Breast implant removal for capsular contracture after 20 years - will breasts be saggy and wrinkly?

Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon

An in person exam is always best, but based on the information provided it is likely that you would require a lift after your implant removal to avoid sagging breasts. If there is not adequate native tissue a small implant may be advised to help shape the breasts.

At the time of implant removal, your surgeon will decide if the capsules need to be removed and may lead to additional volume loss. At that time, you may benefit from a lift depending on how much excess skin you have.

Best Wishes,

Gary Horndeski, M.D.