Surgery

Breast implant removal

All about breast implant removal

Breast implant removals are performed for a number of reasons, including but not limited to lifestyle changes, illness, replacement or rupturing. Women who have had breast implant surgery will ultimately need another breast implant revision procedure. These procedures include:

Other reasons breast implants need to be removed include:

Price

We have worked hard to be able to offer an affordable price so patients do not feel pressured to visit under qualified practices or destination surgery.

Our breast augmentation surgery includes surgeons fee, hospital fee, general anaesthetic costs, compression garments and lifetime follow up care.

Patients with private health insurance From $8,500
Patients without private health insurance From $11,500

Some Medicare rebates and health fund covers may apply to this procedure

When is breast implant removal recommend?

Every year there are thousands of women who undergo breast augmentation surgery. Although relatively rare, there are many reasons that breast implant removal surgery becomes necessary. Breast implants don’t last a lifetime and will need to be replaced at some point even if there are no other problems. Most implant manufacturers identify that breast implants commonly have an implant life of between 10 and 15 years. Breast implant problems do exist and have a variety of causes, although risk factors have diminished greatly over the past 20 years. Still, over 23,000 women had their implants removed in 2013.

Breast implant removal may be needed to relieve a condition called capsular contracture. This is a condition where the capsule, which naturally forms around all implant, begins to contract thereby squeezing the implant. The severity of contracture varies from person to person. This may be completely unnoticeable, may become very painful, and lead to distortion of the implant and breast. There are four recognized degrees of this condition (Baker Grade 1 through Grade 4). The implant will need to be removed it the breast has become distorted, hard or painful.

Another common reason for breast revision surgery to remove implants, is overall dissatisfaction with the appearance of the breasts. Breast size, and breast tissue quality can and do change over time, often in response to hormonal changes that are occurring in the body. It is very common to hear from patients who loved their breast size when they underwent breast augmentation initially, and who have noticed enlargement of their own breast tissue over time.

Sometimes there is a rippling effect of the implant edges and the implant can be felt and/or seen. In this case, the surgeon will attempt to use the same incision created during the original process to remove the old implant and to reinsert the new one, or to perform other procedures to ensure the breast looks attractive and natural following the procedure.

A ruptured implant must be removed. Silicone ruptures can be ‘silent’ as the gel is engineered to remain in place (Cohesive, or highly cohesive silicone gel). In fact, there may be no symptoms at all. These may be detected during routine mammograms or ultrasounds but the most sensitive imaging study to evaluate breast implants is an MRI. It is recommended that women with silicone breast implants have an MRI routinely to detect these types of ruptures. Saline implant ruptures are usually noticeable to the patient, as the device commonly deflates causing the breast to become noticeably smaller. Implants can rupture due to age-related mechanical injury, car accidents, mammograms or from being nicked by surgical instruments when undergoing a breast biopsy.

This is an extremely rare entity that has been classified as a T-cell lymphoma that occurs adjacent to breast implants. The exact cause is unclear. In recent studies, although the absolute number of cases is very low, BIA-ALCL has been found more commonly in patients who have had textured implants placed. Texturing of implants does vary depending on the manufacturer, and many of the cases associated with textured implants occurred predominantly with those devices made by one particular company (Dr. Brenner does not use implants from that company). However, some cases have occurred in women with smooth implants as well, both with silicone and saline devices. This entity most commonly presents as a late seroma (fluid collection) around the implant. Appropriate treatment includes removal of the implants, fluid and breast capsules.

The Breast implants may have shifted (breast implant malposition) and are now located in an area which is uncomfortable, such as the armpit. Or they may have shifted into a position that is unattractive (i.e. bottoming out, also known as inferior malposition). During your consultations with Dr. Brenner, he will offer alternatives to implants if reinserting them is not an option. In some cases, it is not possible for medical reasons. The important thing to remember is that Dr. Brenner has extensive experience and success in restoring a normal, natural appearance to breasts following changes resulting from pregnancy, natural aging, as well as myriad post-surgical issues as demonstrated above.

Breast Implant Illness (or "BII")

In recent years, there has been heightened attention to a non-specific disease labeled as “breast implant illness” (or “BII”) by many patients. This is not an actual medical diagnosis and does vary between women most likely due to genetic factors. This likely explains the very low incidence. This may encompass many diverse and unrelated systemic illnesses, in particular, illnesses that are commonly classified as auto-immune. Although there is no clear evidence that breast implants cause any of these disease processes, many patients have difficulty moving past the association.

Further, there is some thought that these symptoms may be associated with colonization of the implant with some type of bacteria, which may set up a sub-clinical infection of the implant space. Patients have reported the following symptoms:

  • Numbness and tingling of the breast and extremities
  • Headaches
  • Malaise
  • Feeling like they are in a ‘fog,’ memory difficulties
  • Fertility issues/ menstrual changes
  • Insomnia
  • Muscle aches, joint pains, and breast pain have been described by patients.

Most patients who present with these types of issues (usually after a long and comprehensive evaluation by their primary care doctor that rules out other more likely and serious illnesses) often request to have their implants removed. They also commonly request to have their breast capsules removed at the same time. Many patients report improvement in their symptoms following surgery for removal, though this is not universal.

What we’re doing at One?

Dr Wessels has become a specialist in breast explant surgery due to the sheer number of cases he sees each year. He has become an advocate for the illness and worked hard in raising awareness to women who are suffering by appearing on multiple different TV shows, radio interviews and magazines to discuss breast implant illness.

The One explant team

Although there is no medical diagnosis of BII we have a team who are currently researching the illness and a liasons in clinic to guide patients through the explant process.

Simone Mckenzie – Breast implant illness patient and now client liaison
Anita Jacobs – Breast implant specialist and lead researcher in BII
Dr Louis Wessels – Breast implant removal specialist

Dr. Wessels featured on 9NSW The Today Show ‘Breast Implant Illness’

The Surgery & Recovery

Before your procedure, Dr Wessels and our surgery team will make sure that you are comfortable and well before going ahead. Dr Wessels will draw on your breast to plan the where the incisions will be.

 

Breast implant removal or explant surgery is performed under general anaesthesia. The procedure normally takes 2 hours and starts with an incision being placed under the breast fold, where your augmentation incision was. The new incision will be 1 – 2 cm longer than the previous scar. Dr Wessels then performs a total en bloc capsulectomy by withdrawing the implant and the capsule at the same time allowing the breast tissue and muscles to settle back to their original position for a more natural appearance. Total capsulectomy removes all the scar tissue, including the ones around the implant along the ribs and lungs. Once the capsule and implant is successfully removed the incisions are carefully closed in layers with a concealed absorbable stitch. The incisions are then covered with a waterproof dressing. Patients are then taken to recovery for 2-4 hours with our recovery care specialists. All patients will have drains in place for 2-7 days following surgery. Some patients will be required to stay overnight in hospital and others may be allowed to go home following surgery provided they have an organised carer.

Our surgeons are available from the following hospitals for this procedure:

Kingsway Day Surgery (Miranda, NSW)
East Sydney Private Hospital (Woolloomooloo, NSW)
Macquarie University Hospital (Macquarie University, NSW)
Kareena Private Hospital (Caringbah, NSW)
Double Bay Day Surgery (Double Bay, NSW)

Recovery

After surgery our recovery specialists will given post-op instructions. It is important to follow carefully. You will be provided with a script for medication, which you will need to purchase after surgery and instructions on when to take the medication over the days ahead. You will be discharged from hospital when your companion picks you up from the hospital. All patients must have a companion to stay with them for 72hours following surgery.

The first week after surgery you should stick to gentle day-to-day activities. This includes minimal house duties, no lifting, staying home as much as possible and sleeping in an elevated position. Commence postoperative exercise (instructions given post surgery).

  • Surgical drains will be removed either in hospital or by clinic Nurse at One Cosmetic

In the second week of recovery try not to raise your blood pressure too much and still sleep in an upright position. Patients will also be required to attend a postoperative appointment at our office in week 2. this will be scheduled prior to surgery.

 

In week 2 patients may:

  • Commence a light walk
  • Return to work in week 2 if you have an office job with little physical activity
  • Avoid sexual intercourse
  • Start driving provided they are not taking any pain medication. We also recommend waiting 3 days for the medication to be out of your system

Weeks 3 – 5 patients with more physical jobs can return to work.


In weeks 3-5 patients may:
  • Start getting into a light exercise routine, using lower body
  • Start doing more physical household duties

In weeks 6-8 patients may:

  • Commence normal exercise routine and duties. Please note, do not push yourself into being back into your pre surgery routines.
  • Swimming, bathing running, yoga, stretching, spin class and Pilates
  • Stop wearing compression bra 

At this stage patients are mostly fully recovered and sutures are absorbed. Patients should always wear a supportive bra when exercising or performing physical activity. For all patients with teardrop breast implants we recommend that you do not ever go back to using or exercising chest muscles heavily as teardrop implants can rotate.


In weeks 9-12 patients may:

  • Contact sport
  • Boxing and upper body exercise

Some possible complications and risks associated with breast lift surgery may include:

  • Surgical risks such as bleeding or infection
  • Fluid accumulation around the operation site(s)
  • Visible and prominent scars including keloid and hypertrophic scars. These are raised, red and thickened scars that may form over the healed incisions. They may be itchy, annoying and unsightly but are not a threat to health
  • Allergic reaction to suture materials, tape adhesive or other medical materials and lotions
  • Skin discoloration, permanent pigmentation changes, swelling and bruising
  • Fatty tissue deep in the skin could die (fat necrosis) leaving hard lumps
  • Changes in breast and nipple sensation
  • Temporary or permanent areas of numbness
  • Asymmetry (unevenness) of the breasts
  • Excessive firmness of the breast
  • Potential partial or total loss of nipple and areola
  • Need for further surgery to treat complications
  • Risks of anaesthesia including allergic reaction or potentially fatal cardiovascular complications such as heart attack
  • A blood clot in the deep veins of the legs (deep vein thrombosis), which can move to the lungs (pulmonary embolus) or to the brain and may be life threatening

At One, we are regularly researching how to minimise the possible risks during the procedure and our methods are now being adopted worldwide.

Frequently Asked Questions

We regularly get asked about our procedures, so we have put together a couple of questions we get asked on a regular basis. If there is something else you would like to know, please get in touch!

No, we cannot make any guarantee that removing breast implants can relive patient s of illnesses. We ask patients to cross out all other possibilities before removing their breast implants.

This is really common for women to be concerned about the appearance of their breasts post explant. Dr Wessels regularly performs explant surgery in combination with a fat transfer and a breast lift.

Yes, in some cases this surgery is considered a medical procedure so your private health insurance may cover your hospital costs.

In some cases, Medicare rebates are available on this procedure.

Real Patients,

Real Results

Dr. Jing Wang

General Practitioner

Dr. Jing Wang is a highly experienced General Practitioner (GP), graduating Mbbs with honours from the University of New South Wales with a Bachelor of Medicine and Surgery, She is also a fellow of the CPCA. Her comprehensive hospital training encompassed various fields including medicine, surgery, paediatrics, obstetrics, gynaecology, and emergency medicine.

A dedicated professional, Dr. Wang is not only a fellow with the Royal Australian College of General Practice (FRACGP) but also a dermal filler trainer, showcasing her expertise in aesthetic medicine. With a fervent belief in the power of non-invasive cosmetic procedures to unlock individual beauty and confidence, she is committed to helping her patients achieve their aesthetic goals.

Over the course of her career, Dr. Wang has cultivated a particular interest in skincare and anti-aging medicine. Specialising in non-surgical cosmetic procedures, she possesses extensive proficiency in injectable treatments, leveraging her deep understanding of facial anatomy and artistic sensibility to deliver optimal results. Her areas of expertise include dermal fillers, bio-stimulators, and thread lifts, with a meticulous attention to detail in procedures such as lip enhancement, cheek augmentation, and nose reshaping.

Dr. Wang is renowned for her excellence in a range of treatments, including dermal fillers for the Asian nose, tear troughs, and chin, as well as facial slimming techniques to achieve the coveted V-shaped face aesthetic. She is equally passionate about imparting her knowledge to the next generation of medical professionals, serving as a conjoint lecturer at the University of New South Wales medical school and sharing her insights on medical topics and preventive healthcare through regular presentations on SBS radio.

Fluent in English, Mandarin, and Cantonese, Dr. Jing Wang is dedicated to providing personalised care and empowering her patients to look and feel their best.

Jasmine Touma

Practice Coordinator + Post Surgery Nurse

Nursing Student

Meet Jasmine, our delightful practice coordinator who collaborates with Charlie and Katie to oversee both the team and our incredible patients. Jasmine is currently pursuing her nursing degree, aspiring to become a nurse injector in the future. She is actively engaged with our plastics team, where she manages the care of post-surgery patients, gaining invaluable hands-on experience in the field of plastics.

 

Jasmine possesses a calming nature that has the remarkable ability to reassure even the most anxious patients. Her passion lies in building genuine relationships with clients and thriving in a team environment.

 

Drawing from several years of experience in customer service and the beauty industry, Jasmine is well-versed in ensuring that your experience at OC is nothing short of exceptional.

Dr Adam Honeybrook

FACIAL PLASTIC & RECONSTRUCTIVE SURGEON

Dr Honeybrook completed a 6-year medical degree at the University of New South Wales (UNSW), Sydney, in 2009. He then completed basic surgical training at Royal Prince Alfred Hospital, Sydney, whilst also sitting the United States Medical Licensing Examinations. This provided Dr. Honeybrook the unique opportunity to train at top hospitals throughout the United States.

 

From 2012 onwards, Dr Honeybrook undertook an impressive amount of training and accreditation in the United States, including General Surgical training at Vanderbilt University Medical Centre, a highly selective 5-year specialist training position in Head & Neck and Facial Plastic Surgery at Duke University Hospital in North Carolina – which encompassed extensive subspeciality training in Facial Plastic and Reconstructive Surgery, including microvascular tissue transfer, oncologic facial reconstruction, maxillofacial trauma reconstruction, facial reanimation and reinnervation procedures and facial aesthetic surgery – followed by an additional 2 years of accredited fellowship training dedicated purely to Facial Plastic Surgery via the prestigious University of Pennsylvania Facial Plastic and Reconstructive Surgery fellowship under the auspices of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS).

 

In 2019, Dr Honeybrook completed further fellowship training in Facial Plastic and Reconstructive Surgery in Louisiana and became an Assistant Professor of Head & Neck and Facial Plastic Surgery at Louisiana State University.

 

Dr Honeybrook then returned to Australia in 2020 to work as a specialist consultant surgeon at Royal Brisbane and Women’s Hospital and he was inducted as a fellow of the American College of Surgeons in 2021. In 2022, Dr Honeybrook was inducted as a Fellow of the Royal Australasian College of Surgeons, and he was also granted Board Certification in Facial Plastic and Reconstructive Surgery by the American Board of Facial Plastic and Reconstructive Surgery.

 

Dr Honeybrook’s 19 years of extensive medical and surgical training and experience has focused on Head & Neck and Facial Plastic and Reconstructive Surgery, and he has trained under some of the most highly regarded facial plastic surgeons in the world. Holding specialist medical licenses in both Australia and the United States enables Dr Honeybrook to frequently visit his mentors in North American to remain contemporary and continue his quest of lifelong learning to deliver optimal outcomes to his patients.

 

Dr Honeybrook’s unique training background enables him to provide patients with individualised results. He is one of a few surgeons in Australia with such an extensive training that integrates surgical skills alongside the latest technologies to deliver enhanced, yet natural results.

 

Dr. Honeybrook specialises in advanced surgical facial rejuvenation techniques including extended deep plane facelift, eyelid surgery (blepharoplasty), brow lift, and other surgical and non-surgical restorative treatments. He also has extensive experience in transformative primary and revision rhinoplasty, and he performs approximately 150-200 rhinoplasty surgeries each year.

Katie O'Connor

Practice Coordinator

Katie is our beautiful clinic coordinator at OC and one of the first faces you’ll see when you walk through the doors or call our team. She has several years of experience in a customer service role and brings a wealth of knowledge in managing patients and understands what it takes to support our patients through their cosmetic journeys. 

 

Katie is passionate about skin and skin health, which is so important when patents are seeking advice on where to start. Katie has also recently been through the surgery process herself, so she can give first hand experience when it comes to any surgery related questions. 

Dr Thomas Webb

Cosmetic Physician

Bachelor of Medicine and a Bachelor of Surgery

Graduating in 2016 with a Bachelor of Medicine and a Bachelor of Surgery, Dr Webb has spent the last five years working as a surgical trainee in Sydney.


With a particular interest in Plastic and Reconstructive surgery, Dr Webb has turned his sights to Cosmetic medicine, incorporating his knowledge of anatomy and technical ability to provide minimally invasive rejuvenation techniques, emphasising symmetry and aesthetic outcomes.

 

Dr Webb collaborates with several aesthetic medical clinics and national scripting partners around Australia. Ensuring patient comfort and safety are paramount to Dr Webb, and he always aims to exceed his patient’s expectations for all cosmetic procedures.

Shannon Mccarron

Practice Coordinator + Post Surgery Nurse

Nursing Student

Shannon is our lovely practice coordinator, working alongside Charlie and Katie, managing the team and our wonderful patients. Shannon is currently studying her nursing degree and has aspirations of one day becoming a nurse injector. She is currently working alongside our plastics team, managing the care of their post surgery patients, gaining first hand experience in plastics.

 

Shannon has a calming nature and can put even the most anxious patients at ease. She loves building genuine relationships with clients and working within a team environment. 

 

With several years of experience in customer service and the beauty industry shannon understands what it takes to ensure your experience at OC is second to none.⁣

Max Lambert

Senior Cosmetic Injector

Bachelor of Nursing

After working as a Senior Dermal Therapist in the beauty industry for over four years, Max has mastered the complexities of skin. Now, as an advanced registered nurse and certified cosmetic injector, Max offers the latest and most advanced treatments.

 

Additionally, Max has experience working in a clinical capacity in a critical care environment, specialising in vascular nursing. Max is passionate about helping clients feel like their best selves, accentuating their unique and natural beauty. Max is dedicated to working with every individual to form results-driven, realistic and client-centred treatment plans.

 

Furthermore, Max has formulated a genuinely gifted and aesthetic eye with attention to detail. Education is integral to his approach, ensuring clients understand all aspects of the treatments they receive, including product information and post-treatment care.

Max ensures he attends ongoing training, workshops and leading industry conferences to remain up to date with the most advanced procedures and modes of treatments available.

Lacey Lopez

Senior Dermal Aesthetician

After completing her diploma in beauty therapy at the Australasian natural therapies in 2011, Lacey was quickly identified as an emerging talent due to her meticulous attention to detail and offering a uniquely holistic and personalised approach to beauty and Wellness.

 

Holistic Wellness is associated with treatments and remedies that are natural, safe and focused on one’s internal and external wellbeing. Much more goes into Wellness of your skin than just a single treatment or product. Ones emotions, hormonal balance, nutrition, and the types of products used on the skin synergistically can make up the health of their skin.

 

Whilst gaining incredible industry experience both here and in the United States, Lacey went on to further her studies in holistic skin analysis – completing courses in lymphatic drainage, advanced dermal needling, skin mapping, hormonal imbalances, massage therapy an integrative nutrition. Her incredibly diverse training in highly customised treatment plans have ensured her reputation as one of the best aestheticians in Sydney.

 

Now, with over 12 years of industry experience Lacey acts as the senior dermal aesthetician for one cosmetic and skin therapist to celebrities. Her expertise lies in being results driven, providing exceptional service, and mastering high quality products and technology on the market. Lacey is forever researching industry innovations in remaining at the forefront of the latest procedures and modalities Lacey has become a renowned skin expert and trainer across the country. Book a consultation with Lacey to create your customised skin plan.

Dr. Louis Wessels

SPECIALIST PLASTIC SURGEON

MBChB FRACS (Plast) FCS Plastics (SA) MAdv Plastic Surgery (Macq Uni) Mmed Plastics (SA)

Dr Wessels is a cosmetic, plastic and reconstructive surgeon. His practice covers the whole range of procedures in cosmetic, plastic and reconstructive surgery with special emphasis on cosmetic and reconstructive surgery of the breast (augmentation, reduction and breast lift) as well as facial cosmetic and reconstructive surgery.

Dr Wessels received his MBChB in South Africa, completing his internship and general surgery residency, training in one of the most challenging clinical environments, before completing his Fellowship and his Master of Medicine in Plastic and Reconstructive Surgery.

Dr Wessels successfully completed his second Fellowship in Plastic and Reconstructive Surgery when he was awarded a Fellowship of the Royal Australasian College of Surgeons in 2015. He has published world leading research on breast implant infection and outcomes following breast augmentation surgery.

Chelsea Scutts

REGISTERED NURSE

Chelsea has been with One Cosmetic since it’s inception, handpicked by Dr Wessels to manage his practice and patients. Having been in the health & beauty industry for over 8 years Chelsea has a passion for all aesthetic treatments! Her ever evolving thirst for knowledge and passion for delivering the very best to our patient is why Chelsea has a strong base of clients.

 

Chelsea treatments include anti wrinkle, dermal filler, PDO threads, lip enhancements, Morpheus8 face and body sculpting and much more! She has an eye for natural beauty and enhancing her patients features. She regularly attends seminars to learn new techniques for best practice.

 

Book a Consultation with Nurse Chelsea via the online booking system.

Dr. Anita Jacombs

GENERAL SURGEON & BREAST IMPLANT SPECIALIST

Anita is a general surgeon at a variety of hospitals across Sydney and has been working alongside Dr Wessels for the past 2 years. She shares a passion for patient health and wellness, which is why is completes all of our breast implant checks. Anita has warm nature and wealth of knowledge when it comes to surgery and its possible complications. Anita is available for breast implant checks in clinic too ensure you and your implants are in good health.

Charlie Saphin

PRACTICE COORDINATOR

Charlie is one of the beautiful faces you’ ll meet when coming into clinic. Charlie brings knowledge and experience in VIP customer service management. Charlie has such a calming nature that will make even the most nervous patients feel at ease.


Charlie knows the answer to all surgical and non surgical questions you may have. She loves chatting with patients and holding their hand along their aesthetic journeys.

Dr. Sepehr Lajevardi

SPECIALIST PLASTIC SURGEON

MBBS BSc(Med) Hons GDip (Anat) MS FRACS (Plast) 

Dr Sepehr Lajevardi is a specialist plastic and reconstructive surgeon specialising in aesthetic surgery of the breast and body. After undertaking his undergraduate medical training at University of NSW with a scholarship, he went on to undertake 12 years of post graduate 12 years of post graduate training to be recognised as a specialist plastic surgeon with the Royal Australasian College of Surgeons. Dr Lajevardi has a keen interest in research with many publications and more than 50 presentations at national conferences. Dr Lajevardi was also mentored by many of Sydneys previous leading plastic surgeons to further his skills in aesthetic plastic surgery.

 

Dr Lajevardi is a clinical associate lecturer at the university of Sydney. He is also a founding member and past chairman of the International charity organisation, ‘Doctors Assisting in South Pacific Islands’ (DAISI), organising much needed surgical trips to the pacific as well as medical supplies to help our closest neighbours.

 

Dr Lajevardi prides himself in his meticulous surgical technique. His paramount consideration is patient satisfaction, always striving to achieve tailored results in a caring and compassionate way.

Dr. Louis Wessels

SPECIALIST PLASTIC SURGEON

MBChB FRACS (Plast) FCS Plastics (SA) MAdv Plastic Surgery (Macq Uni) Mmed Plastics (SA)

Dr Wessels is a cosmetic, plastic and reconstructive surgeon and is a senior lecturer at the Faculty of Medicine and Health Sciences of Macquarie University.

His practice covers the whole range of procedures in cosmetic, plastic and reconstructive surgery with special emphasis on cosmetic and reconstructive surgery of the breast (augmentation, reduction and breast lift) as well as facial cosmetic and reconstructive surgery.

Dr Wessels received his MBChB in South Africa, completing his internship and general surgery residency, training in one of the most challenging clinical environments, before completing his Fellowship and his Master of Medicine in Plastic and Reconstructive Surgery.

Dr Wessels successfully completed his second Fellowship in Plastic and Reconstructive Surgery when he was awarded a Fellowship of the Royal Australasian College of Surgeons in 2015. He has published world leading research on breast implant infection and outcomes following breast augmentation surgery.