Dr Ljiljana Paunković
specialist in plastic and reconstructive surgery
Book an appointment with Dr Ljiljana PaunkovićBreast implant removal and capsulectomy in Niš
Removal of a silicone implant and, if needed, the scar capsule around it. Whether a new implant is placed is assessed by the surgeon.
At a glance
- Procedure
- Implant removaland capsule removal (capsulectomy)
- Side
- One or both sides
- New implant
- As assessed by the surgeon
- Before the procedure
- Consultation and imagingas assessed by the surgeon
Facts and description
Breast implant removal is a procedure in which the plastic surgeon removes a silicone implant from one or both sides, and capsulectomy is the removal of the scar capsule that forms around the implant. At Maja Hospital, Vizantijski bulevar 39 in Niš, both procedures are carried out by specialists in plastic and reconstructive surgery. Whether a new implant is placed in the same procedure is assessed by the surgeon at the consultation.
All facts
- Implant removal
- Removal of a silicone breast implant, from one or both sides
- Capsulectomy
- Removal of the scar capsule around the implant, from one or both sides
- Capsular contracture
- Hardening of the scar capsule around the implant, which can make the breast hard, painful or change its shape
- New implant
- Whether it is placed in the same procedure is assessed at the consultation
- Anaesthetic
- The surgeon and anaesthetist decide on the type
- Price
- Items for one- and two-sided removal and capsulectomy are in the price table on this page.
When the procedure is usually considered
- The breasts have become hard, painful or changed in shape (capsular contracture)
- Implant damage or rupture
- A wish to have the implants removed or replaced
- The surgeon recommends the procedure after a consultation and imaging
What the procedure cannot do
- After removal the breasts may be smaller or looser
- A new implant is not always placed in the same procedure
- The surgeon decides on the extent of the procedure
The path to the procedure
Step 1: Plastic surgery consultation
The surgeon talks about your reasons and expectations, examines the area and explains the options.
Step 2: Plan and preparation
The method, anaesthetic and tests are agreed. With general anaesthesia or sedation you are also seen by an anaesthetist.
Step 3: Day of the procedure
After admission the surgeon explains the procedure once more, and you sign a consent form.
Step 4: After the procedure
You receive instructions for wound care and dressings; the surgeon decides on the length of stay.
Step 5: Follow-up
At the follow-up the surgeon checks healing, removes stitches when needed and discusses scar care.
Implant removal and capsulectomy: prices
Our specialists
Dr Dimitrije Adamović
specialist in plastic and reconstructive surgery
Book an appointment with Dr Dimitrije AdamovićRecovery
- Swelling, bruising and tenderness in the treated area are expected in the first days and gradually subside.
- Take pain relief as advised by the surgeon.
- Keep the wound clean and dry and change the dressing as instructed after the procedure.
- Stitches, unless they are dissolvable, are removed at the follow-up appointment, on a date set by the surgeon.
Show 3 more: Recovery
- A scar matures over months; the surgeon explains scar care and sun protection at the follow-up.
- Exercise, sport and returning to work are agreed with the surgeon, depending on the procedure.
- Contact the surgeon without delay if you develop a temperature, redness, warmth or pus at the wound, bleeding that does not stop with pressure, or pain and swelling that get worse.
How to prepare
- Have the tests that the surgeon and anaesthetist ask for, usually a blood count, biochemistry, clotting tests and an ECG.
- Tell the doctor about allergies and medicines, and do not change blood thinners or diabetes medicines on your own.
- Do not eat or drink before the operation, exactly as instructed by the hospital.
- Stop smoking as early as possible before the operation.
Show 3 more: How to prepare
- Bring your ID card, health insurance card, results, a list of medicines and loose, comfortable clothes.
- Arrange for someone to accompany you and to help at home for the first days after the operation.
- Bring documents about your implants (type, date of placement) and previous breast scans, if you have them.
When to contact the surgeon
Contact the surgeon without delay if after the procedure you have:
- A temperature of 38 °C or higher, or shivering
- Redness, warmth or pus at the wound
- Bleeding that does not stop with pressure
- Pain or swelling that gets worse
Call the emergency service (194) if:
- You have difficulty breathing or chest pain
- You have severe swelling of the face, lips or tongue
In detail
When is an implant removed or replaced?
Breast implants do not last a lifetime. At some point removal or replacement may be needed, for example because the shape or firmness of the breast changes, the implant is damaged or at the patient's wish. The surgeon assesses the reason and timing after a consultation and sometimes breast imaging (ultrasound or MRI).
Capsular contracture and capsulectomy
The body forms a thin layer of scar tissue, a capsule, around every implant. In some women the capsule becomes thicker and harder over time and squeezes the implant. This is called capsular contracture, and the breast may become hard, painful or change shape. Capsulectomy is the surgical removal of the capsule, partly or completely, usually with implant removal or replacement.
Frequently asked questions
How much does breast implant removal cost in Niš?
The Maja Hospital plastic and aesthetic surgery price list has items for one- and two-sided silicone implant removal and for one- and two-sided capsulectomy. All are in the price table on this page.
What is capsulectomy?
Capsulectomy is the surgical removal of the scar capsule that forms around a breast implant. It is usually done when the capsule becomes thicker and harder (capsular contracture), together with implant removal or replacement.
Can the implant be replaced in the same procedure?
Often, but not always. The surgeon assesses at the consultation whether a new implant is placed in the same procedure.
What do the breasts look like after implant removal?
Without a new implant the breasts may be smaller or looser. The surgeon sometimes suggests a breast lift in the same or a later procedure.
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The information in this text is general in nature and does not replace an examination by a doctor.
Book an appointment: Implant removal and capsulectomy
Information on this website does not replace a medical examination. Treatment is decided by a doctor after the examination.