Yes, it is possible to remove breast implants, even if you have dense breast tissue. Many women with implants choose to have them removed for various reasons, including discomfort, changes in aesthetic preferences, or concerns about their breast health. However, there are a few things to consider: 1. Impact on Breast Tissue: Dense breast tissue is common and can sometimes make mammograms more challenging to interpret. After implant removal, your breast tissue may change, and the density may vary. If you have concerns about breast cancer screening, you may want to discuss options like ultrasound or MRI with your doctor for better clarity. 2. Capsular Contracture or Other Issues: If you've had implants for a long time, the body may form a capsule around the implant, leading to capsular contracture, which can make the removal process more complicated. A surgeon would evaluate the condition of the capsule and decide on the best approach. 3. Breast Appearance Post-Removal: After implant removal, the breast tissue may sag or appear deflated, depending on factors like the size of the implants and skin elasticity. Some women opt for a breast lift after implant removal to restore shape and firmness. 4. Consultation with a Surgeon: It's important to consult with a board-certified plastic surgeon who can evaluate your individual situation. They will provide recommendations and discuss the best options for you, including whether additional procedures like a breast lift or fat grafting are necessary after implant removal. If you're considering removal, I'd recommend scheduling a consultation with an experienced and skilled plastic surgeon who specializes in breast surgery for a detailed assessment.