Breast implant removal in Montreal
Relief from discomfort
A return to a more natural look
A tailored approach
What is breast implant removal surgery?
Breast implant removal (also called explant surgery) is a surgical procedure used to remove existing breast implants and is commonly performed to create a more natural-looking breast shape, improve comfort, and/or address an aesthetic that the patient no longer finds pleasing.
Patients who have had their implants for many years might consider this procedure for a variety of reasons—changes in their body shape, discomfort, capsular contracture, a suspected rupture, or simply the desire for a result that better reflects their current lifestyle and personal preferences.
As with every breast procedure, Dr. Zelhof takes a personalized approach that is focused on achieving a natural result that is in harmony with your unique anatomy.
Explant surgery and capsulectomy
Breast implant removal surgery can be done in different ways, depending on your situation:
Simple implant removal: the implant is removed, and the capsule (scar tissue around the implant) is assessed based on the clinical context.
Partial capsulectomy: part of the capsule is removed as needed, for example in cases where a firmness has developed over time.
Total capsulectomy: When necessary, the entire capsule is removed.
The choice of technique depends on several factors, including the type of implant, the condition of the capsule, the presence of discomfort, your aesthetic goals, your surgical history, and more. A consultation will help determine the most appropriate and safest approach for you.
Details of the breast implant removal procedure
Breast implant removal surgery is most often performed under general anaesthesia. Whenever possible, Dr. Zelhof favours discreet incisions and/or the reuse of an existing scar, for example in the infra-mammary fold.
In general, the procedure involves:
- Accessing the implant
- Removing the implant
- Treating the capsule as indicated (capsulectomy if needed)
- Closing with meticulous sutures and applying a compressive dressing
In some cases, temporary drains may be used to support optimal healing. The exact details, including duration, technique, and recovery, vary depending on your surgical plan.
What happens to the breasts after breast implant removal?
Once the implants are removed, the breasts may change in appearance, with these changes varying greatly from one person to another.
Factors that influence the result include:
- The size of the implants and how long they were worn
- The quality of the skin and its elasticity
- The amount of natural breast tissue
- Pregnancies, weight fluctuations, and age
Some patients regain a naturally harmonious breast shape, while others may notice more skin laxity, loss of upper-pole fullness, or breast descent.
When desired, explant surgery can be combined with an additional procedure to improve shape:
- breast lift (mastopexy) to raise and reshape the breasts
- fat transfer to restore subtle, natural-looking volume, when appropriate
The goal is always to achieve a result that is consistent with your silhouette, your expectations, and your comfort.
Post-operative care after breast implant removal
Dressings
After surgery, compressive dressings are applied to support the breasts and reduce swelling. A post-operative bra is recommended day and night to support proper healing and provide the right level of support for comfort and recovery.
Showering and hygiene
You can usually shower once the surgical dressing has been removed, but you should avoid direct water pressure on the breasts and incision sites. Use a gentle soap and light motion when washing, and pat the skin dry carefully to avoid irritating the incisions.
Sleep
Avoid sleeping on your stomach until you are fully healed. To protect the tissues, you should wear your post-operative bra and sleep on your side or your back.
What to avoid after breast implant removal?
- Smoking and drinking alcohol, as both can interfere with healing
- Exposing your breasts to direct sunlight, as this can worsen scarring
- Tight or restrictive bras and clothing that may place unnecessary pressure on healing tissues
- Returning too quickly to upper-body workouts
Activities and exercise
Light walking is usually encouraged starting at around two weeks, but strenuous activity and heavy lifting should be avoided for four to six weeks. A gradual return to exercise will be determined by Dr. Zelhof during follow-up appointments.
Overall healing
Swelling and bruising gradually improve over the first few weeks following surgery. The breasts continue to improve over time, and the final result settles progressively as internal healing takes place and the tissues adapt.
Follow-up appointments are scheduled to monitor healing, answer your questions, and adjust post-op recommendations, if needed.
Recovery after breast implant removal
Although every patient is different, the following is a general guideline:
- First two weeks: rest and discomfort management
- Two to four weeks: gradual return to light activities
- Four to six weeks: If approved, progressive return to more demanding activities.
- Several months: refinement of the result, softening of the tissues, and stabilization
Scars after breast implant removal
Scarring depends mainly on the location of the incisions and on whether any combination of procedures have been performed:
- If an existing scar is reused, the goal is to keep the result as discreet as possible
- If a breast lift is performed at the same time to reshape the skin and reposition the areola, additional scars may be present
Scars generally fade over time. The team will guide you on care and best practices to help optimize their appearance.
What is the cost of breast implant removal?
The cost of breast implant removal may vary based on several factors:
- The complexity of the case
- Whether or not a capsulectomy is required
- The need for additional procedures, such as a lift or fat transfer
- The type of anaesthesia and operating time
Typically, the cost of breast implant removal with reshaping starts at $14,000. This price includes operating room fees, surgical supplies, anaesthesia, post-operative care, and the procedure itself.
It is recommended that you book a consultation to receive a quote tailored to your specific needs. You can also ask about financing options, if needed.
Meet Dr. Zelhof
Triple Board Certified Plastic Surgeon in Montreal
Doctor Céline Zelhof is a distinguished french surgeon with triple international certification in plastic surgery. She specializes in facial aesthetic surgery, full facial rejuvenation, and breast corrective procedures, bringing a refined approach to achieving natural, elegant results.
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Schedule a consultation with Dr. Zelhof to explore the options available and determine which surgical procedure is the right choice for you.