Breast Implant Explantation (Breast Implant Removal)
with Dr Georgina Konrat
Dr Georgina Konrat (MBBS, FACCSM) performs breast implant removal (explant surgery) at an accredited surgical facility in Sydney, tailoring the approach to each patient's implant condition, capsule status, and individual goals.
Key Facts
Breast implant removal, also known as explant surgery, is a procedure to remove breast implants that were placed during previous breast implant surgery. The surgery may also involve removal of the scar-tissue capsule that naturally forms around the implant. Dr Georgina Konrat performs explant surgery at her Bondi Junction clinic.
Procedure Duration
1–3 Hours
Recovery
1–2 Weeks
Anaesthesia
General
Reviewed by Dr Georgina Konrat (MBBS, FACCSM) — Last updated March 2026. AHPRA Registration: MED0001407863.
Explant Surgery for
Implant Removal & Capsulectomy
Breast implant removal, also known as explant surgery, is a procedure to remove breast implants that were placed during previous breast implant surgery. The surgery may also involve removal of the scar-tissue capsule that naturally forms around the implant.
Explant surgery can be performed on its own, combined with a capsulectomy, or as part of an implant exchange where new implants are placed during the same operation. The approach is determined by the reason for removal, the condition of the implants and surrounding tissue, and the patient's individual goals.
Dr Georgina Konrat (MBBS, FACCSM) performs breast implant removal at an accredited surgical facility in Sydney. During consultation, she will assess your situation and discuss which approach may be appropriate for you.
Risks & Complications
All surgical procedures carry risks. Potential risks and complications of Breast Implant Explantation (Breast Implant Removal) are outlined below and will also be discussed in detail during consultation.
For broader information about surgical risk, visit the General Risks and Complications page.
Reasons Patients Consider
Breast Implant Explantation (Breast Implant Removal)
Capsular Contracture
The scar tissue around the implant tightens and hardens, which may cause discomfort, changes in breast shape, or firmness.
Implant Rupture or Deflation
Saline implants may deflate if the shell develops a leak; silicone implants may rupture, sometimes without obvious symptoms (silent rupture).
Personal Preference
Some patients decide they no longer wish to have implants and prefer to return to their natural breast shape.
Lifestyle Changes
Changes in activity level, body weight, or personal priorities may lead to reconsidering implants.
Breast Implant Illness (BII) Concerns
Some patients report systemic symptoms they associate with their implants. While research into BII is ongoing, removal is an option for those who wish to explore whether their symptoms may be related.
Ageing Implants
Implants are not lifetime devices. Manufacturers generally suggest monitoring and potential replacement after 10–15 years, though individual circumstances vary.
Capsulectomy
Options
When a breast implant is placed, the body forms a layer of scar tissue (capsule) around it. This is a normal response. During explant surgery, the capsule may be removed partially or entirely depending on your circumstances.
Total Capsulectomy
The entire capsule is removed along with the implant. This is often recommended when capsular contracture is present or when the patient wishes to have as much capsule tissue removed as possible.
Partial Capsulectomy
Only a portion of the capsule is removed. This may be appropriate when the capsule is thin, not contracted, and removing it entirely would carry unnecessary risk to surrounding tissue.
En Bloc Capsulectomy
In an en bloc approach, the implant and surrounding capsule are removed together as a single unit without opening the capsule. This technique may be considered in cases of implant rupture or when the patient requests it. Not all patients are suitable candidates for en bloc removal; the feasibility depends on capsule location, thickness and proximity to the chest wall.
Dr Konrat will explain which type of capsulectomy may be appropriate for you based on imaging, physical examination and your goals.
Implant
Exchange
Some patients wish to replace their existing implants rather than simply removing them. Implant exchange can be performed during the same surgical session as explant surgery. Reasons for exchange may include:
- Replacing older implants with newer devices.
- Changing implant size, shape or type.
- Addressing capsular contracture by removing the capsule and placing a new implant.
Whether implant exchange is suitable depends on the condition of your tissue, the capsule and your overall health. Dr Konrat will discuss this option and its associated risks during consultation.
What to Expect
After Removal
After breast implant removal, the appearance of the breasts may change. Important points to be aware of:
- Volume changes — breasts may appear smaller or less full, particularly if implants were large or in place for many years.
- Skin laxity — stretched skin may take time to settle. In some cases, skin may not fully retract, and excess skin may remain.
- Shape changes — breast shape may differ from how it appeared with implants in place. The final appearance typically develops over several months as tissue settles.
- Supportive garments — a well-fitted supportive bra may be recommended during the settling period.
If significant skin laxity is a concern, a breast lift (mastopexy) may be discussed either at the time of removal or as a separate procedure. Dr Konrat will advise on this during your consultation.
Your Breast Implant Explantation (Breast Implant Removal)
Process
Consultation & Referral
A GP referral is required. Two consultations (at least one in person) are needed before surgery. Imaging such as ultrasound or MRI may be recommended. Mandatory 7-day cooling-off period applies.
Pre-Operative Preparation
Medical history, medications, previous surgeries and implant details will be reviewed. Pre-operative imaging to assess implant and capsule condition. Plan 1–2 weeks off work.
The Day of Surgery
Performed under general anaesthesia at an accredited surgical facility. Surgery usually takes 1–3 hours depending on complexity, and drains may be placed in each breast. Existing breast crease scars are used where possible.
Recovery & Follow-Up
Rest for the first few days and expect to take around one week off work, or two weeks if your job is strenuous. A supportive surgical bra is worn day and night for 2 weeks, then during the day for a further 4 weeks. Follow-up appointments are used to remove drains if present and review healing.
What to Expect
After Surgery
Recovery after explant surgery varies depending on the extent of the procedure. Most patients experience swelling, bruising, tenderness, and tightness in the first week, and visible bruising may take 4 weeks or more to settle.
Rest & Mobilisation
This is usually day surgery, but at least 2 days of rest are recommended with hourly gentle mobilisation while awake. Pain relief and antibiotics may be prescribed.
Early Review
Bruising, swelling, and tenderness are common. Drains, if present, are usually removed at about one week and dressings are reviewed.
Return to Work
Many patients can return to work after about one week. If your job involves strenuous activity, light duties for up to 2 weeks are usually recommended.
Support Garment & Gradual Activity
A supportive garment is typically worn day and night for 2 weeks, then during the day for another 4 weeks. Mild exercise can often resume after 2 weeks, with progression based on healing.
Important: Contact the clinic immediately if you experience excessive bleeding, severe pain, or signs of infection. Detailed aftercare instructions will be provided before and after your procedure.
Preparing for Your Consultation
- Bring your GP referral letter
- Prepare a list of medications, supplements, or medical conditions
- Write down any questions you would like to ask Dr Konrat
- Wear comfortable clothing to your appointment
How Much Does Breast Implant Explantation (Breast Implant Removal)
Cost?
The cost of breast implant removal depends on the complexity of the procedure, the type of capsulectomy, whether implant exchange is included, the surgical facility and anaesthesia fees. A personalised quote will be provided after your consultation.
Breast implant removal is generally classified as a cosmetic procedure. Dr Georgina Konrat is a cosmetic doctor, and no Medicare rebates are applicable through her practice. Payment options will be discussed during consultation.
Ready to discuss your options?
Personalised fee estimate after consultation
Have questions? Contact our clinic or call 02 9188 1949.
Before & After
Gallery
View before and after photographs from Dr Konrat's practice. All photographs are shared with patient consent and are intended for educational purposes only.
Photographs are intended for persons aged 18 years and over. Individual results vary. All surgical procedures carry risks. AHPRA: MED0001407863.
Frequently Asked Questions
The information on this page is general in nature and does not replace medical advice. All surgical procedures carry risks, and outcomes vary between individuals. A consultation with Dr Georgina Konrat is required to determine whether this procedure is appropriate for you.
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Ready to Book a Consultation?
The first step is a confidential consultation where Dr Konrat will discuss your concerns, explain the procedure in detail, and answer any questions you may have.
A GP referral is required for surgical procedures. Please note the mandatory 7-day cooling off period applies to all cosmetic surgery consultations.