MED0001664328 This website contains imagery which is only suitable for audiences 18+. Any surgical or invasive procedure carries risks. Read more here
MED0001664328 This website contains imagery which is only suitable for audiences 18+. Any surgical or invasive procedure carries risks. Read more here
Breast implant removal is a surgical procedure where previously placed breast implants are carefully removed. Patients may choose this surgery for many reasons, including changes in personal preference, implant-related complications such as rupture or capsular contracture, physical discomfort, concerns about implant longevity, or a desire to return to a more natural breast appearance.
In some cases, medical or systemic symptoms may also influence the decision to remove implants. As implants age, the risk of complications can increase, and individual health circumstances may change. Breast implant removal aims to address these concerns, restore comfort, and support patients in achieving outcomes aligned with their current health and aesthetic goals.
At Gold Coast Breast Centre, Dr Maree Kekeff takes a patient-centred approach, offering a personalised consultation to understand your goals, explain your options, and help design a surgical plan tailored to your needs and body. Whether you wish to remove your implants without further procedures or combine removal with other surgical options, the goal is to support your decision and aim to achieve the most appropriate outcomes for each patient.
In recent years, some patients have reported a range of systemic symptoms they believe are associated with their breast implants, a condition commonly referred to as Breast Implant Illness (BII). Symptoms may include fatigue, cognitive difficulties (“brain fog”), joint and muscle pain, rashes, hair loss, and other non-specific health concerns. Although BII is not yet formally recognised as a distinct medical diagnosis, some patients experience symptom improvement following implant removal. Dr Maree Kekeff is committed to providing an open and supportive consultation for patients who have concerns about BII, discussing current evidence, and planning surgery tailored to individual needs.
Another rare but important condition is Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) — a type of cancer involving the immune system that can develop in the scar tissue and fluid around breast implants. BIA-ALCL is most commonly associated with textured surface implants rather than smooth implants. Early signs may include persistent swelling, a lump, or fluid accumulation around the implant years after insertion. If BIA-ALCL is suspected, diagnosis typically involves imaging studies and fluid or tissue sampling.
Management usually involves complete removal of the implant and surrounding scar capsule. Dr Maree Kekeff discusses the risks of BIA-ALCL as part of the consultation process to ensure patients are fully informed.
Some patients choose to have their implants removed without inserting new implants. This approach involves surgically removing the implants — often through the original incision sites — and allowing the breast tissue to heal and settle naturally.
Depending on the individual situation, the surrounding scar tissue (capsule) may also be addressed during surgery. There are several ways this can be managed:
Removal of some or all of the scar tissue capsule that forms around the implant. A total capsulectomy means removing the entire capsule. This may be recommended if there are complications such as capsular contracture (tightening or hardening of scar tissue) or if the capsule is thickened or causing symptoms.
In selected cases, en bloc removal may be considered if appropriate. This technique involves removing the implant and the entire capsule together in one piece. It may be recommended when the capsule appears abnormal or if there is concern about implant rupture, leakage, or pathology testing needs. However, en bloc removal is not always necessary or possible for all patients, depending on factors such as the capsule’s thickness, attachment to surrounding tissues, and overall safety considerations.
Dr Maree Kekeff discusses these options carefully during consultation, explaining when capsulectomy or en bloc techniques might be recommended, balancing the approach with patient safety and the desired surgical outcomes.
After implant removal, breast appearance is influenced by factors such as skin elasticity, the amount of breast tissue present, and how long the implants were in place. Some patients are happy with the natural reshaping that occurs over time, while others may choose to explore additional procedures like a Breast Lift (Mastopexy) either at the time of removal or later if needed.
For patients who want to remove their implants but maintain some breast volume, fat transfer offers a natural alternative. During this procedure, fat is harvested from other parts of the body — typically the abdomen, thighs, or flanks — using liposuction. The fat is then purified and carefully injected into the breasts to increase volume and contour.
Fat transfer can provide a softer texture compared to implants. However, it’s important to note that fat transfer offers more subtle volume enhancement, and multiple sessions may be needed depending on the desired outcome.
When implants are removed, particularly after long periods or significant skin stretching, it can result in excess skin and changes in breast shape. In these cases, a Breast Lift (Mastopexy) can be performed at the same time as implant removal.
This procedure involves removing excess skin, adjusting the surrounding tissue, and repositioning the nipple to align with the new breast shape. This combined approach can restore a firmer breast shape and better proportions without placing new implants.
Some patients choose to have their old implants removed and replaced with new ones. Reasons for replacement may include a desire for a different size, shape, or material; addressing complications like capsular contracture; or updating older implants.
New implants can often be inserted through the existing incision sites, and adjustments to the surrounding tissue can be made to improve symmetry and achieve a refreshed result. Dr Maree Kekeff will discuss implant options — including size, shape, and material — to ensure the replacement suits your current body and preferences.
Sometimes a capsulectomy may also be recommended to improve the surgical outcome.
Each patient’s reasons are unique, and we are committed to supporting your individual journey with open, informed discussions and careful surgical planning.
Recovery will vary based on the type of surgery performed. Common aspects of aftercare include:
While light activities can often be resumed within 1–2 weeks, full recovery — especially after combined procedures — takes time. Dr Maree Kekeff will guide you through each stage of recovery, tailoring advice to your procedure.
All surgical procedures carry some risks. Potential risks associated with breast implant removal and related surgeries include:
Dr Maree Kekeff and her team are committed to ensuring the safety and well-being of each patient throughout the procedure and recovery process. The clinic aims to achieve the most appropriate outcomes for each patient by providing detailed consultations and post-operative care.
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