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What happens when breast implants are removed?

Breast implant removal takes the implants out, with or without the surrounding scar capsule, always with a plan for how the breast will look afterwards — removal alone, paired with a lift or fat grafting, or an aesthetic flat closure. Dr. Wai-Yee Li plans that with you before anything is scheduled.

More and more women are deciding their breast implants should come out — because of hardening or rupture, health concerns, or simply because what suited them once no longer does. Breast implant removal takes them out, with or without the surrounding scar capsule, and always with a plan for how the breast will look afterwards.

Removal with a plan, not just an operation

The removal itself is only half the decision. The other half is what the breast becomes next, and Dr. Li plans that with you before anything is scheduled:

  • Removal alone — for women whose tissue will settle naturally into a shape they're comfortable with.
  • Removal with replacement implants — in some cases, such as a rupture, the implants are exchanged for new ones — an opportunity to switch between saline and silicone, or to change size or volume.
  • Removal with a lift — pairing removal with a breast lift (mastopexy) reshapes and repositions your own tissue, the most common combination.
  • Removal with fat graftingyour own fat can restore softness and volume without a replacement implant.
  • Aesthetic flat closure — for reconstruction patients choosing to go flat, an aesthetic flat closure creates a clean, smooth contour.

The capsule question

Whether the scar capsule around the implant is removed — partly or completely — depends on why the implants are coming out. Contracted, calcified, or ruptured-implant capsules are handled differently from healthy ones, and Dr. Li explains her recommendation and the reasons for it at consultation. Concerned about a possible rupture? Start with the breast implant rupture page.

A reconstructive surgeon's perspective

Dr. Li removes and replaces implants constantly in her reconstructive work, and patients describe the result of a well-planned removal as a relief — see her ruptured implant repair gallery for real cases.

To plan what comes after your implants, book a consultation or call 626.888.9728.

Frequently asked questions

Not when removal is planned properly. Depending on your tissue, removal can be paired with a lift, fat grafting, or — for reconstruction patients — an aesthetic flat closure, so the result is a shape you chose.

It depends on why the implants are coming out. Contracted, calcified, or rupture-affected capsules are treated differently from healthy ones; Dr. Li explains her recommendation and the reasons for it at consultation.

Usually yes — removal with a lift or with fat grafting is commonly performed as a single operation.

Dr. Wai-Yee Li, MD PhD FACS — board-certified plastic surgeon, Los Angeles

Meet your surgeon

Dr. Wai-Yee Li,
MD PhD FACS

A female board-certified plastic surgeon in Arcadia, Los Angeles, specializing in aesthetic and reconstructive breast surgery — with a focus on the best surgical outcomes, less pain and minimal scarring.

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Considering breast surgery?

Book a consultation with Dr. Wai-Yee Li, or call the practice to discuss your options.

Visit the practice

Two locations across Los Angeles

Arcadia

Address624 West Duarte Road, Suite 101a
Arcadia, CA 91007
HoursMon–Fri: 9 AM–5 PM
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Pasadena

Address675 S Arroyo Pkwy Ste 310 B
Pasadena, CA 91105
HoursMon–Tue, Thu–Fri: 10 AM–4 PM
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