Implant Removal +/- Capsulectomy

What is Implant Removal and Capsulectomy?

Implant removal and capsulectomy is a procedure to remove breast implants and, when necessary, the scar tissue (capsule) that forms around them. Over time, implants may no longer suit your lifestyle, aesthetic goals, or health needs. This surgery allows you to return to a more natural breast shape or prepare for alternative treatments, such as fat transfer or new implants.

Why Choose Implant Removal or Capsulectomy?

There are several reasons someone may choose to have their implants removed, including:

  • A desire to return to a natural breast appearance

  • Changes in lifestyle or personal preference

  • Capsular contracture (tightening of scar tissue)

  • Implant rupture or concerns about implant integrity

  • Discomfort or changes in breast appearance over time

Many women also choose removal as part of planned long-term maintenance, since implants are not lifetime devices.

How the Procedure Works

The operation is performed under general anaesthetic. The type of surgery depends on your specific needs:

  • Implant removal only: The implant is taken out through the original scar where possible.

  • Capsulectomy: Some or all of the surrounding scar tissue is removed if it is causing tightening or distortion.

  • En bloc capsulectomy: In selected cases, the implant and capsule are removed together as one piece.

After removal, the breast shape is carefully reshaped. Some women choose additional procedures, such as uplift or fat transfer, to improve contour and fullness.

What to Expect After Surgery

You can expect swelling, bruising and a feeling of tightness for the first few days. A supportive postoperative bra should be worn for several weeks to help the breasts settle. Light activities can usually be resumed within a week, while more strenuous exercise should be avoided for 4–6 weeks.
Your breasts will change gradually over the following months as swelling settles and the tissues heal.

Important Considerations & Long-Term Information

Once implants are removed, the appearance of the breasts will depend on your natural tissue, skin elasticity and how long the implants were in place. Some women may have looser skin or reduced volume — this is normal after implant removal.
Options such as a breast uplift or fat transfer can be discussed if you wish to refine shape or restore fullness.
Most women feel relief and satisfaction after removal, especially if implants were causing discomfort or cosmetic concerns.

Frequently Asked Questions

1What does surgery involve?
Your implants are removed via the same incision used to insert them. In some cases the scar may need to be longer. If the capsule (scar tissue around the implant) is also being removed this will be done at the same time and drains will be inserted. The skin will be stitched closed and a dressing placed.
2How can I prepare for surgery?
You will need to buy a post-surgical front-fastening bra. You should buy a selection of sizes. You will need to wear the bra day and night for 6 weeks after surgery to reduce fluid build-up. You should stop smoking 6 weeks prior to surgery and follow any advice about your medication.
3What are the risks of surgery?
These will be discussed in the clinic. Details of your implants will be taken when they are removed and the information entered into the Breast and Cosmetic Implant Registry.
4What is the post-operative recovery?
Your wounds will usually be healed in 2 weeks. Occasionally areas can take up to 6 weeks to heal. You will need to wear your post-surgical bra day and night for 6 weeks.
5What about mammograms?
When having mammograms in the future you should let them know you have had surgery. There is a higher chance you will be recalled to check an area in the breast but there is no increased chance of getting breast cancer after this surgery.
6How will my breasts look after having the implants removed?
Your breast tissue will have been stretched from having implants inside. It is difficult to predict to what extent the skin and tissues will ‘recoil’. You should be prepared to have some loose skin and a greater degree of ptosis (droop) of the breast than you did with the implants in place.

Key Features To Be Aware Of:

  • Surgical time – 2-3 hours
  • Anaesthetic type – General anaesthetic
  • Time off work – 1-2 weeks office work, 2-6 weeks manual work
  • Hospital stay – 0-1 nights
  • Shower – immediately
  • Reasonably mobile – 2-7 days
  • Sleeping position – back or side
  • Exercise including gym – 6 weeks
  • Bras and garments – front fastening post-op bra for 6 weeks day and night
  • Sexual activity – after 1-2 weeks when comfortable
  • Full recovery – 6 weeks
  • Driving – 1-2 weeks
  • Drains – yes for capsulectomy, removed day 1
BOOK CONSULTATION NOW
READ MORE

PATIENT TESTIMONIALS

  • 16 May 2024 C.A. Verified patient
    I can not speak highly enough of the care I received under Philippa Jackson. From initial consultation, through surgery, follow up and beyond, my treatment has been exceptional. Any questions/concerns were explained and reassured and my results are far better than expected.
    16 May 2024 C.A. Verified patient
  • 16 May 2024 S.S. Verified patient
    The care I have received from Miss Jackson is faultless. From the first consultation to the ongoing care after the surgery it has been amazing. She is always available to answer any queries I have and made me feel at ease and comfortable throughout.
    16 May 2024 S.S. Verified patient
  • 17 May 2024 J.M. Verified patient
    Exceptional care throughout. Had some complications and was amazed at how many times Ms Jackson insisted on coming in to the hospital daily to insure progress and high standard of post op.
    17 May 2024 J.M. Verified patient
  • 19 May 2024 K.W. Verified patient
    I can't fault Miss Jackson's care, consideration and expertise. Clinical treatment and administration were both excellent.
    19 May 2024 K.W. Verified patient
  • 11 June 2024 E.K. Verified patient
    Philippa is so empathetic, professional and skilled. I felt listened to and knew I was in safe hands. She achieved an incredible outcome with my reconstruction - beyond even my most optimistic expectations. Philippa gave me back ownership of my body and I recognise myself again.
    11 June 2024 E.K. Verified patient
  • 15 November 2024 S.L. Verified patient
    Miss Jackson was just brilliant in my consultation with her. She is compassionate and kind, actively listens and exudes calm professionalism. She laid out my options clearly and didn't try to influence me into a decision that I wasn't ready to make.
    15 November 2024 S.L. Verified patient
  • 30 January 2025 F.L. Verified patient
    Philippa has been absolutely amazing throughout the whole surgery process, from initial consultation, to surgery day and post-op. She explained everything very clearly and was more than happy to speak to me outside of appointments to answer any questions I had.
    30 January 2025 F.L. Verified patient
  • 21 July 2025 A.C. Verified patient
    Extremely informative and thorough, happy to talk through all procedures in detail and great after care. Very happy with surgery results. Thank you.
    21 July 2025 A.C. Verified patient
  • Miss E.S.
    Thank you so much for everything! You have given me confidence in my body that I never had before! I am truly so happy and cannot thank you enough!’.
    Miss E.S.
    Breast Reduction
  • Ms R.S.
    ‘A massive thank you for the amazing work you have done and for the end result. You have given me my confidence back and I cannot thank you enough. You’re an amazing surgeon and I’m glad I listened to your advice. Your kindness, support and knowledge and friendly smile put me at ease on every appointment. I feel like a new woman that can finally wear my summer dresses and go swimming with convince again. A massive, massive thank you’.
    Ms R.S.
    Breast Asymmetry Correction
  • Mrs A.D.
    ‘I just wanted to write a note to say a huge thank you for all your work on my reconstruction. Even though the journey was sometimes hard, you have always been so positive and supportive. Your skill is not only in the technical side of surgery but also in the psychological support and guidance you offer. The results of my surgeries are both physical and emotional - I am more confident and so pleased with the outcome. Thank you for all that you’ve done’.
    Mrs A.D.
    Breast Cancer Reconstruction

Further information on Miss Jackson's work and independent testimonials can be found on her TopDoctors profile.