Explantation and Mastopexy 2020-03-22T22:00:01+00:00

Explantation and Mastopexy

Removal of breast implants accompanied with a breast lift.


  • Ruptured implants
  • Capsular contracture
  • Removal of breast implants


Over time (years) implants may develop capsular contractures (hard, scar formation) or may rupture, causing a silicone leak.

The symptoms may include hard, painful or deformed breasts.

This is not dangerous however the implants will need to be replaced.

Dr Liakos is extensively involved in breast reconstruction and has extensive knowledge of the breast anatomy required to achieve consistent and excellent long-term results.


  • Will I always need my implants exchanged every 10 years?
    In the past it was assumed that implants would need to be exchanged every 10-15 years.  This is not necessarily true and only need to be exchanged if there are complications.Ruptured implants may be asymptomatic, and therefore routine follow-ups are important.Due to the stretching effect of the implants, once the implants have been removed the breast tissue needs to be lifted to re-create the youthful looking breast.Another option is for the implants to be replaced and therefore a lift may not be necessary.The capsule (hard, scar tissue around the implant) will be removed with the implant if affected and if safe to do so.
  • What is Breast Implant Illness
    Recently I have had many patients visit my rooms complaining of auto-immune like symptoms which include joint pains, lethargy and other central nervous system symptoms.  Patients believe these symptoms are a result of the silicone implants.Although there are no direct scientific studies proving this, and the FDA does not recognize BII as a diagnosis as yet, patients should not be dismissed until further studies are conducted.The treatment includes explantation of the silicone implants.


2-3 hours
General anaesthesia.
Usually an overnight stay.


  • 2-3 weeks recovery is to be expected.
  • Drains will be in situ usually 1 week, but may be longer depending on the drainage.
  • After your surgery an advanced scar management protocol will be prescribed.

Contact us to arrange a consultation for a full assessment by Dr Liakos.  We are happy to answer any questions or queries you may have.

Contact us for a consultation

Dr Dimitri Liakos is a member of the College of Plastic and Reconstructive Surgeons of South Africa and a member of the Association of Plastic, Reconstructive and Aesthetic Surgeons of South Africa (APRASSA).

He is a member of the World Society of Reconstructive Microsurgeons (WSRM) and the International Society of Aesthetic Plastic Surgeons (ISAPS).