Breast Implant Removal (Explantace prsou)

Breast implant removal (explantation) safely extracts existing implants — with or without the surrounding scar capsule — for patients who have experienced complications, wish to downsize, or no longer want implants. The price range at Plastická chirurgie A-Z reflects the variable complexity: a straightforward removal differs significantly from a full capsulectomy (removal of the entire fibrous capsule that forms around the implant). The surgeons discuss both options and recommend the approach based on capsule thickness and firmness, radiological findings, and patient preference.

Breast implant removal may be sought for several reasons: capsular contracture (hardening of the scar tissue around the implant), implant rupture, BIA-ALCL screening concerns, implant-related systemic symptoms, or simply a patient's decision that they no longer want the implants. At Plastická chirurgie A-Z Olomouc, the surgeons approach each case individually, recommending either simple implant removal (leaving the capsule in place if it is thin and pliable) or partial or total capsulectomy (removing some or all of the fibrous shell). Total capsulectomy — 'en bloc' removal in which the implant and its complete surrounding capsule are removed as a single unit — is the most thorough option and is recommended when there is concern about capsule integrity, calcification, or when the patient specifically requests complete removal. It extends the operative time and complexity and is reflected in the upper end of the price range. The procedure is carried out under general anaesthesia, typically through the original augmentation incision (inframammary fold, periareolar, or axillary) to minimise scarring. Surgical time ranges from 90 minutes for simple removal to 2–3 hours for bilateral total capsulectomy. Whether or not to place new implants at the same time (re-augmentation) is a separate decision discussed at consultation. Post-operative care involves a supportive bra, restricted arm movement for two to three weeks, and follow-up at one and six weeks. Breast shape after explantation depends on the residual breast tissue volume, skin elasticity, and the degree of ptosis present; some patients choose a concurrent mastopexy to address loose skin, which would be quoted separately.