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The Author

DR. MASATAKA FUJIHASHI

  • Board Certified Plastic Surgeon, Japan Society of Plastic and Reconstructive Surgery

BREAST RECONSTRUCTION SURGERIES

More and more people are seeking breast implant removal options to improve the appearance of their breasts or relieve discomfort.

Our dedicated English-speaking plastic surgery team at BIANCA CLINIC in Tokyo offers you a personalized approach to meet your individual needs and goals.

This article explains the breast implant removal options to help you decide what feels right for you.

What Is Breast Implant Removal in the First Place?

Breast implant removal is a plastic surgery procedure that removes one or both implants, and sometimes the surrounding capsule (the body’s scar tissue) if this is causing symptoms due to the fact breast implants often require revision or removal within 10–15 years.

In fact, thickening and contraction of the surrounding capsule is reported to occur in 5–15% of breast implants over time.

What Are the Breast Implant Removal Options in Tokyo?

The choice of procedure is tailored to your requirements and your situation.

Your plastic surgery may involve removal of the breast implant (explant) alone or a combined breast implant removal option with partial or total removal of the capsule when medically indicated.

Incisions are planned to minimize additional scarring.

Breast appearance can be enhanced by combining implant removal with breast lift (mastopexy) or fat transfer.

We often use before and after photographs to guide planning,

A simple explant (breast implant removal) option involves removal of the breast implant alone leaving a thin, healthy capsule behind for faster recovery.

An explant also can be performed with a partial capsulectomy removal and selected areas of thick or misshapen capsule to improve softness.

An explant with total capsulectomy (“en bloc” procedure) removes the entire capsule which has more of a fine dissection.

An explant plus breast lift tightens the skin and repositions the nipple area for a more natural appearance too, with an explant plus fat transfer using your own body fat to add volume and softness.

This may require a staged procedure and is the most costly breast implant removal option mentioned above.

Comparison of Breast Implant Removal Options

All options are safe and are designed to align with your individual goals.

Here is a simple overview to help inform your discussion with a plastic surgeon:

  • Simple explant: This results in a smaller, softer chest. Recovery is often quickest and risks vary from bleeding, infection, to contour irregularity.
  • Partial capsulectomy: This improves softness and breast shape, with recovery relatively fast compared to the other breast implant removal options on this list. Risks include bruising, tightness, and fluid collection (seroma).
  • Total capsulectomy/en bloc procedure: This breast implant removal option works by taking out all the surrounding capsule. Recovery is longer than other procedures with risks including fluid buildup and temporary numbness.
  • Lift or fat transfer: This results in a more youthful breast shape and volume. Recovery depends on the extent of surgery with risks that include scars (for a breast lift) or small lumps/fat resorption (for fat transfer).

Breast Implant Removal Options: Costs and Downtime

Costs

At a “near me” Tokyo aesthetic clinic, typical self-pay charges range from about ¥600,000–¥1,200,000 for simple explant, and ¥1,500,000–¥2,500,000 when adding total capsulectomy, breast lift, or fat grafting.

Downtime

Most patients are able to return to desk work in 3–10 days following their plastic surgery depending on the procedure, with full activities resuming at 4–6 weeks.

That said, your plastic surgery plan is always personalized after your consultation.

BIANCA CLINIC in Tokyo: Plastic surgery pathways and Breast Implant Removal Options

Initial consultation

You will receive a warm, bilingual welcome.

As an English-speaking beauty clinic, we complete all the paperwork and counseling in English.

You will have a clinical examination, undergo any imaging as necessary and receive clear breast implant removal options as information with before & after references.

Day of plastic surgery

You will meet your plastic surgery team who will apply gentle surgical marking, and sterile preparation for your surgery.

The implant will be removed with precision using the planned technique.

We use dissolvable sutures and insert drains only if clinically needed.

Aftercare

We recommend wearing a supportive bra.

We provide 24/7 contact and next-day review.

All follow-up appointments are scheduled for 1 week, 1 month, 3 and 6 months post-operatively and typical milestones include shower at 24–48 hours, desk work at 3–7 days, and full activity by week 4 to 6 after surgery

Breast Implant Removal Options: FAQs

Am I a suitable candidate?

You are a good candidate for breast implant removal surgery if you are experiencing breast discomfort, visible rippling/hardness over the breast, suspected rupture of the implant, or simply prefer a device-free chest (or body for that matter).

A consultation with our reputable plastic surgery team, where necessary imaging of the breast will help you choose the best option for you.

Do I need a breast lift or fat transfer?

Some skin laxity is normal after breast implant removal, especially after larger or long-standing implants.

A breast lift or modest fat grafting can restore a more natural breast appearance.

Your plastic surgery specialist will discuss these options with you and provide you with before and after guidance.

What is “en bloc”? Is it always needed?

En bloc refers to a procedure where the breast implant and surrounding capsule are removed together in one unit.

For selected patients with specific medical indications, this is the preferred surgical option but it is not automatically the best choice for everyone.

Your plastic surgery team will recommend the least invasive method that meets the highest safety standards and your goals.

Is any of this covered by insurance in Japan?

Purely aesthetic breast implant removal is typically self-paid.

Only if there’s a medical indication might there be limited insurance coverage depending on your policy and documentation.

Our staff can prepare supportive letters as and when necessary.

Final Thoughts on Breast Implant Removal Options

If you’re considering a breast implant removal, you will need a personalized care plan which covers all the breast implant removal options with easy-to-understand instructions and clear guidance.

As a trusted English-speaking beauty clinic in Tokyo, BIANCA CLINIC offers all our patients’ careful assessments, meticulous surgical technique, and comprehensive follow-up.

So contact us now for a free consultation to discuss your goals in a private, relaxed, pressure-free setting where we can explore all breast implant removal options in confidence.

 

Board-Certified Plastic Surgeon (Japan Society of Plastic and Reconstructive Surgery)
Masataka Fujihashi, MD

藤橋 政尭 MASATAKA FUJIHASHI,M.D.

As a board-certified plastic surgeon, Dr. Masataka Fujihashi has extensive experience in trauma, reconstructive surgery, and congenital conditions, through which he has developed highly precise surgical techniques and a deep understanding of anatomy.
Believing that changes in appearance can positively impact one’s mindset, he pursued a career in aesthetic surgery to bring that transformative power to his patients. His areas of expertise include periocular procedures, injectable treatments, and anti-aging/lifting treatments.
With a patient-centered approach grounded in sincerity, he is committed to delivering refined, aesthetically focused results tailored to each individual’s goals.

 

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🔹 How to Book Your Appointment

Click the link below and fill the form with your concerns, referral code if you have any and day/time preferred.

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📝  Note:  All consultations, treatments, and follow-up visits include  free translation services —no extra fees!


Clinic Locations

📍  Ginza Clinic

12F Ginza ONE, 1-8-19 Ginza, Chuo-ku, Tokyo, Japan

☎  050-3196-4834

🚇  Access:

🚶‍♀️ A 4-minute walk from  Ginza Station  on the Tokyo Metro Ginza Line.

🚶‍♀️ A 1-minute walk from  Exit 7 of Ginza-itchome Station  on the Tokyo Metro Yurakucho Line.

🚶‍♀️ A 3-minute walk from  Exit 3 of Kyobashi Station  on the Tokyo Metro Ginza Line.

🚶‍♀️ An 8-minute walk from the  Kyobashi Exit of JR Yurakucho Station .


📍  Omotesando Clinic

Minami-Aoyama 511 Building 2F, 5-11-10 Minami-Aoyama, Minato-ku, Tokyo, Japan

☎  050-1807-1593

🚇  Access:

🚶‍♀️ A 5-minute walk from  Exit B1 of Omotesando Station  on the Tokyo Metro Ginza Line, Hanzomon Line, and Chiyoda Line.


Consultation Hours:  10:00–19:00  Closed:  Irregular holidays


About BIANCA Clinic

At BIANCA, we redefine beauty care by offering a holistic approach that transcends traditional cosmetic surgery and dermatology. 20 specialized doctors in different fields including plastic surgery, dermatology, internal medicine, regenerative medicine, gynecology will carefully listen to your needs and help you to enhance your beauty and wellness from the inside out. We are committed to creating personalized treatment plans with precision and care, and ensuring you experience the true spirit of Japanese omotenashi and hospitality.