surrounding capsule, which is scar tissue that forms around the breast implant (a process known as capsulectomy).

Patients may opt for implant removal if they are experiencing discomfort, have concerns about breast implant illness, or simply desire a more natural appearance. Some patients choose to replace their implants, while others combine the removal with additional procedures like a breast lift to improve the look of breasts post-removal.

Breast Implant Removal Stats and Trends

In recent years, explant surgeries have become increasingly common. According to the latest report by the American Society of Plastic Surgeons, implant removals increased by 9 percent between 2022 and 2023, which may be due to patients opting for smaller implants that better fit their frame and lifestyle. Others may opt for fat transfer as an alternative augmentation method.

Patients between 20 and 70+ years of age undergo this procedure, but it is most common among those between 40 and 54 years old, representing 42% of all breast explant procedures in 2023.

Common Reasons for Breast Implant Removal

There are several reasons why breast implants may need to be removed, ranging from medical reasons to cosmetic concerns. Below are the most common reasons:

Capsular Contracture

Capsular contracture is a complication that occurs when the scar tissue (capsule) that naturally forms around the implant tightens, causing the breast to feel hard, look misshapen, or become painful. It can occur due to infection, inflammation, or the body’s reaction to the implant. Removing the implant and scar tissue can relieve discomfort and improve the breast's appearance. 

Implant Rupture or Deflation

Both saline and silicone implants can rupture or deflate over time. Saline implant ruptures are often noticeable quickly, as the saline leaks and is harmlessly absorbed by the body, causing the breast to deflate. Silicone ruptures, on the other hand, might be less obvious since the silicone gel typically remains in place, sometimes requiring imaging to detect. Removal surgery resolves the issue by safely extracting the damaged implant and, if necessary, cleaning out any leaked material to prevent complications.

Breast Implant Illness (BII)

Breast implant illness (BII) refers to a collection of symptoms, such as fatigue, joint and muscle pain, and brain fog, that occur after getting breast implants. The cause of BII is unknown, but sometimes an autoimmune or inflammatory response or infection occurs in response to the implants. Breast implant removal is used to treat BII, helping to alleviate these symptoms.

Aesthetic Concerns

Many patients opt to have their implants removed because they’re unhappy with the appearance of their breasts. Over time, implants can cause asymmetry or body changes like weight gain or aging may make breasts appear disproportionately large, leading to the decision to remove implants. This choice may also be influenced by shifting body image perceptions or a growing societal trend toward embracing a more natural look.

Implant Age or Expiry

Implants typically last between 10-20 years, and many patients choose to remove their implants at or near the end of their expected lifespan. This is often done to reduce the risk of potential issues like rupture, capsular contracture, or changes in shape that may occur over time.

Rippling or Asymmetry

Rippling refers to visible folds or waves that appear on the implant’s surface, while asymmetry can occur when one breast appears differently than the other. Removing the implants can correct these issues, providing a more balanced and aesthetically pleasing result.

Who Are Common Candidates for Breast Implant Removal?

Typical candidates are individuals who:

• Are dissatisfied with the appearance of implants

• Are experiencing discomfort or pain related to implants

• Feel their breasts are too heavy

• Feel breast scar tissue is getting harder or tighter

• Experienced a rupture or leak of implants 

If you're considering this procedure, you must be in good overall health and have realistic expectations for the outcomes.

Benefits of Breast Implant Removal

For individuals experiencing discomfort or pain related to their implants, removing them can offer significant relief. It can also make it easier to participate in physical activities, like running, which may have been challenging before.

Another benefit is that choosing to remove implants can be an empowering decision, leading to a boost in self-esteem and a renewed sense of confidence in one’s body.

Plus, removing implants means no more worrying about long-term maintenance, like regular check-ups, the need for future replacements, and concerns about the risk of complications. This not only offers peace of mind but can also lead to long-term savings.

Cost of Breast Implant Removal

On average, you can expect to pay between $7,000 and $9,000. The cost can vary depending on the surgeon's fees, where you live, and whether additional procedures, like a breast lift, are needed. If a breast lift is required, this can add around $6,000 to the total cost. If the implants need to be replaced, the price may increase by an additional $2,500 to $3,500.

Cost in Los Angeles

The cost of breast implant removal in Los Angeles ranges from around $9,000 to $13,000 or more. The high demand for experienced or sought-after surgeons and the higher cost of living in the area can lead to higher pricing.

Step-by-Step Guide to the Breast Implant Removal Procedure

If you're considering having your implants removed, understanding the process can help ease any concerns and prepare you for what's ahead. Below, we’ll walk you through each step, from finding the right surgeon to the day of your procedure.

Selecting the Right Plastic Surgeon

The first and most important step is choosing a qualified plastic surgeon. Look for credentials from reputable boards like the American Board of Plastic Surgery and experience with this procedure. If you can find positive patient reviews and testimonials with similar cases online, that's a good sign. 

Initial Consultation

During your initial consultation, the surgeon will ask about your medical history and review your goals and reasons for wanting the procedure. They should explain the potential benefits and risks of the procedure, and discuss your options like a breast lift or fat grafting if you’re interested in enhancing the final result. An examination and photographs are also generally part of a consultation.

Reviewing the Surgeon’s Portfolio

Before deciding, review your surgeon’s portfolio of before-and-after photos. This gives you a clear picture of their work and helps you assess whether their results align with your expectations. Focus on photos of patients with similar body types to yours to get an idea of what the potential outcomes might look like.

Customized Treatment Plan

You will work with your surgeon to create a customized treatment plan tailored to your needs. This may include the technique for removing the implants, addressing scar tissue, or adding complementary procedures to enhance your results.

Preparing for Breast Implant Removal Surgery

Preparation is key to a smooth surgery and recovery. Your surgeon will provide detailed pre-operative instructions, such as avoiding certain medications, quitting smoking, and arranging for someone to drive you home post-surgery. Following these guidelines helps minimize risks and optimize your results.

Undergoing Breast Implant Removal Surgery

On the day of the procedure, you’ll be placed under general anesthesia or intravenous sedation to keep you comfortable. Incisions are typically made along the same incision site as your original augmentation to minimize additional scarring, usually around the areola or under the folds of the bottom of the breast. The implants are carefully removed and, if necessary, the surrounding capsule. When the scar capsule and the implants are removed at the same time, it is called an en bloc capsulectomy. If you are replacing implants, the new implants will be positioned. Finally, stitches, skin adhesives, tape, and/or clips may be used to close the incisions. The surgery usually takes one to three hours, depending on the complexity.

Recovering from Breast Implant Removal

Recovery involves a combination of physical healing and emotional adjustment. Here's what you can expect as you progress through each stage of the process:

Immediate Post-Surgery Period

Immediately after surgery, you’ll be monitored closely in a recovery room until the anesthesia wears off. Anesthesia can leave you feeling groggy, sore, or fatigued for the first few hours. Compression garments or bandages are often applied to reduce swelling and provide support to the chest area as the body begins to heal. Sometimes, small drains may be temporarily placed under the skin to help remove excess fluid. Most patients are able to return home the same day, but you will need to plan for someone to drive you home and stay with you for at least the first few days after surgery.

Pain and Discomfort

It’s normal to experience mild to moderate pain or discomfort in the first few days following surgery. Most patients report soreness or a tight sensation in the chest area, which can be effectively managed with prescribed pain medications or over-the-counter options, as directed by your surgeon. Following the pain management instructions closely can help ensure a smoother and more comfortable recovery experience.

Physical Activity Restrictions

Rest is essential during the initial healing phase, and patients are advised to avoid strenuous activities, heavy lifting, and vigorous exercise for at least 4 to 6 weeks. However, light activities, such as short walks, are encouraged to help improve circulation and aid recovery.

Follow-Up Appointments

It's important to attend follow-up appointments so your doctor can ensure proper healing and address any concerns or questions you may have. If stitches were used, they may be removed during one of these visits.

Swelling and Bruising

Swelling and bruising around the chest are common after the procedure and usually peak within the first few days after surgery. Swelling gradually subsides over the next few weeks as the body heals. To manage swelling, you may be advised to keep your head elevated while resting and use cold compresses, as directed by your surgeon.

Expected Recovery Timeline

Recovery times vary from person to person, but most patients can return to work and normal daily activities within 1 to 2 weeks. Full recovery, including resuming all physical activities, may take 4 to 6 weeks or more, depending on the individual and the complexity of the procedure. 

Emotional Recovery

Recovery isn’t just physical—it’s emotional, too. Adjusting to your new appearance may take time, and it’s normal to experience anxiety or uncertainty during this time. Remember, swelling and healing will affect the way your chest looks initially. Surrounding yourself with a strong support system can make a big difference in helping you navigate the emotional aspects of recovery.

Aftercare Instructions

Following your surgeon’s aftercare instructions is critical for a smooth recovery and optimal results. These instructions may include guidelines for cleaning incision sites, taking prescribed medications, recognizing signs of infection, and tips for minimizing scarring. Adhering to these guidelines helps ensure a smooth recovery and the best possible results. 

FAQs

After the breast removal, will my breasts look flat?

Yes, it’s common for breasts to appear flat or smaller immediately after implant removal, especially if no additional procedures are performed. A breast lift or fat grafting can help restore contour and volume if desired.

Will Insurance Cover Breast Implant Removal?

Insurance coverage depends on the circumstances. If the removal is medically necessary—such as addressing implant rupture or other health-related issues—your insurance may cover some or all of the costs. Cosmetic removals are typically not covered.

Choosing the Best Plastic Surgeon for Your Breast Implant Removal

When choosing a plastic surgeon, there are several key factors to consider to ensure you’re in the best hands. First, make sure your surgeon is board-certified, which confirms they have met rigorous standards and have the proper qualifications. Look for a surgeon who specializes in explant surgeries and has a proven track record of successful procedures.

Don't forget to read patient reviews, as these offer valuable insights into the surgeon’s practice and patient care. Lastly, building a trusting relationship with your surgeon can help you feel more confident and comfortable throughout the process.

By taking the time to research, ask questions, and prioritize these qualities, you can help ensure you’ll be receiving high-quality care.

Conclusion

Breast implant removal is a highly personal decision that offers many benefits, whether you're dealing with physical discomfort, seeking a more natural appearance, or addressing health concerns. If you're considering having your breast implants removed, reach out to book your private consultation with Dr. Orloff.