Simple replacement
A new implant can maintain the volume, reduce it or increase it when the space and tissues allow.
Breast revision and explantation
Change or removal of breast implants in Tunisia
The change or removal of breast implants in Tunisia responds to a complication, changes to the breast or a new personal choice. Replacing prostheses, removing them permanently or combining a facelift requires distinct decisions on the implant, the capsule and the skin envelope.
No universal deadlineThe implants are not for life, but their replacement does not follow the same date.
Capsule evaluatedIts treatment depends on symptoms, imaging and operative findings.
Project redefinedThe desired breast after the procedure orients replacement, removal, lifting or fat.
Why reoperate?
Reasons for a change or explantation
Further surgery may become necessary after rupture, capsular contracture, rotation, displacement, infection or asymmetry. It can also respond to a breast modified by pregnancy, weight or aging.
Some patients want another volume or another shape; others no longer want the device. Concern about implants or general symptoms deserves real listening and assessment, without promising that explantation will explain or make every symptom go away.
The initial file, implant card, brand, model, surface, date of placement and imaging reports help prepare the strategy.
Four strategies
Replace, remove or reshape breasts
The right action depends on the diagnosis and the expected result after the disappearance of the old implant.
Removal without replacement
The implant is removed without a new device. The natural volume and retraction capacity of the skin determine the shape obtained.
Removal with facelift
A mastopexy removes excess skin and replaces the areola if the breast remains empty or drooping after explantation.
Removal with lipofilling
Autologous fat can soften a hollow or moderately restore volume, if sufficient donor areas exist.
Implant diagnosis
Rupture, deflation and imaging
A ruptured saline implant usually deflates because its contents are absorbed. A silicone implant rupture can be silent and remain contained within the capsule; clinical examination alone is not always sufficient to recognize it.
Ultrasound, mammography or MRI may be requested depending on the type of prosthesis, symptoms and follow-up recommendations. An abnormal result does not automatically indicate the extent of the surgery: the condition of the capsule and the possible diffusion of the gel also count.
A sudden change in shape, new pain, hardening or a mass warrants a consultation, even if the last check-up was reassuring.
Around the prosthesis
Breast shell and capsule treatment
Capsule is a normal scar reaction. The problem appears when it thickens or contracts to the point of hardening, deforming or making the breast painful.
Capsulotomy
The capsule is opened to release the compartment. This gesture does not mean that it is completely removed.
Partial capsulectomy
The portion deemed problematic is removed while another part can be kept to limit the surgical risk.
Total capsuleectomy
The entire capsule is removed, not necessarily in one piece. Its feasibility depends in particular on its adhesion to tissues.
“En bloc” is not synonymous with better withdrawal
This term refers to the removal of the capsule and implant with a margin of unaffected tissue in the treatment of suspected or established associated cancer. It should not be promised as a systematic preventive technique.
After explant
What result without breast implants?
The chest does not necessarily return to its appearance before the first augmentation. The tissues have evolved with the volume of the prosthesis, time, pregnancies, weight and aging.
After removal, distended skin may partially retract or leave a flattened, wrinkled or drooping breast. The actual glandular volume, the width of the compartment and the thickness of the tissues also influence the contour.
A facelift improves the position but adds scarring. A breast lipofilling provides a limited and variable volume. These actions can be immediate or delayed depending on the capsule, the infection, the tissues and the priority given to safety.
Full consultation
Preparing for breast revision surgery
Analyze
Symptoms, implants, imaging, capsule, tissues and personal project are confronted.
Plan
The surgeon explains the removal, the site, the scars and any associated procedures.
Anticipate
Several scenarios can be agreed if the real state is only known in the block.
Follow
Report, references of the new implant or analyzes and checks are organized.
Late vigilance
Swelling, mass, or pain around an implant
A breast that swells persistently long after healing, a lump or unusual pain should be examined immediately. These signs have many possible causes and do not automatically mean cancer.
The assessment may look for fluid around the implant, an abnormality of the capsule or a mass. If implant-associated lymphoma is being considered, fluid or tissue should be collected and analyzed before deciding the extent of treatment.
The BIA-ALCL is a lymphoma of the immune system, not breast cancer. The FDA says it most often appears in the fluid or capsule around the implant and the risk is higher with textured implants.
Operative risks
Possible complications of replacement or removal
Risks include bleeding, infection, hematoma, seroma, thrombosis, poor healing, change in sensitivity, persistent pain, asymmetry, skin necrosis and reoperation.
Capsulectomy may increase dissection and expose surrounding tissue injury, particularly when the capsule adheres to the chest wall. An explantation does not guarantee a specific aesthetic result or disappearance of general symptoms.
A new implant reintroduces the risks of prostheses: rupture, shelling, displacement, folds, infection and the need for long-term monitoring.
Quote on file
Price of a change or removal of implants in Tunisia
The price of breast implant removal in Tunisia varies more than a first increase, because the state of the capsule and the associated gestures modify the intervention.
Implants
Removal alone or replacement, brand and new volume do not entail the same costs.
Capsule
Capsulotomy, partial or total resection or possible analyzes change the duration and complexity.
Remodeling
Lifting, lipofilling or correction of asymmetry add their own steps.
Framework and monitoring
Imaging, anesthesia, clinic, stay, medications, support and checks should be detailed.
Complementary solutions
Compare related breast solutions
Breast augmentation
To understand new implants, their volume choices and their monitoring.
Study the replacementBreast lift
To correct a distended breast or drooping breast after removal.
Understanding the riseBreast surgery
To place the revision among all the volume and position interventions.
See the pillar guidePrepare a breast revision request
Indicate the date, brand, volume, surface area of the implants, your symptoms, available imaging and desired result.
Frequently asked questions
Implant Changing and Removal FAQs
There is not an identical date for all patients. A change can be discussed in the event of a rupture, painful shell, displacement, asymmetry, modification of the aesthetic project or an anomaly detected during follow-up.
Yes. Explantation can be carried out alone when the envelope retracts sufficiently, or associated with a facelift or lipofilling depending on the skin, the remaining volume and the desired result.
A fibrous capsule normally forms around any prosthesis. It becomes a capsular contracture when it tightens abnormally and can harden, deform or make the breast painful.
No. Capsulotomy, partial or total capsulectomy depend on the shell, a rupture, a capsular anomaly and the operative risk. An en bloc resection responds to specific oncological indications after assessment.
The result depends on the volume of the implants, wearing time, natural tissues, skin, pregnancies and weight. A breast may appear empty or drooping, sometimes prompting a lift or fat transfer.
Persistent swelling that appears long after healing, a mass or unusual pain requires immediate medical evaluation. Imaging and sometimes analysis of the fluid or capsule may be indicated.
The quote depends on the replacement or removal, the condition of the implants and the capsule, an associated facelift or lipofilling, anesthesia, the clinic, any analyzes and follow-up.