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  • Home
  • About
    • About Dr Safvat
    • Dr Safvat’s Philosophy
    • Difference between Plastic & Cosmetic Surgeons
    • Our Team
  • Breast
    • Breast Reduction
    • Breast Augmentation
    • Breast Lift (Mastopexy)
    • Breast Reconstruction
    • Male Breast Reduction (Gynaecomastia)
    • Nipple – Areola Reshaping
    • Capsulectomy (Removal of Implant)
  • Body
    • Tummy Tuck – Abdominoplasty in Sydney
    • Liposuction
    • Arm Lift (Brachioplasty)
    • Labiaplasty
  • Face
    • Blepharoplasty (Eyelid Surgery)
    • Neck Lift
    • Facelift
    • Otoplasty (Prominent Ears)
    • Rhinoplasty (Nose Reshaping)
  • Hand
    • Carpal Tunnel
    • Dupuytren’s Disease
    • Trigger Fingers & Thumb Trigger
    • Ganglion Cysts
    • De Quervain’s Tendonitis
    • Cubital Tunnel
    • Acute Hand Injuries & Trauma
  • Male
    • Male Breast Reduction (Gynaecomastia)
    • Liposuction for Men
    • Abdominoplasty for Men (Tummy Tuck)
    • Blepharoplasty (Eyelid Surgery)
    • Rhinoplasty for Men (Nose Job)
    • Facelift for Men
    • Otoplasty Ear Surgery for Men
  • Skin
    • Anti-Wrinkle Injections
    • Dermal Fillers
    • Lip Enhancement
    • Skin Cancer Surgery & Reconstruction
    • Skin Lesions / Mole Removal
    • Scar Enhancement
  • FAQs
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Capsulectomy (Removal of Implant)

BREAST IMPLANT REMOVAL

Capsular Contracture is a complication after a Breast Augmentation procedure that can happen from a few months post-Surgery to decades later.

Around all implants a fibrous capsules (scar tissue) is formed to keep it in place and protected.

For reasons that are not totally understood, this capsule can sometimes become thicker and contract. In its severe form causes discomfort and can distorts the breast. In these rare circumstances the capsule needs to be surgically removed and the implant replaced.

Dr Safvat only uses newer 5th generation implants, which their risk of capsular contractions are significantly reduced.

breast implant removal Sydney - Dr Safvat
HISTORY OF IMPLANTS

The first breast implant was done in 1962 by Cronin & Gerow in the US. These 1st generation implants were viscous silicone in a thick shell. They had a very high incidence of capsular contracture.

The 2nd generation implants were developed in mid to late 70’s and had a less viscous silicone, inside a thin smooth shell. This resulted in less capsular contracture but increased the incidence of the shell rupturing and the silicone gel leaking out.

The 3rd generation implants were developed in early to mid 80’s to stop shell failure. The shell was more sophisticated and stronger.

The 4th generation implants had the same shell as the 3rd generation implants but the surface was roughened called textured surface. This again has been shown to decreased capsular contractures in the sub-glandular implants.

The 5th generation was like the 4th but the silicone gel inside is cohesive gel. This decreased the chance of leaking even if the shell was ruptured.

The capsular contracture rate of the new textured cohesive gel implants (5th generation) are less than 5% for cosmetic augmentation and 15% for breast reconstruction post mastectomy. It increases to 40% in the post radiotherapy (Breast Cancer) patients. Dr Safvat only uses newer 5th generation implants, which their risk of capsular contractions are significantly reduced.

Breast Implant Removal Technique

If Capsular contracture is present, the capsule (scar tissue) and the implant will need to be surgically removed. The incision is made under the breast to avoid obvious scarring and better access for the removal of the capsule. If the patient’s wish is to also have new implant then this is placed in the same pocket or in a new pocket depending on the patient’s breast shape and position.

Dr Safvat only uses newer 5th generation implants, from top quality companies which significantly reduces the risk of capsular contraction.

The procedure is done under a general anaesthetic in a fully accredited hospital with the participation of a specialist anaesthetist.

Recovery

Upon discharge the patient is required to wear a medical garment (bras) for six weeks and need to have 1-2 weeks off work to rest at home. Walking is actively encouraged postoperatively but exertion and heavy lifting are not allowed for 3-4 weeks.

Cost

In some cases, Capsulectomy has an item number and patients may get a rebate from Medicare and their health fund. Again, the hospital costs may be covered by private health funds depending on the patients’ level and type of cover. At your first consultation Dr Safvat and his Team will discuss all the costs associated with the Surgery.

What you need to do before the operation

Smoking and being overweight have been shown to cause more complications after surgery. Dr Safvat will insist that you stop smoking at least 4 weeks before your surgery. He will also strongly encourage and help you to lose weight.

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Plastic Surgery Sydney

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Location

Plastic Surgeon in Miranda

(02) 8544 3270

Suite 205a, Level 2, 531-533 Kingsway

Miranda NSW 2228

Plastic Surgeon in Concord

(02) 8544 3270

3 / 112 Majors Bay Road

Concord NSW 2137

Plastic Surgeon in Bowral

(02) 8544 3270

21 St Jude Street

Bowral NSW 2576

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Bowral Location

On-site parking is available for all patients

Concord Location

There is 1 hour street parking on “Majors Bay Road”, or on Trafalgar Parade at the adjacent Street.

Miranda Location

There is limited 1 hour street parking on “ Kingsway”. Alternatively, parking can be obtained in Westfield Miranda (no charge for the first 3 hours) which is across the road from our building. The best parking entrance to use is the “Jackson Avenue” entrance which is a short 3-5 minutes walk from our building. For your convenience, there is a drop off area outside our building where patients with limited mobility are able to be dropped off.