Should I Have My Breast Implants Replaced or Removed?

Breast implants have been around for a while and researchers have developed a 5th generation silicone implant that aimed at eliminating leakage, also referred to as “silicone-gel bleed”. They are more stable than previous generation implants and offer the greatest level of safety and satisfaction.

However, many women have breast implants they are satisfied with for many years, but then often wonder if they should remove or replace them for fear of complications they believe will occur sometime in the future. Sometimes, patients just want to return to their normal breast size. In any case, it’s common for patients to experience a period where they begin to question whether or not they should have their breast implants replaced or removed.

Los Angeles Breast Implant Surgeon Chimes In

Dr. Golshani sheds some light onto the situation that many women experience. “It all depends on the condition of your breast tissue, skin, etc. If your breasts are overly stretched, have severe thinning and/or striae (stretch marks), then removal without replacement can get complicated by a poor outcome and further lack of satisfaction on your side.”

Many surgeons recommend breast implant replacement over breast implant removal simply because implant removal involves a more complicated procedure that may result in slightly increased chances of complications arising. However, some women benefit from implant removal. It all depends on the individual.

Let a Board Certified Plastic Surgeon Handle It

No matter what you read, hear, or see online in regards to considering breast implant revision, it’s always best practice to let a board certified plastic surgeon with adequate experience handle the situation because every woman’s body is different and these factors need to be considered in person before making any final judgments.

Dr. Golshani notes, “sometimes switching to smaller implants is a more desirable option to achieve the best outcome.” It is absolutely necessary to consult with a board certified professional in order to find out what outcome is best for you, your health, and your satisfaction.

Dr. Golshani is a board certified plastic surgeon that has been practicing for close to 14 years and provides plastic surgery procedures such as breast implants, breast augmentation, breast reduction and breast implant removal for his patients in Beverly Hills.

Can You Remove Saline From Breast Implants to Reduce Size?

Many women undergo breast augmentation surgery because they want breasts that are more aesthetically pleasing by adding more volume and symmetry. It is not uncommon for a woman to receive a set of breast implants and then realize they actually want larger breasts, prompting them to seek out their plastic surgeon. Adding saline to breast implants is very possible, but can you remove saline from a breast implant if you decide the breasts you wanted are too large for your preferences?

Yes, Plastic Surgeons Can Remove Saline From Breast Implants

Reducing the size of breast implants by removing saline is also possible. However, it is not a desirable option depending on how long it has been since your operation.

Dr. Golshani, a Los Angeles breast revision surgeon, responded to a concerned user on who had an operation performed 6 months ago from the time she asked her question of removing saline from an implant. Her concern was that one of her implants had appeared larger than the other, prompting her to seek treatment.

Dr. Golshani’s response: “Six months is the usual minimum waiting period required before going back for a revision. Although this must be assessed based on the patient’s physical examination. Removing saline from an implant may damage the port at the time of tubing insertion into the hub, but this is a rare event. Nevertheless, it should be discussed before surgery. Also, under-filling and over-filling of an implant beyond required volumes must be considered and discussed. under-filling increases leak rate later on and can also present with rippling on later physical examination. Overfilling can also increase leak rate and an unnatural look.”

The Best Answers Are Given In-Person

Seeking answers online can be one way to gain insight into your problem, but ultimately questions of this matter should be expressed in person to a board certified surgeon who can evaluate your breast implants without having to take guesses from what can be seen in pictures. It is too hard to receive trustworthy advice online or from friends and family who are not professionals.

Dr. Golshani loves to answer his patients’ concerns, whether in person or online at, but ultimately knows that the best advice he can give is to make an appointment with the plastic surgeon who performed the surgery and consult with them on what steps should be taken next.