PRE-OPERATIVE CONSULTATION

Before deciding on implant removal, you must meet with our surgeon for a pre-consultation. During this meeting, you will discuss your expectations, and the surgeon will evaluate what will yield the best results for you.

You will also receive a thorough overview of your options, and the risks associated with each surgical option. The surgeon will ask about your health to ensure you are suitable for surgery.
Based on your expectations and the surgeon’s recommendations, you will plan your surgery together.

You are welcome to bring another person to the pre-consultation, as there is a lot of information to consider.

According to the law, you must have a 7-day reflection period after the pre-consultation before you can give your final consent to cosmetic surgery.



EXPECTATIONS

Deciding to have your implants removed requires thorough preparation. For some women, it is not only a significant physical change but also a psychological one. Removal of the implants will result in the breasts becoming softer, saggy, and the skin looser. Therefore, a breast lift or breast augmentation with your own fat might be an option.

It is important to be aware that the results of cosmetic surgery are not permanent. The natural aging process and the rate of body aging are influenced by both genetic factors and lifestyle factors such as smoking, sun exposure, and weight changes.

Additionally, it is important to understand that surgery always carries a risk of complications, and the result may not always match your or the surgeon’s expectations completely.

If you are significantly overweight or underweight, there is an increased risk of complications with anesthesia and wound healing. If your BMI is over 30, we may not be able to offer you surgery.

PREPARATION

Before the surgery, you must:

Stop taking medication containing acetylsalicylic acid such as Magnyl, Aspirin, Ibuprofen, and Treo one week before the surgery.

Avoid natural medicines, especially fish oil, ginger, and vitamin D, as they can increase the risk of bleeding. Stop all natural medicines three weeks before the surgery.

Any blood-thinning medication may need to be paused. This will be discussed with the surgeon during the pre-consultation.

Smoking must be paused least 4 weeks before and 6 weeks after the surgery. Smoking can negatively affect the cosmetic outcome, increase the risk of infection, and is generally bad for your health. We often choose not to offer surgery to active smokers.

It is a good idea to shop and prepare meals before the surgery, so you can focus on your recovery afterward.

On the day of the surgery, you should take a shower with thorough cleansing of your body and hair. Avoid using body lotion or other products on the area to be operated on.

Wear loose, comfortable clothing, preferably a zip-up blouse, loose fitting pants, and flat shoes. Remove all jewelry and any piercings and leave them at home.



MAMMOGRAPHY

If you are over 40 years old or have a family history of breast cancer, a mammogram is recommended before the surgery.



ANESTHESIA

The surgery is performed under general anesthesia. You must fast for 6 hours before the surgery (no eating, chewing gum, smoking, or similar). You may drink clear fluids like water and sugary drinks in small amounts until 2 hours before the surgery; do not drink milk, juice, etc.

It is crucial to adhere to the fasting rules, as anesthesia can be dangerous if you are not fasting, and the surgery is canceled, if you are not fasting.



SURGERY

On the day of the surgery, arrive at the clinic at the scheduled time. A nurse will greet you and you will be shown to your room, change clothes, and have an intravenous line placed. The anesthesiologist will discuss the anesthesia with you, and finally, you will meet with the surgeon, who will ensure you feel comfortable and well-informed. The surgeon will also mark the area to be operated on.

The surgery is performed under general anesthesia and lasts about 1 hour, longer if there is capsule formation or implant rupture. In some cases, the surgeon may place one or two drains (small plastic tubes). These are inserted through the skin to remove any blood and wound discharge from the healing wound surfaces.

To reduce the risk of infection, you will receive antibiotics during the surgery. The wounds will be stitched with dissolvable sutures, and tape will be placed over the wounds along with an absorbent dressing. Finally, you will be fitted with a bra.



AFTER THE SURGERY

After the surgery, you will be taken to the recovery room where the nurse will monitor you. You will receive something to drink and eat and pain reliefers if needed. Depending on the extent of the surgery, you may be discharged after a few hours.

Before you go home, the plastic surgeon and nurse will review the post-operative precautions with you and answer any questions you may have to ensure you feel comfortable. You should arrange for someone to pick you up, as you will not be able to drive yourself.

DAYS AFTER THE SURGERY

Since the surgery was performed under general anesthesia, you will be tired and sluggish on the first day, and you may experience nausea and dizziness. We recommend having an adult at your side for the first 24 hours.

It is important to take it easy for the first days after the surgery and generally listen to your body’s signals to reduce the risk of bleeding and swelling. Make sure to stay well-hydrated and consume a sensible protein-rich diet.



PAIN

Some people may experience a tingling and stabbing sensation in one or both breasts long after the surgery. This is completely normal and occurs as the nerve pathways heal. These sensations may be felt for up to 1 to 1.5 years after the surgery.

It is important to take the prescribed medication. The medication will reduce pain, but you should expect some discomfort during the first 3-4 days.
Many people experience stabbing and sharp pain in the operated area. This is normal and occurs because the nerves are re-establishing connections. These sensations can last for up to 1 year after the surgery.

You will be prescribed Paracetamol tablets and Ibuprofen tablets to be taken together 4 times a day. Additionally, you will receive a stronger painkiller, a synthetic morphine tablet, which you can take if you experience severe pain.

The nurse will thoroughly review the medication with you before you leave, and you will also receive written material describing everything.



DRAINS

If drains are placed during the surgery, they are often removed before you are discharged. If they are not removed, you will be given detailed instructions on how to care for them and when they are to be removed.



ACTIVITY

In the initial days after the surgery, getting out of bed might be difficult, so having someone to assist you is a good idea. It is important to get up and move around quickly to reduce the risk of blood clots. Engage in light activity, such as short walks, but take breaks when needed.

For the first 1-2 weeks, avoid any strain on the wounds.
You must avoid vigorous exercise for the first 6 weeks after the surgery, but it is important to keep your body active with light activities, like short walks.

We recommend that you do not lift more than 2 kg per arm in the first 4-6 weeks after surgery.
You must avoid driving until you can handle the vehicle safely and no longer need strong painkillers. Always use a seatbelt, whether you are driving or a passenger.



WORK

You can resume sedentary work after 1 week. For the first 4-6 weeks, avoid physical work. Remember to move your shoulders to prevent stiffness.



SLEEPING POSITION

We recommend that you lie on your back for about 4 weeks after the surgery. You may lie slightly on your side, possibly with a pillow behind you.



SHOWERING

You can take a shower 24 hours after the surgery or when there is no longer any discharge from the wounds (unless you have drains). Before showering, remove the compressive bandage and the absorbing dressing. The brown plaster must remain until your follow-up appointment. It can withstand water. Take a gentle shower, rinse the wounds to wash away soap residues (do not wash or scrub the wounds), and pat dry with a clean towel before putting the compressive bandage back on.

You should avoid taking baths, swimming in the sea, or going to a swimming pool and sauna until the stitches are removed and the wounds are fully healed.



BLEEDING

It is important to monitor for bleeding from the breast in the first few days. Should bleeding occur, which is a rare complication, the breast will become hard and swollen. If this happens, contact the clinic so we can assess you.



BRA

After the surgery, you will be given a supportive bra that you must wear for 6 weeks. You may remove the bra when you are showering or if it needs washing.

Underwire bras must not be used until after 3 months. You may purchase an extra bra at the clinic if you wish to have more options to change between.


EMOTIONAL

It is important to be prepared for the emotional impact of having implants removed. Many women experience this as a significant emotional upheaval, especially if you have had the implants for many years.

It is normal to feel sadness afterward, but it is important to seek professional help if these feelings do not subside on their own.



SCARS

The scars from the surgery will typically be red and swollen but will improve over 6-24 months. Over time, scars usually become narrow and lighter I color, but in some cases, they may become wide and darkly pigmented.

You may apply a soothing cream to the scars once they are completely healed. Avoid smoking, as it increases the risk of infection, slow healing, and unsightly scars.



CONTACT WITH THE CLINIC

You will be given a phone number upon discharge so you can contact the clinic 24/7 if an urgent need arises. You can also expect a call from a nurse the day after your surgery to ensure you are well and to answer any questions.



FOLLOW-UP

After 10-14 days, you will have a follow-up appointment with the nurse. The plasters will be removed, and the wounds will be inspected. You will not need to have sutures removed, as the wounds are closed with dissolvable sutures.

New tape will be applied and provided to you, which you should change yourself every 10-12 days for about 3 months after the surgery. The tape helps keep the scars narrow, flat, and level with the surrounding skin.


We will discuss how to manage the scars, any potential pain, etc. You will be offered an appointment for follow-up with the plastic surgeon 3-6 months after the surgery. If you experience any issues before then, you are always welcome to contact us.

COMPLICATIONS

Infection: Infections are very rare. Symptoms typically appear 3-5 days after surgery and include redness, warmth, swelling, throbbing pain, and possibly fever. If an infection occurs, you will be treated with antibiotics.

Unsightly Scarring: Scars can vary significantly from person to person. Most scars become nice and white over time, but some people may develop red and thick scars, also known as hypertrophic scarring. This process can take several years.

Hematoma/Blood Collection: Occurs most often within the first day after surgery. It is rare but can require additional surgery in a few cases; however, it usually does not affect the result.

Sensory Changes: Can occur in the skin in the operated area. This usually disappears after 3-6 months, but for some, it may be permanent.

Bruising and Swelling: Is completely expected and will subside within the first few months.

Fluid Accumulation: In rare cases, fluid may accumulate in the operated area. If this occurs, it may be necessary to drain the fluid with a thin needle.

Tissue Death: Refers to parts of the skin losing blood supply and dying. If this happens, it will require surgical removal or waiting for the body to heal the area from within, as assessed by the surgeon. Being overweight or smoking increases the risk.

Irregularities and Asymmetry: Breasts are naturally asymmetrical, and this will still be the case after surgery.