1. Evaluation and Diagnosis
Review of implant history, breast ultrasound, and capsule evaluation. The surgeon defines the most appropriate technique and the plan for the breast contour after removal.
Breast Explantation: Implant Removal with Medical Criteria
Breast explantation is the surgery indicated to remove breast implants, whether due to a medical complication, implant deterioration, or personal decision. It is a procedure that requires the same rigorous surgical planning as the original placement: the chosen technique —simple, partial capsulectomy, or en bloc— completely changes the result, the scar, and the need for additional surgeries.
At ALMO Clinic, we evaluate each case individually. If breast sagging exists after removal, we can combine explantation with a breast lift (mastopexy) or fat grafting in the same surgical time to optimize the result.
- SCCP Certified Plastic Surgeons with specific experience in revisional breast surgery and en bloc technique.
- Complete Preoperative Evaluation: breast ultrasound, analysis of the capsule's state, and planning of the appropriate technique.
- Simultaneous Reconstruction Option: mastopexy, lipofilling, or new implant in the same surgical act if the case allows.
- Complete Follow-up: post-operative check-ups included in the budget to accompany the entire recovery.
Explantation Techniques: Which One Applies in Your Case?
The technique is defined according to the reason for removal, the state of the capsule, and prehistoric image findings
| Technique | Description | Primary Indication |
|---|---|---|
| Simple Explantation | Implant removal. The capsule is left or partially opened | Intact implant, no systemic symptoms, personal decision |
| Partial Capsulectomy | Removal of the implant plus part of the thickened fibrotic capsule | Grade I-II capsular contracture, focal calcified capsule |
| Total En Bloc Capsulectomy | Removal of the implant with its entire capsule intact, without opening it | Suspicion of silent rupture, ASIA syndrome, textured implants (ALCL) |
| Explantation + Breast Lift | Implant removal with simultaneous lifting and reshaping of the breast | Predictable breast ptosis after explantation due to implant size |
Who Is a Candidate for Breast Explantation?
Preoperative evaluation determines the technique and the need for additional surgery
Common Medical Indications
Explantation is indicated when there is grade III or IV capsular contracture (hard and distorted breast), implant rupture confirmed by ultrasound or MRI, chronic pain without an identifiable cause, or diagnosis of ASIA syndrome. It is also indicated in the detection of BIA-ALCL associated with textured implants, although it is an extremely rare complication.
Personal or Aesthetic Decision
Many patients choose explantation without a medical cause: they change their aesthetic preferences, do not wish to maintain implants long-term, or look for a more natural appearance. In these cases, planning focuses on how to compensate for the lost volume —mastopexy, lipofilling, or both— to obtain the best possible result without implants.
Price of Breast Explantation in Colombia 2026
Personalized budget according to the required technique: no hidden costs
| Procedure | Description | Estimated Price |
|---|---|---|
| Simple Explantation | Implant removal without major capsulectomy | $5,000,000 - $6,500,000 |
| Explantation + Partial Capsulectomy | Implant removal with thickened capsule removal | $6,000,000 - $8,000,000 |
| En Bloc Explantation | Total intact capsulectomy (en bloc technique) | $7,500,000 - $10,000,000 |
| Explantation + Breast Lift | Implant removal with simultaneous breast lifting | $9,000,000 - $13,000,000 |
Estimated prices for 2026. Include fees for the surgeon, anesthesiologist, operating room, and supplies. Post-operative check-ups included. Exact budget in the consultation.
The Process of Your Breast Explantation at ALMO Clinic
Evaluation, surgery, and follow-up: support at every stage
2. Surgery in Certified Operating Room
Procedure under general anesthesia for 1 to 3 hours depending on the technique. Incisions follow the previous implant scars whenever possible, minimizing new marks on the skin.
3. Supervised Recovery
Check-ups at 3, 7, 15, and 30 days. The breast may look smaller and somewhat saggy initially: the final result is evaluated at 3 months when swelling is completely resolved.
Breast Explantation Recovery: What to Expect
| Period | What to Expect | Allowed Activity |
|---|---|---|
| Days 1-3 | Mild to moderate discomfort. Swelling and some bruising | Rest. Limited arm movements |
| Days 4-7 | Peak swelling. The breast looks small and with some ptosis | Short walks. Basic household activities |
| Weeks 2-4 | Swelling decreases. Contour begins to define | Sedentary work. No heavy lifting |
| Weeks 5-8 | Progressive improvement of breast contour | Moderate exercise without impact |
| Months 3-6 | Definitive result. Skin gradually retracts | Full routine without restrictions |
Frequently asked questions about breast explantation in Bogotá
Breast Explantation for Medical Tourism
Colombia is a reference destination for revisional breast surgery in Latin America. Colombian plastic surgeons have specialized training in complex explantation techniques, and costs are between 50% and 70% lower than in the United States or Europe.
ALMO Clinic coordinates the entire process for international patients: prior virtual consultation, image evaluation, surgery, and remote follow-up until recovery is complete.
International Program →
Schedule Your Breast Explantation Evaluation
A certified plastic surgeon evaluates your case, reviews the state of your implants, and presents all available options with a budget without obligation.
Schedule Breast Explantation Evaluation