Breast Implant Removal in Paris

WHY REMOVE BREAST IMPLANTS?

Medical reasons: complications, rupture, capsular contracture, BIA-ALCL

In some situations, breast implant removal is not only desirable but necessary.

The capsular contracture is one of the most common complications: the fibrous capsule that naturally forms around the implant gradually hardens, compresses the breast, and causes pain, distortion visible and discomfort on a daily basis.

The silicone gel rupture is another definitive sign. It may remain asymptomatic for months before being detected by MRI, and requires a removal of the implant as soon as possible.

The BIA-ALCL (anaplastic large cell lymphoma associated with breast implants) is a rare disease, related almost exclusively to textured-surface prostheses.

If a diagnosis is made, surgical removal of the implant and the fibrous capsule is the standard treatment. Other situations, such as a chronic infection, leak, foreign body reaction, ASIA syndrome (Autoimmune/Autoinflammatory Syndrome Induced by Adjuvants), may also warrant removal. In such cases, the procedure is medically indicated.

Personal reasons: desire for a natural lifestyle, life changes, discomfort

The decision to have one’s breast implants removed without a clear medical reason is just as legitimate. After wearing them for years, many women wish to restore a natural-looking bust, in keeping with their current silhouette and how they fit the body.

The weight of the implants, the physical discomfort in everyday life, the’changing self-perception or simply the’desire for change are entirely valid personal reasons.

Cosmetic surgery requires no justification: the choice is yours, and Dr. Djian’s role is to support you in this decision, not to question it.

HOW IS A BREAST IMPLANT REMOVAL PERFORMED?

Techniques: simple removal or total capsulectomy (en bloc)

There are two main approaches to removing prostheses:

• The simple withdrawal is to remove the implant while leaving the fibrous capsule in place, when it is fine, supple, and problem-free. This is the’the least invasive option, with a faster recovery and fewer postoperative complications.
• The total capsulotomy, known as "en bloc," consists of remove the implant and the entire fibrous capsule in one piece, without ever opening it. This technique is recommended in cases of BIA-ALCL or capsular contracture severe, of intracapsular rupture or calcified capsule. It is more complex and time-consuming, but guarantees a complete removal the scar tissue surrounding the implant.

The choice of technique is always tailored to the individual; there is no single protocol that applies to all patients.

Anesthesia, duration, and hospitalization: what happens on the day of the procedure

Breast implant removal is performed under general anaesthetic, in ambulatory In the vast majority of cases, you will be able to go home the same day as the procedure.

The duration of the procedure varies between 1 hour for a simple withdrawal and 2 hours for a total capsulectomy along with any associated procedures, depending on the complexity of your situation and the condition of the fibrous capsule.

The incision is made in the inframammary fold or via the areolar route, using the scar from the initial procedure if possible, so as not to leave an additional mark.

You can return home with a prescription pain reliever and a support bra to put on as soon as you leave the operating room.

A comprehensive preoperative evaluation is systematically carried out in advance, including a Breast MRI highly recommended for assessing the condition of implants, detecting silent fractures, and guiding treatment decisions prior to any surgical procedure.

WHAT SURGICAL OPTIONS ARE AVAILABLE AFTER BREAST IMPLANT REMOVAL?

Removal alone isn't always the only solution: there are several options available to optimize the aesthetic result based on your profile and expectations.

Breast reduction alone: What will your breasts look like?

That’s the question all patients ask, and it deserves an honest answer rather than a reassuring promise.

The result of a simple subtraction depends on several factors:

• your age at the time of withdrawal,
• the size of the implants used,
• the duration of wear,
• skin quality and elasticity,
• and the importance of breast ptosis pre-existing.

A young woman with moderate-sized implants and elastic skin often achieves a natural and harmonious result without the need for additional procedures.

Prolonged use of large-volume prostheses can, however, lead to sagging skin more pronounced and residual ptosis.

In that case, a related document may be considered to improve the appearance of the breasts and restore a shapely contour. This is precisely the body assessment that Dr. Djian performs during the consultation, in order to give you a realistic estimate of your final result based on your profile.

Combining prosthesis removal with a breast lift (mastopexy)

When the There is significant skin laxity and the breast ptosis marked, the breast lift in Paris allows the gland to be reshaped and repositioned to restore a firm, shapely bust without the need for a new implant. The procedure is performed in a single surgical procedure along with the removal of the prostheses, which eliminates the need for a second anesthesia.

The extent of scarring depends on the degree of ptosis to be corrected.

Combining prosthesis removal with breast lipofilling

The breast lipofilling in Paris involves harvesting autologous fat from another area of the body (the abdomen, thighs, or hips) and reinjecting it into the breast after the implants have been removed. It is a natural alternative to maintain a moderate breast size without using a new foreign body. The results are permanent for the fat that remains, while the rest is naturally absorbed by the body in the weeks following the procedure.

This technique requires sufficient donor zones and a high-quality recipient breast tissue.

Switching to new, next-generation breast implants

For women who wish to maintain their breast size but replace their implants—whether due to their age, changes in body shape, or an unsatisfactory initial result—implant replacement is a viable option. The new generations of prosthetics offer more refined textures and shapes, with a often has a more natural shape than that achieved during the initial installation.

The replacement is performed in a single surgical procedure: the old implants are removed and the new ones are placed, sometimes in a different dressing room if the anatomical situation warrants it.

It may be in combination with a breast lift when the skin has become loose over time, or following lipofilling as part of a composite breast augmentation for a more natural-looking result than a prosthesis alone.

During the consultation, Dr. Djian will assess your overall situation (condition of the tissues, body type, aesthetic expectations) to help you choose the most appropriate solution.

POSTOPERATIVE CARE FOLLOWING EXPLANTATION: RECOVERY AND HEALING

The first few days following the removal of breast implants are marked by a discomfort and a normal fatigue, without severe pain in most cases. A pain management appropriate medication is prescribed upon leaving the operating room and is usually sufficient to manage any discomfort. The wearing a support bra day and night is recommended for 3 to 4 weeks to support breast tissue undergoing reconstruction and promote optimal healing.

A one to two weeks of sick leave is generally required for a sedentary job.

The resumption of a physical activity continuous support is available 4 to 6 weeks after surgery, subject to the surgeon's approval during the follow-up visit.

The Healing takes 6 to 12 months : The scar goes through an inflammatory phase before gradually fading.

The final aesthetic result becomes apparent at the end of this period, once the tissues have stabilized and the skin has returned to its natural level of tension.

Every patient is Reviewed during consultations on Day 8, Month 1, and Month 3 for comprehensive monitoring of their recovery.

PRICING AND COVERAGE FOR BREAST IMPLANT REMOVAL

Price ranges: liposuction alone, with a facelift, or with lipofilling

The cost of breast implant removal varies depending on the technique used, the duration of the procedure, and any associated procedures.

Doctor Djian's fees

* Cosmetic surgery prices are given for information only and are not contractually binding.
The first consultation at our office in the 16ᵉ arrondissement of Paris costs 100 euros.

You will always receive a personalized quote following your consultation with Dr. Djian, with full transparency.

Covered by Social Security and your health insurance plan

In certain medically documented situations, the removal of breast implants may be partially covered by Medicare. This is particularly the case when there is a implant failure confirmed by imaging, of a spasm severe capsular or a diagnosis of BIA-ALCL.

The process involves a prior approval from the CPAM, processed with the firm’s assistance. The remaining amount you are responsible for will then depend on your health insurance coverage.

The office staff will assist you with your administrative tasks to make the process easier for you.

To better understand the reimbursement procedures applicable to breast surgery, please also visit the page dedicated to Coverage for breast reduction surgery, whose principles are similar.

WHY CHOOSE DR. DJIAN FOR YOUR BREAST IMPLANT REMOVAL?

Dr. Jérémy Djian is plastic surgeon in Paris, specializing in breast surgery. He is skilled in all explantation techniques, ranging from simple removal to total en bloc capsulectomy in the most complex cases. Each case is evaluated individually, with a rigorous preoperative assessment. What his patients appreciate most is his genuine attentiveness and concrete follow-up until the final result is achieved: scheduled follow-up appointments, a practice that can be reached between appointments, and decisions that are never rushed.

Dr. Djian sees patients at his office in the 16th arrondissement of Paris, for any request to remove breast implants, whether for medical reasons or by personal choice. Each case is evaluated individually, with a clear explanation of the available options, expected outcomes, and the actual cost of the procedure. You can schedule an appointment online via Doctolib or contact the practice directly by phone.