Many women feel so much better after breast implant removal surgery, but unfortunately there are some who don’t.

There are women who go through a lot of mixed emotions after breast implant removal; feeling depressed, guilt, anger, crying for no reason and overwhelming sadness. When they look in the mirror at their breasts they wonder if they will ever look better, normal even. You know all the reasons you had breast implant removal surgery, but right now you can’t get past these feelings, feeling so sad and depressed about this whole thing. After your explant you will experience swelling and bruising with mild discomfort and soreness.  Usually patients are able to return to work within a few days after breast implant removal surgery.

            Does anyone else feel the same as me?

Rest assured there are a lot of women who experience the exact same sense of loss and hopelessness as you are experiencing. Your body has just gone through a very big change and your emotions are going to be on a roller coaster. It is a really good idea to talk to other women experiencing the same thing, join support groups like the one found here. Emotional support is wonderful as is seeing real pictures of women just like you.

            How long can I expect to feel this depression?

Hang in there, it does get better and you are allowed to feel sad and hideaway in your room if you want, you’ve just had a big change and it takes time to adjust. Give yourself a week or two adjust, then you need to start making a genuine effort to lift yourself out of the doldrums and focus on positivity. If you are not feeling more positive after a couple weeks, please seek medical advice.

            What can I do to make myself feel better?

In some cases your depression could be a result of the anaesthesia and sometimes the chemical imbalances from the breast implants. To help you on the way to feeling 100% again look at your diet and try to include some natural serotonin boosters or start a detox protocol. Also try to get some sunlight, a sunny day may do more than just boost your mood – it may increase levels of a natural antidepressant in the brain. A new study shows that the brain produces more of the mood-lifting chemical serotonin on sunny days than on darker days.

            When will my breasts look better?

In a week or two you will begin to see remarkable changes in your breasts, and by the end of the month your breasts will have blossomed into something natural and beautiful. It’s not a beautiful journey all the time, but don’t let your emotions bring you down. Think of the positive thoughts and know that it will get better. You really should see a vast improvement by the second month,  in 6 months to a year from now you will look totally different to you do now.  If your still unhappy with your size and shape after a year you can look into fat transfer or a breast lift. Don’t be too hard on yourself, you have so much healing to go and your body needs some loving. For scaring I use and recommend Mulu Organics Hilma Scar Serum, organic, vegan & nut free.

            How soon can I exercise after breast implant removal surgery?

Allow yourself enough time to heal after surgery, usually 8 weeks or more. Your surgeon should show you basic physical therapy exercises you can start the day after your surgery to maintain your arm and upper body mobility as you heal, if he doesn’t ASK for some.

            What kind of breast massage and exercises should I do to help my breasts firm up and look better?

Some exercises shouldn’t be done until any drains and stitches are removed. You may need 8 or more weeks before you can do most types of exercise, your surgeon will give you an exact date. (if not ASK for one) We need to take control of our health. Exercises that maintain mobility usually can be started a few days after surgery. Explant massage technique here

During the first 3 to 7 days after surgery:

  • Using both arms do slow gentle movements when doing day-to-day tasks eg brushing your hair, dressing and eating.
  • While seated – exercise both arms by opening and closing your hand 15 to 20 times. Then bend and straighten your elbow. Do this 3 to 4 times a day.
  • Practice deep breathing using your diaphragm (the muscle under your navel) at least 6 times a day. Lie on your back and breathe in slowly. Keep slowly breathing in as much air as you can while trying to expand your diaphragm (push your navel out away from your spine). When you can’t breathe in any more air, relax and breathe out all the air. Do this 4 or 5 times. Deep breathing helps maintain normal chest movement, which makes it easier for your lungs to work.

            Are there any lotions I can use to help them firm up?

That is a difficult question, in my personal opinion based on over 5 years experience, the best results are seen by those women who use an organic oil for breast massage after explant surgery. Remembering to avoid the incisions. The oil glides the hands on the breast and allows a better massage, unlike creams that dry out. When massaging you need to be gentle and soft with your touch. For a full description of breast massage after breast implant removal surgery click here. I use and recommend Mulu Organics Honour Your Breast Oil organic, vegan & nut free.

            How long until my illness symptoms go away?

This is a difficult question to answer as each person heals at a different rate, and what detox works for one person may not work for you. Some women begin to feel better instantly, others can take weeks or months depending on the level of toxicity in the system.

We need to remember that all breasts are largely composed of fatty tissue. Some women have more, some have less. The size, shape, firmness and skin texture are initially “set” by genetic background and vary among different cultures and individuals. Then, after birth, nutrition and exercise habits influence how your breasts develop.

You could work and work at it, but the “perfect body” is an elusive thing. No matter how you choose to eat or what clothing you choose to buy, the only way to “win” is to love the body you have. Nourish your body with the best food you can, exercise often and treat yourself with LOVE!!

From speaking to implant manufacturers in the UK, we estimate that around 30-40,000 women a year receive breast implants.  A hugely significant number, but one that is difficult to verify as there is currently no registry for patients undergoing breast enlargement.

 

The Keogh report, released in the wake of the PIP implant scandal, recommended the creation of such a registry as a safeguard for future patients, and it’s an idea we wholeheartedly agree with.

 

2014-06-07_1720

 

There is, after all, a registry for other prosthesis – artificial knees and hips, for example. But as these are more ‘medical’ than cosmetic, it seems that breast implants are not considered to fall into the same bracket, and therefore do not warrant their own registry.

 

The rise of explantation

 

While the number of women choosing to undergo breast enlargement is going up year on year, there has also been a steady increase in women seeking to remove their implants. And it’s a pattern that looks to be gaining momentum as time goes on.

 

At Aurora Clinics, we have personally seen a 97% increase in implant removal surgeries in the last 12 months.

 

Here are the main reasons we hear from women seeking to remove their implants:

 

  1. Concern about the integrity of their implants – particularly in the wake of the PIP scandal. At our clinics, we have treated 557 patients seeking removal of their PIP implants since 2012. Of these, 23% (128 patients)decided not to replace them. It seems the PIP scandal has made many women understandably reluctant to have breast implants in their bodies, even if they may not have received PIPs themselves.

 

  1. They feel their body ‘habitus’ has changed over time, and they no longer need implants. Most women develop more breast tissue naturally after the menopause, and with the combination of implants and increased natural tissue, they feel their breasts are now too big for their frame.

 

  1. Some women develop capsules around their implants and seek removal without replacement so the issue does not recur. The severity of capsular contracture is categorised with  ‘Baker Grades’, running from Grade I (soft and looks natural), to Grade IV (hard, painful and looks abnormal). Your surgeon will be able to tell you where you fall on the scale – usually Grades III and IV require surgery.

 

  1. Younger women may be thinking about starting a family and are concerned about breastfeeding with implants.

 

  1. And many more mature women have told us frankly that they don’t want to die with their implants. They may have received their implants as long ago as the 1960s or 1970s and feel they are no longer appropriate for a woman of their age.

 

Is explantation right for you?

 

The average age of women seeking implant removal at our clinics is 42.3 years old – which seems an unlikely age, but makes sense in the context of many of the women being post-menopausal (50-plus) and many of them considering imminent motherhood (mostly in their 20s and 30s).

 

One of the main worries our patients express when they are thinking about the procedure is whether they will be left with loose and sagging skin due to the loss of volume. And this may be something in the back of your mind.

 

But the fact is that the skin retracts very well. For a week or so after surgery, the area can look a little ‘empty’, but eventually it recovers well – our patients are generally very pleasantly surprised.

2014-06-07_1722

If you are concerned about being left with droopiness to your breasts, remodelling of the tissue (in the form of an uplift) can happen at the time of explant if necessary – but in most cases this is not needed. Less than 50% of the patients we see who think they will need a breast uplift actually require one.

 

And finally – 5 things to consider

 

If you’re thinking about going ahead with explantation, here are our 5 most important factors to consider:

 

  1. Do you need an en bloc removal, including the implant and capsule? Or should you remove the implant and leave the capsule to preserve as much tissue as possible? If the capsule is thin and pliable, there is usually nothing wrong with leaving it. If it is thickened and hard, it is best to remove it.

 

  1. Which incision to use? Usually surgeons like to use the same one the implants were inserted through. However, it’s important to note that if it was via the armpit, a capsulectomy cannot be performed through this incision.

 

  1. Should you have an uplift at the same time? Do you really need one, or is your skin likely to recover? Your surgeon will be able to advise.

 

  1. Is it safe to leave your implants in? Generally 15 years is the time to consider removal to guard against bursting or rupture, if this is the reason you are thinking about explantation surgery.

 

  1. Is your surgeon experienced in explanting? Do your research and find someone who performs the procedure on at least 50 patients a year – and is a member of at least one of the highest professional bodies in the UK – for example, BAPRAS, BAAPS etc.

 

 

If you would like any more information about explantation, or would like to arrange a free consultation to speak to one of our surgeons at Aurora Clinics, please don’t hesitate to give us a call on 01324 578290 or email info@aurora-clinics.co.uk

 

2014-06-07_1726