Recovery After Breast Implant Removal: What to Expect and How to Navigate the Process

Why Do People Opt for Breast Implant Removal?

Before diving into the recovery process, it is important to understand the reasons behind breast implant removal. The motivations for explant surgery vary from individual to individual, with some of the most common reasons including:

• Capsular Contracture: This is a condition where scar tissue forms around the implant, causing the breast to harden, leading to discomfort or pain.
• Implant Rupture or Leakage: Over time, implants may wear out, leading to potential leakage or rupture. Removing them becomes necessary to avoid complications.
• Breast Implant Illness (BII): Though not universally recognised by all medical professionals, some patients report symptoms such as chronic fatigue, joint pain, and cognitive issues, which they associate with their implants.
• Cosmetic Changes: Personal preferences often evolve, and what was once considered aesthetically pleasing may no longer align with an individual’s desires.
• Health Concerns: There has been increasing awareness of the potential risks associated with breast implants, such as a rare type of cancer known as Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL).

Regardless of the reason for removal, preparing for the recovery phase is crucial for a smooth transition and optimal results.

Immediate Post-Surgery Period: The First 48 Hours

The initial 48 hours recovery after breast implant removal are crucial for setting the tone for your recovery. Here’s what you can expect during this early stage:

• Anaesthesia Recovery: Following surgery, you’ll wake up in a recovery room as the effects of anaesthesia wear off. It’s common to feel groggy or disoriented during this period, which typically subsides after a few hours.
• Pain and Discomfort: You may experience discomfort around the chest area, which is entirely normal. Surgeons often prescribe pain relief medications to manage this. While the intensity of pain varies, it is usually manageable with prescribed medication.
• Wound Care: There will likely be bandages or dressings on the incisions. It’s essential to follow the surgeon’s guidance on how to care for these and keep them dry for the first few days.
• Rest: The body needs time to heal, so rest is paramount during this period. Most patients are advised to take at least two days off work to recover.

Week 1: Navigating the Early Recovery Stage

The first week after explant surgery involves some physical restrictions and heightened attention to wound care. Here’s what typically happens during this stage:

• Swelling and Bruising: It’s normal to experience swelling and bruising around the chest area. This is the body’s natural response to surgery and can last for several weeks. Keeping the area elevated while resting can help reduce swelling.
• Wearing a Supportive Bra: Surgeons often recommend wearing a post-surgical bra or a soft, supportive bra to help with healing and reduce swelling. These garments provide gentle compression to aid recovery.
• Pain Management: While the initial intensity of discomfort should subside within the first few days, it’s common to experience some residual soreness. Pain medications can be continued as prescribed, but it’s advisable to start weaning off them as the pain decreases.
• Physical Activity: During the first week, it’s essential to avoid strenuous activities such as heavy lifting, reaching overhead, or intense exercise. Light walking is encouraged, as it promotes blood circulation and helps prevent blood clots.
• Follow-Up Appointment: Your surgeon will typically schedule a follow-up appointment within the first week to monitor your healing progress. They may remove any dressings and check for signs of infection or complications.

Week 2 to Week 4: Progressing Towards Normalcy

As you progress through the second to fourth week, you should start noticing improvements in your overall condition:

• Reduction in Swelling and Bruising: By the second week, swelling and bruising should begin to decrease noticeably. However, it’s essential to keep wearing the recommended supportive bra for continued support.
• Energy Levels: Most patients begin to regain their energy during this phase. While you may feel well enough to return to work or resume some daily activities, it’s still important to avoid any high-impact movements or lifting heavy objects.
• Scar Care: Depending on your surgeon’s recommendations, you may be advised to start scar treatments, such as silicone sheets or scar gels, to minimise the appearance of scarring. Sun protection is also vital, as UV exposure can darken scars.
• Physical Restrictions: It’s crucial to remain cautious with your physical activities. Heavy lifting, strenuous workouts, and upper-body exercises should still be avoided. However, gentle stretches and light walking can be gradually introduced to help restore mobility.
• Emotional Impact: For many women, the period following explant surgery can be emotionally challenging, especially if the procedure was undertaken for health reasons or if there are noticeable changes in your body. It’s essential to allow yourself time to adjust mentally, and seeking support from friends, family, or a therapist can be beneficial.

Month 2 to Month 3: Regaining Full Functionality

By the second month, most patients will have regained much of their mobility and energy, with a significant reduction in discomfort. Here’s what you can expect during this period:

• Final Results Taking Shape: At this stage, you’ll start to see more of the final results. While swelling may still be present, your chest will have mostly settled into its new shape.
• Resuming Exercise: By now, you can typically start incorporating more physical activities into your routine, including light aerobic exercises and lower-body workouts. However, it’s still advisable to avoid upper-body exercises until your surgeon gives the go-ahead.
• Scar Maturation: Scars from the surgery will still be in the healing phase and may appear red or raised. Over time, these scars will begin to fade and flatten. Using scar treatments consistently and protecting the area from the sun will aid in this process.