The most useful questions to ask before breast implant removal cover your surgeon's qualifications, how they will handle the capsule, how your breasts are likely to look afterwards, where the surgery takes place and what aftercare is included. Below is a structured list, with a guide to what a good answer usually sounds like.
About the surgeon
- Are you on the GMC Specialist Register in Plastic Surgery?: a good answer is a straightforward yes. You can check any doctor on the GMC website using their name or number.
- Do you hold the FRCS (Plast) qualification?: this is the specialist exit examination for UK plastic surgeons.
- Are you a member of BAAPS or BAPRAS?: membership of these professional associations indicates a commitment to standards and ongoing training.
- How often do you perform implant removal and capsulectomy?: look for a surgeon who does this surgery regularly and can explain their approach clearly.
Mr Reza Nassab is a Consultant Plastic Surgeon on the GMC Specialist Register (GMC 4704243), holds the FRCS (Plast) and sits on the BAAPS Council.
About the operation
- Will you remove the capsule, and why?: a good surgeon explains when a capsulectomy is needed, such as contracture or rupture, and when leaving it may be safer.
- Will you use my existing scar?: usually possible, but the answer should reflect your particular case.
- Is a scan needed first?: if rupture is suspected, an ultrasound or MRI helps planning.
- Will the capsule or implant be sent for analysis?: the surgeon should explain whether testing is recommended and why.
About the result
Ask how your breasts are likely to look when the implants are out, and whether a lift should be considered now or later. A good answer is honest about the likely loss of volume and any looseness, rather than promising a particular outcome. Your surgeon should be able to explain the difference between removal with or without a lift using your own measurements.
About safety and the hospital
- Where will the operation take place?: it should be a CQC-registered hospital with appropriate overnight facilities.
- Who gives the anaesthetic?: a consultant anaesthetist is standard.
- What are the main risks for me?: listen for a clear explanation of bleeding, infection, seroma, blood clots and changes in shape, with how each is reduced.
The implant removal risks guide covers these in more depth.
About aftercare and revision
- What follow-up is included?: expect wound checks and reviews with the surgeon at planned intervals.
- Who should be called with a worry?: there should be a direct contact route to the surgical team, including out of hours.
- What happens if the shape is disappointing?: ask about the revision policy, including any costs for further surgery.
- Is there a cooling-off period?: a responsible practice encourages time to reflect before booking.
About recovery
- How long is needed off work?: a clear answer is usually one to two weeks, and longer after an uplift or extensive capsule surgery.
- Will drains be used?: the surgeon should explain when they use drains and how long they typically stay in.
- When are exercise, driving and lifting children possible?: expect practical, staged advice rather than a single date.
- How long before the final shape shows?: an honest answer is several months, as the breasts settle and scars mature over a year or more.
Our recovery guide sets out a typical timeline so you know what to expect.
About cost
Ask for a written quote that lists everything included: surgeon, anaesthetist, hospital and theatre fees, garments and follow-up. Check whether scans or capsule analysis are extra. With Mr Nassab, implant removal is from £7,500 and removal with an uplift from £11,500 with the £150 consultation charged separately. The cost guide explains what can change a quote.
Red flags to watch for
Be cautious if a clinic offers limited time with the surgeon, pressures you to book on the day, cannot tell you where you will be treated or has no clear aftercare. Very cheap packages abroad can leave you without support if a problem develops after you return home.
Frequently Asked Questions
Should implant records be brought along?
Yes. Implant cards, operation notes and any scan reports help Mr Nassab plan the safest approach.
Can someone come to the consultation with you?
You are welcome to bring a partner, friend or family member for support and to help remember the discussion.
Is a second consultation available?
Yes. Many patients find a second appointment useful to go over remaining questions before deciding.
What if my original surgeon was abroad?
That is common. Mr Nassab can assess you and plan removal even if your records are incomplete.
