Mr Olivier Amar says: “Sometimes as my patients grow older, are successful in their professional lives or become mothers, they may feel that their breast implants no longer suit their lifestyle or their self-image. In other cases, the implants simply do not look as good as they used to. Whether patients want to change to a smaller or bigger implant, be completely natural or improve the look of their implants, I offer personalised surgical options to enable women to have the look they desire.”
WHAT IS BREAST IMPLANT REMOVAL?
Breast implant removal, with or without replacement or exchange, is a procedure in which implants previously placed in the breasts are taken out.
WHY CONSIDER BREAST IMPLANT REMOVAL?
You may wish to have your implants taken out for many reasons. These may include:
- You see wrinkling or rippling of the implants. Or the edges of your implant have become visible.
- You have previously had breast implants but have decided you do not want them anymore, perhaps because they no longer suit your age or social role.
- Your breast implants are damaged or ruptured.
- Your breasts have sagged around the implants, so the implants are fine, but the breast looks empty.
- The natural scarring that holds your breast implants in place has hardened and tightened. This is called capsular contracture.
- You want to exchange your implant for one of a different size. It is quite common after having children or at menopause to feel that your implant no longer suits your shape.
- You can see or feel your implants under the skin. In slim women in particular, the edges of the implant can become more visible as your skin becomes thinner with age. You may even be able to see your implant fold or ripple.
- Your implants have moved or you are not happy with their positioning.
WHAT HAPPENS DURING THE PROCEDURES?
For your safety, Mr Olivier Amar personally examines every patient and takes a medical history before considering the correct course of treatment. After consultation with Mr Olivier Amar, you may decide on one of several possible options to achieve your desired result.
Breast implant removal
If your breast skin is firm and elastic and your existing implant size is small, you may be able to have your implants removed – usually via the previous surgery scar – and have no other surgery.
Breast Implant Removal with a Breast Lift (Mastopexy)
If your breasts have sagged and stretched, you may benefit from a breast uplift procedure to lift your breasts and restore their previous firmness.
Breast Implant Removal and Replacement
Often breasts appear deflated after implants are removed. A new implant will restore their previous fullness. You may choose a new shape, texture or size at this point. The new implant is inserted via the scars of the prior operation.
If your breasts have become unacceptably firm, changed shape, become smaller or feel tender, you may have capsular contracture. A capsulectomy procedure removes the capsule which is the lining around your implant. You can have the original implant removed or replaced.
If you are happy with the size and shape of your implants, but they have become more visible, perhaps because the edges are visible at the décolletage, or because you notice wrinkling or rippling, fat transfer (lipomodelling) is an option to restore the natural appearance of your implants without removing or replacing them.
If you have lost volume in the upper pole of your breast, but the implant at the base is fine, then fat transplantation may be a way to refresh your look while allowing you to enjoy your implants for longer. Mr Olivier Amar is a highly experienced specialist in this technique. Fat can be taken from an area you may wish to slim down, such as the abdomen or thighs, and be placed in the upper pole of the breast or gently smoothed over the implant to hide the edges.
Mr Olivier Amar says: “Layering fat over the breast gives an elegant, refined and more natural look. The combination of fat removal through liposuction to the body and fat transfer to the breast can improve the overall harmony and proportions of your silhouette.”
For breast implant removal or replacement surgery, an ultrasound or mammogram will be required in order to check the breast tissue and integrity of the implants.
All breast procedures are performed by Mr Olivier Amar as day surgery. Breast Implant Removal surgery is performed under total intravenous anaesthesia (TIVA), a technique of anaesthesia which uses a combination of agents given exclusively via the intravenous route without the use of gas anaesthesia. This means you will sleep comfortably throughout the procedure and wake immediately afterwards with a significantly reduced likelihood of feeling groggy or nauseous. The anaesthesia will be explained to you by your anaesthetist during the preoperative consultation. Having surgery under TIVA allows you to go home the same day to rest and recuperate in comfort. Mr Olivier Amar’s practice is happy to arrange the procedure at a hospital with an overnight stay facility if you wish or assist with a nurse to stay with you overnight, as well as helping you find local accommodation after your surgery if necessary.