Implant Removal (Explantation)

What is implant removal?

One Implant Removal – medical Explantation – is a surgical procedure in which breast implants are permanently removed from the body. During the procedure, the implant is removed; if necessary, the surrounding capsule is treated or removed; and the breast can then be lifted or augmented with the patient’s own fat.

The result: a natural-looking breast without any foreign materials—tailored to your individual wishes and needs.

The reasons vary: a hardened capsule around the implant, discomfort, a defective implant, or simply the desire to live without foreign material. How the breast looks afterward depends on the patient’s own tissue; after a prolonged period of inactivity, a loss of volume and firmness is to be expected, which is why a breast lift or augmentation with autologous fat is often performed at the same time. Whether the capsule is removed as well depends on its condition and will be discussed before the procedure. The consultation takes place in Frankfurt, and the procedure in Oberursel.

When the mirror no longer shows who you are

Perhaps you know the feeling: What once felt right now feels wrong. The implants that gave you self-confidence for years now feel like a burden. Or your body is rebelling—with pain, stiffness, or vague discomfort.

“After 15 years, I knew: That’s not me anymore. I wanted my natural body back—without foreign bodies, without that constant discomfort.”—This is how one of our patients describes her feelings before treatment.

Having an implant removed isn't about conforming to a beauty ideal. It's about listening to your body—whether it's because you want to return to a more natural state, because there are medical reasons for doing so, or because you simply want to feel lighter and freer again.

We'll be with you every step of the way—drawing on our experience and sensitivity, with the goal of helping you regain your sense of well-being.

Author picture

Medically reviewed ✓

Written by Dr. med. Zeynep Potente

Board-Certified Specialist in Plastic and Aesthetic Surgery

✓ Member of the DGPRÄC (German Society of Plastic, Reconstructive, and Aesthetic Surgeons)

EBOPRAS – European Board of Plastic, Reconstructive and Aesthetic Surgery - ebopras.eu

✓ Over 20 years of experience in plastic surgery

✓ Specialization: Breast surgery and revision surgery

📅 Last updated: August 11, 2026

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✓ Member of the DGPRÄC (German Society of Plastic, Reconstructive, and Aesthetic Surgeons)

✓ Our own certified operating rooms in Frankfurt and Oberursel

Benefits of Implant Removal

Back to Nature – No more foreign objects in the body

Absence of symptoms – Pain, stiffness, and discomfort disappear

Lightness – No more weight on your shoulders and back

Security – Old or damaged implants are removed

Custom Solutions – Can be combined with a body contouring procedure or autologous fat transfer

Using Old Scars – Usually no new scars are necessary

Self-determination – You decide what to do with your body

Greater Well-Being – Back in harmony, both physically and mentally

Who is a good candidate for implant removal?

If you want to regain your natural look
Your preferences have changed—you no longer want to have implants and would like to have your natural breasts back. The trend toward a more natural look appeals to you, and you want to feel lighter and freer. Or perhaps you feel that the implants no longer fit your lifestyle—whether due to sports, age, or changing priorities.

If there are medical reasons
You have developed capsular fibrosis—your breast feels hard, is painful, or is misshapen. Your implant is damaged (ruptured) or shows signs of aging. You have nonspecific symptoms such as fatigue, joint pain, or other symptoms that you associate with the implants (Breast Implant Illness). Or you have very old implants (especially those placed before 1990) that should be removed as a precaution.

When is a medical evaluation advisable?
If you have pre-existing conditions such as diabetes, blood clotting disorders, or autoimmune diseases, a thorough preoperative evaluation is important. If implant damage is suspected, we recommend an ultrasound or MRI exam. Female smokers should abstain from nicotine for at least 4 weeks before and after surgery. We work closely with experienced specialists to ensure your safety.

Surgical method: total implant capsulectomy

Aspect Total Implant Capsulectomy
Procedure The implant and capsule are removed as a single unit
Duration of surgery 2–3 hours
Hospital Stay 2–3 nights as an inpatient
Anesthesia General anesthesia
Indications Capsular contracture, suspected BII, silicone leakage, desire for complete removal
Costs starting at 6.000 €

How does the treatment work?

Personal Consultation – Your Journey Starts Here

We take the time to listen to you. During a detailed consultation, we’ll discuss your concerns, examine your breasts, and develop a personalized treatment plan.

What we'll discuss:

  • Your personal reasons and expectations
  • Condition of the current implants (ultrasound/MRI if necessary)
  • Whether a breast lift is a good idea
  • Whether a treatment using the patient's own fat is desired
  • What Your Breast Will Look Like After Removal
  • Medical History and Pre-existing Conditions
  • Anesthesia Options (General Anesthesia)
  • Realistic Results Based on Photos
  • Costs and Financing Options

The Surgery – With Precision and Delicacy

Access via an old scar:
Whenever possible, we use the existing scar (usually in the inframammary fold) to avoid creating additional scars.

Total implant capsulotomy:
The implant is removed along with the entire capsule. This ensures that no capsule or silicone residue remains in the body.


Cosmetic Reconstruction:
After removal, the breast can be reshaped using various methods:

  • Breast Lift: Removal of excess skin, nipple elevation
  • Autologous Fat Grafting: Volume augmentation using the patient's own fat (not at the same time, but 6–12 months later)
  • Capsule Tuck (Popcorn Technique): Tightening of internal structures to improve shape
  • No further treatment: If there is sufficient natural breast tissue and good skin elasticity


Where will the surgery take place?
In our own certified operating rooms in Oberursel (Oberhöchstadter Str. 8). From preoperative preparation through the surgery to the recovery room—everything under one roof.

Anesthesia – Safe and Comfortable

  • General anesthesia: The standard procedure for implant removal.


Our specialist in anesthesiology, Dr. med. Livia Köhler, will personally care for you throughout the entire surgery.

Learn more about anesthesia

Aftercare & Recovery – What to Expect

The First Few Days: Hospital Stay and Rest
After the surgery, you will stay at our clinic for 2 to 3 nights for observation. A special support bra will be put on immediately after the surgery. In the first few days, you may experience a feeling of tightness, mild pain, and swelling—this is completely normal. However, many patients also report immediate relief because the weight of the implants is gone. Keep your upper body slightly elevated.

Days 3–7: Mobilization at Home
Starting on the third day, you may take a shower with care. You should wear the support bra at all times. Short walks are important. The swelling will subside each day, and you’ll increasingly feel the lightness of being without implants.

Weeks 2–3: Suture Removal
The stitches are removed after 10 to 14 days (unless they are dissolvable). Most patients feel increasingly comfortable and can resume light office work. The support bra is worn for a total of 4 to 6 weeks.

Weeks 4–6: Return to Normalcy
After 3 to 4 weeks, you will be largely mobile again. Your breast will begin to take on its natural shape. After 4 weeks, you can wear a normal bra again.

Sports, Sun, and the Sauna: A 6-Week Break
Give your body at least 6 weeks off from exercise that puts strain on your chest. Light walks are possible starting in week 2. You should avoid saunas and swimming pools for 6 weeks. Protect the scars from sun exposure for 12 months.

The final result after 6–12 months
The final results of your implant removal will be fully visible after 6 to 12 months—by then, the skin will have fully retracted, healing will be complete, and you’ll be able to fully enjoy your natural breasts.

Potential Risks – We'll Be Open and Honest with You

As with any surgical procedure, there are potential risks associated with implant removal. We will discuss these with you in detail:

Common (temporary):

  • Swelling and bruising (1–3 weeks)
  • Tightness (several weeks)
  • Temporary numbness in the nipples
  • Sagging or drooping breasts (depending on the initial condition)


Rare:

  • Wound-healing disorders (increased risk among smokers)
  • Postoperative bleeding or hematomas
  • Infections
  • Seromas (fluid accumulations)
  • Asymmetries


Very rare:

  • Skin Necrosis in Severe Circulatory Disorders
  • Loss or impairment of the ability to breastfeed (if the incision goes through the nipple)


Important:
Many female patients report a significant improvement in nonspecific symptoms such as fatigue, joint pain, or difficulty concentrating following the procedure.

Our experienced team minimizes risks through precise surgical techniques and close follow-up care.

Cost of Implant Removal

The costs depend on the extent of the removal and any possible combinations.

Performance Costs starting at
Total implant capsulotomy (implant and capsule) 6.000 €
Implant Removal + Breast Lift starting at 7,000 €
Implant Removal + Subsequent Autologous Fat Grafting starting at €5,500 (additional)
Hospital Stay 500 € per night, not included in the surgery price
General anesthesia 1,000 €, not included in the surgery price
Support Bra approx. 100–150 € (sold separately)

Included in the price

  • Comprehensive Initial Evaluation and Consultation
  • Ultrasound or MRI examination, if necessary
  • Surgery performed by experienced female specialists
  • Removal of the implant and capsule
  • Support Bra
  • Medications and bandages
  • Follow-up examinations
  • Suture Removal


In addition to the price

  • General anesthesia: €1,000
  • Hospital stay: €500 per night


Cash acquisition?
Implant removal is generally a private service. Exceptions:

  • If medically necessary (capsular fibrosis, implant rupture, chronic inflammation), the health insurance provider may cover the Distance cover part of the cost
  • Cosmetic Reconstructions (Lifting, autologous fat) are not covered
  • Requirements: medical report, documentation of symptoms, ultrasound/MRI findings
  • There is no uniform legal regulation—decisions are made on a case-by-case basis


We will assist you in submitting your application with the necessary documentation.

Alternatives & Combinations

Alternatives to Implant Removal
Depending on the situation, other options may also be appropriate:

  • Implant Replacement: If you still want implants, but smaller ones or more modern ones (e.g., a new size, a different shape)
  • Wait and see: In cases of nonspecific symptoms without clear findings, further diagnostic testing should be performed initially


Useful Combinations Based on Distance
The results can often be improved with additional treatments:

  • Breast lift: For sagging skin resulting from years of wearing implants (can be performed at the same time)
  • Autologous Fat Grafting: Natural volume regrowth 6–12 months after removal
  • Capsular contracture: Improved shape through streamlining of internal structures
  • No further treatment: If there is sufficient natural breast tissue


We provide honest, personalized advice—only what truly suits you and meets your needs.

Who is treating you?

Dr. med. Zeynep Potente

Dr. med. Zeynep Potente

Board-Certified Specialist in Plastic and Aesthetic Surgery

Learn more
Dr. med. Bianca Baican

Dr. med. Bianca Baican

Board-Certified Specialist in Plastic and Aesthetic Surgery

Learn more
Dr. med. Livia Köhler

Dr. med. Livia Köhler

Specialist for anesthesia

Learn more
Dr. med. Christina Luther

Dr. med. Christina Luther

Specialist in Surgery and Plastic and Aesthetic Surgery

Learn more

Frequently Asked Questions About Implant Removal

How long does recovery take?

You’ll stay in the clinic for 2–3 nights. After 2–3 weeks, most patients are able to return to work, and after 6 weeks, exercise is possible. You’ll see the final result after 6–12 months, once the skin has fully retracted.

That depends largely on your initial situation: If you had small implants, good skin elasticity, and sufficient natural breast tissue, your breasts may look good even without further treatment. With large implants that have been in place for a long time, a breast lift is often recommended to remove excess skin. We can accurately assess the likely outcome in advance.

Generally, no. We use the existing scar (usually in the inframammary fold) as the access point. Additional scars may result only if the procedure is combined with a breast lift (around the nipple, vertically).

BII is a general term for diffuse symptoms such as chronic fatigue, joint pain, difficulty concentrating, skin reactions, or muscle pain, which some women associate with their implants. BII is not a disease recognized by the WHO and is scientifically controversial. Nevertheless, we take these symptoms seriously and conduct thorough diagnostic testing to rule out other causes.

Yes. We perform implant removal as a total implant capsulotomy: the implant and capsule are removed together. This ensures that no capsule or silicone residue remains in the body.

Only in exceptional cases, and only the removal itself—not aesthetic reconstructions. A prerequisite is medical necessity (capsular fibrosis, rupture, chronic inflammation) with appropriate documentation. Coverage is determined on a case-by-case basis; there is no uniform policy.

The ability to breastfeed depends on whether it was present before the original breast augmentation and whether the milk ducts were damaged during the procedure. The removal itself does not usually further impair the ability to breastfeed, provided that the old scar is used.

If you want to restore volume with autologous fat after the procedure, you should wait 6 to 12 months. The tissue must first fully regenerate and stabilize before autologous fat treatment can be performed.

In cases of medical problems such as capsular fibrosis or implant rupture, symptoms usually disappear after removal. In cases of diffuse symptoms (BII), many patients report improvement; however, there is no guarantee, as the causes are often multifactorial.

Implant Removal (Explantation)

Details on Implant Removal

OP duration: 2–3 hours

Type of anesthesia: General anesthesia

Hospitalization: 2–3 nights as an inpatient

Incapacity for work: 2–3 weeks (depending on the job)

Sport: after 6 weeks

Socially Acceptable: after 2–3 weeks

Scarring: Mostly using old scars (no new ones)

Final result visible: after 6–12 months (skin retraction)

Costs: Starting at 6,000 €

Acquisition of a pharmacy: Removal is permitted only when medically indicated

Follow-up care included: Yes, all follow-up appointments

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