Meta Description : Considering breast implant removal or replacement is a significant decision, whether motivated by health concerns, lifestyle changes, or simply the desire for a different look. Your consultation is the most important step to ensure your surgeon understands your goals and can guide you toward the best outcome for your body and well-being. A well-prepared patient can navigate this journey with confidence and clarity.

This guide helps you prepare effectively for that crucial conversation.

Step 1: Prepare Your Personal & Medical Profile

Organize your information beforehand for a productive discussion :

Implant & Surgical History:

• Details of your original surgery (date, surgeon, implant type, size, and placement)

• History of any complications (capsular contracture, rupture, BII symptoms)

• Record of any subsequent breast procedures

Health & Symptom History:

• A detailed list of any physical symptoms you are experiencing

• Notes on any changes in your breast shape, position, or feel

• Your personal reasons for seeking a change (aesthetic, health, or both)

Visual References & Goals:

• Gather photos that represent your desired outcome (smaller, larger, or different shape)

• Make clear notes on whether you want a full removal (explant), a lift, or replacement

Step 2: Master Your Essential Questions

This is your chance to ensure your surgeon is the right partner for this journey. Key questions include :

About Surgeon Qualifications:

• Are you board-certified in plastic surgery with specific experience in explant procedures?

• What is your approach to total capsulectomy vs. other techniques?

• May I see before-and-after photos of your patients who had removal / 

 replacement?

About the Procedure & Options:

• What are my options: removal only, removal with lift, or replacement?

• If I remove without replacement, what will my breasts look like?

• If I replace, what are the current safest implant options or alternatives like fat transfer?

About Recovery & Risks:

• How does recovery from explant surgery compare to my initial augmentation?

• What are the specific risks associated with removal, especially if I have contracture?

• What is the plan for my removed implants and capsule?

About Practical Matters:

• What is the total all-inclusive cost for the different options?

• Is this procedure typically covered by insurance in cases of complication?

Step 3 : Understand Your Personalized Pathway

Your reasons for seeking a change are unique. The surgical approach varies significantly based on your anatomy, implant history, and goals—whether you are managing health concerns like BII, addressing complications like rupture, or simply ready for an aesthetic update. An open discussion about your motivations is key to forming the right surgical plan.

Your Goal : An Empowered, Informed Choice

The decision to remove or replace breast implants is deeply personal. By preparing thoroughly, you become an active partner in your care, ensuring your choices align with your health and aesthetic vision for the next chapter.

Ready to become the most prepared patient in the room ?

My book :  “Navigating Your Options: A Women’s Guide to Breast Implant Removal and Replacement”. For a comprehensive guide that details different surgical techniques, and recovery expectations, the in-depth advice you need. Is available now on my website. Choose your language and go to series No.20 to download. Price is kept to the minimum at  start.

Disclaimer: This guide is for educational purposes only. Always consult a qualified healthcare provider to make your medical decisions after examining you.

Author Bio:

Dr. Alaa Elsaharty is a retired Senior Consultant Plastic, Reconstructive, Aesthetic, and Hair Transplant Surgeon. With an MD, MS, and FRCS (Edinburgh), his distinguished 45-year career spanned the UK, Saudi Arabia, and Egypt. He is a member of several prestigious international societies, including ISAPS and ISHRS. This article is based on his decades of experience guiding thousands of patients.

Warmly,
Dr. Alaa Elsaharty MD, MS, FRCS (Edinb.)
Retired Senior Consultant Plastic Surgeon
www.sahartyplasticsurgery.net