Explant (Implant Removal)


Breast Implant removal is a cosmetic surgical procedure that Dr Ian Chinsee performs in Brisbane. Breast implant removal involves the removal of breast implants, due to medical complications such as capsular contracture or rupture, or if the patient does not desire implants any longer.

Explant (Implant Removal)
Brisbane

Breast implant removal surgery, also known as explant surgery, involves the surgical removal of existing breast implants. This procedure may be performed for various reasons, including addressing complications, personal preference, or health concerns. Breast implant removal may be performed along or in conjunction with a mastopexy (breast lift) or fat transfer.

Dr. Ian Chinsee brings over 7 years of experience in breast surgery and has conducted over 3,000 breast-related procedures. He is committed to providing personalised care, blending his extensive knowledge with a genuine dedication to approachability and empathy, ensuring that each patient’s individual needs are carefully considered.

Everything You Need to Know About
Breast Implant Removal Brisbane

In breast implant removal (explant) surgery, several factors need to be considered, including your reasons for removal, the condition of the implants, and your aesthetic goals. The approach to the procedure will be tailored to your individual needs and the natural anatomy of your breasts. This ensures that the removal process aligns with your desired outcomes and addresses any specific concerns you may have.

  • Reasons for Removal:

    • Complications: Address issues such as capsular contracture (hardening of the tissue around the implant), implant rupture, or leakage.

    • Health Concerns: Address concerns related to potential health impacts or allergic reactions to the implant materials.

    • Personal Choice: Fulfill personal preferences for changing breast appearance or size, or discontinuing implant use.

    • Aesthetic or Functional Issues: Correct issues like implant displacement, asymmetry, or changes in breast tissue over time.

    • Surgical Technique: The surgeon makes an incision to access and remove the implants. The incision location depends on the original placement of the implants and the patient’s anatomy. In some cases, Dr Chinsee may also remove the surrounding capsule (scar tissue) to reduce the risk of complications and improve the appearance of the breast.

    • Breast Appearance: After implant removal, the appearance of the breasts may change. Some patients may require additional procedures, such as a breast lift or fat transfer, to achieve the desired shape and volume.

    • Long-Term Effects: The natural breast tissue may adjust to the absence of implants over time, which can affect overall breast shape and firmness.

Ideal Candidates for a

Explant (Implant Removal)

When it comes to breast explant surgery, there are several factors that need to be considered including implant status (ie rupture), capsular contracture, the incisions for access and if mastopexy is required. The ideal candidate for breast explant surgery is someone who is:

  • Aged 18 to 80 years

  • In good overall mental and physical health

  • Realistic in goals and expectations

  • Wanting their breast implants removed

  • Has concerns about BII (breast implant illness)

  • Has a medical complication (capsular contracture, rupture)

Objectives of a

Explant (Implant Removal)

The objectives of explant (breast implant removal surgery) include:

  • May improve pain associated with breast implants

  • Reduce overall breast size

  • Reduce or address symptoms associated with BII (breast implant illness)

Meet Your Doctor

Dr. Ian Chinsee

Dr. Ian Chinsee has experience in breast implant removal surgery in Brisbane, performing over 3000 breast-related surgeries to date.

Following the completion of his medical degree at the University of Queensland, he completed four years of surgical rotations within QLD Health as well as two years of advanced surgical training with the Australasian College of Cosmetic Surgery and Medicine (ACCSM), earning the esteemed Colin Moore Gold Medal Award for Excellence.

  • Dr Ian Chinsee (MED0000975196)

  • Registered Medical Practitioner, General Registration

  • Bachelor of Medicine and Bachelor of Surgery (MBBS)

  • Surgical Fellow of the Australasian College of Cosmetic Surgery & Medicine [FACCSM (SURG)]

WHAT TO EXPECT FROM YOUR
BREAST IMPLANT REMOVAL CONSULT


A consultation is more than an obligatory step in preparing for explant surgery.. It provides an opportunity to meet the doctor and surgical team, gain in-depth information about the procedure, understand potential risks and complications, and discuss your goals. This meeting helps clarify achievable results and address any unrealistic expectations based on your specific circumstances.

Before proceeding with cosmetic surgery, patients need to obtain a referral from their GP, complete a body dysmorphic disorder screening questionnaire, and attend at least two pre-operative consultations


  • Upon arrival, a receptionist will assist you with the necessary forms and conduct your 2D and 3D imaging before seeing Dr. Chinsee.

    During your initial consultation, Dr. Chinsee will review your medical history and discuss your aesthetic goals. He will provide comprehensive information about explant surgery, including both surgical & non-surgical techniques, recovery times, and potential risks and complications.

    Dr. Chinsee will then work with you to develop a personalised surgical plan tailored to your objectives.


  • Your second consultation can be scheduled at least seven days following your initial visit. During your second consultation, Dr. Chinsee will review your detailed surgical plan, provide information on pre- and post-operative procedures, and address any questions related to your consent forms. This is also a good time to ask any additional questions.

    After the second consultation, a one-week cooling-off period is required before you can schedule surgery or make any payments. Surgery can only be booked once you have had your second consultation and once the consent forms have been signed.

    Not sure where to start? Request an obligation-free quote from one of our doctors.

Recovery & care from a

Explant (Breast Implant Removal)

Recovery varies from patient to patient. Patients can experience pain, aches, pressure and discomfort, generally lasting up to two weeks. We prescribe oral pain medication after your procedure to assist with pain and discomfort.

Following the operation, patients will require a dressing change at one week intervals for a period of three weeks, some patients will require additional dressing changes. Out of Town Patients will be provided with a letter containing detailed dressing change instructions to give to their GP if they cannot attend dressing change appointments at the Brisbane clinic.

Most patients should expect to take around one to two weeks off work. Patients with administrative roles can usually return to work after one week; however, more physically demanding jobs will require a longer recovery period. Patients can usually return to their normal activities, including gym exercises from week six.

There may be swelling and bruising after the procedure. Major swelling usually subsides by three months, and the final results are noticeable between six months and one year. A compression bra will need to be worn continuously for six weeks after surgery.

We will schedule post-operative appointments throughout the following year. These appointments can be conducted virtually or in person at our rooms in Brisbane.

SURGERY TIME

1 – 2 hours

HOSPITAL STAY

Day surgery

ANAESTHETIC

General

DRESSING CHANGE

Required at weeks 1, 2, & 3 with an Inigo Cosmetic nurse or your GP. You may need additional dressing changes depending on recovery.

TIME OFF WORK

1 - 6 weeks

EXERCISE

None for 6 weeks. Slow return to exercise

GARMENT

Required for 6 weeks

FULL RECOVERY

3-12 months

FAQs

  • Surgical incisions are placed discreetly under the breast.

    While Dr Chinsee will use surgical techniques to reduce scarring, the appearance of your scars ultimately comes down to how your body heals, genetics and post care. Your surgical scars should fade over time with appropriate postoperative care and can be further minimised with post-procedure treatment.

  • Complications following breast explant surgery can include infection, hematoma, seroma, changes in breast shape or size, pain or discomfort, alterations in nipple sensation, breast asymmetry, scarring, and potential psychological effects. Infection at the incision site can occur, necessitating proper preoperative and postoperative care. Haematoma, a collection of blood, and seroma, a buildup of fluid, may require drainage to prevent further complications.

    Changes in breast appearance, including size, shape, or symmetry, can result from altered tissue elasticity, scarring, or the original reason for implant placement. Pain, discomfort, and alterations in nipple sensation are common post-surgical experiences. Scarring is inevitable, though its appearance varies based on factors such as genetics and wound healing. Psychological effects, including emotional distress or dissatisfaction with results, may also occur and can benefit from counselling or support. It’s crucial for individuals to discuss potential risks with Dr Chinsee and adhere to postoperative care instructions to promote optimal healing and minimise complications.

  • Breast explant surgery can potentially affect breastfeeding, depending on various factors such as the surgical technique used, the extent of tissue removal, and individual physiological factors. Here are some considerations:

    1. Milk Duct Damage: Depending on the surgical approach and the extent of tissue removal, there’s a possibility of damage to milk ducts, which could impact milk production and breastfeeding capability.

    2. Nipple Sensation: Changes in nipple sensation following surgery may affect the let-down reflex, which could potentially impact breastfeeding. Nipple sensation can vary from temporary numbness to increased sensitivity.

    3. Breast Tissue Removal: If a significant amount of breast tissue is removed during the explant surgery, it may affect the volume of milk-producing tissue remaining in the breasts, potentially impacting milk supply.

    4. Capsule Removal: In cases where the capsules around the implants are removed (capsulectomy), there is a risk of damage to surrounding tissue, including milk ducts and nerves, which could impact breastfeeding.

    5. Individual Variation: Every woman’s body is different, and some may experience minimal impact on breastfeeding ability after explant surgery, while others may face more significant challenges.

  • A breast explant surgery will not help lift sagging breasts. Patients who undergo explant surgery may combine the surgery with a mastopexy (breast lift) to lift the breast and  remove any excess tissue.

  • Most people are able to exercise about six weeks after breast explant surgery, but it is crucial you follow the time frames below to minimise complications.. Reintroduce all activities slowly

    • Week 1: Gentle walking only.

    • Week 2: Sexual intercourse (not involving upper body)

    • Week 6: (Pending review) Gym work, running, swimming (do not submerge your body in water before 6 weeks – this may lead to serious infections)

    • 3 Months: Contact sports, Crossfit, HIIT, etc.

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