Replacement or removal of breast implants
Many women have their doubts about breast implants fitted in the past. Through the years, many different types of breast implants have been fitted. It is important to monitor these prostheses properly and, if necessary, to replace them.
A prosthesis change or the removal of breast implants may be a radical step. Therefore, we will explain to you the various steps involved in these operations. During these procedures, implants that were fitted in the past for a breast reconstruction or breast augmentation operation are replaced or permanently removed.
Step 2: The first consultation
The surgeon discusses your wishes with you and conducts a physical examination. In addition, any symptoms or complaints you may have are discussed extensively. In this way, the surgeon gets a clear view of the initial situation and the intended result. In particular, the things that are looked at include whether there is capsule formation, the shape of the breasts and the elasticity of the skin. If you know which implants you had fitted originally, please bring this information with you to the first consultation. After the consultation, you will know what your options are, whether you opt for a prosthesis change, the removal of the breast implants or even lipofilling. If you choose to have the implants replaced, we will discuss which implants will be fitted, whether they will be fitted in front of or behind the chest muscle, and where the scars will be. Of course we will go through the possible risks and complications with you. After the discussion with the plastic surgeon, our assistant will go through all the practical matters about the planning and costs with you. Do you have further questions after the first consultation? Then of course you are welcome for a second consultation before the operation.
Step 2: the treatment
The procedure of replacing or removing breast implants lasts on average 60 to 90 minutes, and the operation usually takes place under general anaesthetic.
How do you prepare for the operation?
– Ensure that you fast before the operation (don’t eat or drink after 11 o’clock the night before);
– Discuss your medication usage with the plastic surgeon so that you know what you can and can’t take on the day of the operation;
– Arrange transport – you won’t be allowed to drive or travel on public transport by yourself;
– Wear comfortable clothing so that you can get dressed easily after the operation;
– If possible, it’s recommended to have extra help at home for the first few days.
On the day of the operation, you will report to the reception desk. From then on, you’re in good hands. The nurse accompanies you to the theatre complex where you will have another chance to ask the plastic surgeons any remaining questions. Only after the area to be operated on is marked out will you be put under anaesthesia by the anaesthetist.
Step 2: The operation
During the operation, the prostheses will be removed and if agreed new ones will be placed via a 4 to 5 cm long incision in the natural breast fold. Whenever possible, the plastic surgeon will use the old scar.
During a prosthesis change, the existing capsule formation is removed, and the breast cavity is modified to match the shape of the new implants. These are fitted in front of or behind the chest muscle.
If you have opted to have the breast prostheses permanently removed, the plastic surgeon will correct the excess skin where it’s been stretched. This might result in multiple scars; the plastic surgeon will discuss this with you during the consultation prior to the operation.
At the end of the operation, the incisions are carefully stitched up and covered with a dressing. If necessary, the breasts are bound up with a supporting bandage, which contributes to the recovery.
After the operation you will wake up in the recovery room. Once you are fully alert, you can go to the short-stay ward. When you feel well and the doctor or nurse considers it responsible, you can go home. Your companion or driver can then collect you.
Step 3: after the operation
After the operation, you will receive a sports bra from the clinic that you will need to wear day and night for the first few weeks. During the first few days after the operation, it’s important that you get enough rest. After a few days, you are allowed to do light housework and light administrative work. During the first two weeks after the operation, avoid heavy physical work and any lifting. You are allowed to exercise again six weeks after the operation. It goes without saying that, during the first few weeks after the operation, you have to be careful with and around the area that you’ve been operated on.
At first, your breasts will feel rather unnatural. Over time this will change; they will feel softer and you will feel normal again. The scars might look a bit angry after the operation. This redness will disappear over the course of a year, after which the scars will take on the colour of the skin and become less visible. Ultraviolet rays are not good for scars – they can cause them to keep looking red for longer.
• After 24 hours you can have a shower, but don’t allow the wounds to soak. You’re only allowed to take a bath or swim six weeks after the operation;
• After two weeks you are allowed to drive again;
• For the first four weeks you shouldn’t lift anything heavy;
• For the first six weeks you mustn’t exercise intensively;
• If your job doesn’t involve physical exertion, you can go back to work after around two weeks;
• It’s best to keep the scars covered for the first few months, so don’t expose your breasts to the sun.
Every surgical intervention is associated with risks and complications. We aim to reduce the risks by giving you the right information and prior care. By following our instructions before the operation properly, you can minimise the risk of complications. Some possible complications of a prosthesis replacement or the removal of implants are:
• Sensitivity changes in your breasts;
• Allergic reactions to the anaesthetic or suture material;
• Movement and/or rupture of the breast prosthesis;
• Capsule contracture;
• Swelling or haemorrhages;
Lifespan of implants
Despite the integrity of the breast implants, it can never be predicted how long they will last. This depends on the type of implant, the method of placement and any complications such as capsule formation. The implants we fit are of the highest quality and can remain in place for an average of 15 years.
After the operation, you will return to your plastic surgeon after two or three weeks for the first check-up. The final check-up will happen after about three months. Do you have any questions about your recovery or a complication? Then of course you are always welcome at the clinic. All check-ups are included in the price.
If we have operated you and you want to speak to a doctor urgently, one of our doctors is always available to speak with you.
Treating surgeons replacement or removal breast implants
During the first and free consultation, you and your attending plastic surgeon will discuss the breast surgery, from the preparation to the aftercare, and we will answer all your questions about the procedure. After the consultation with the specialist, you will also meet with one of our consultants.
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For more information about the possibilities of a surgery with Aesthetic Centre Jan van Goyen or to make an appointment, please contact us via telephone number 020 – 3055 847 or send an
e-mail to email@example.com. You can reach us during office hours between 08:30 – 16:30 hours.
Aesthetic Centre Jan van Goyen
1071 LL Amsterdam
Tel: 020 305 5847
1071 LL Amsterdam
T: 020 305 5847
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