How it works
It starts with a consultation. Your surgeon will ask about the earlier silicone injection — the more you can remember, the better — then examine your breasts and may order an ultrasound or an MRI (a type of imaging that does not use X-rays) to see how far the silicone has spread. This step helps build a realistic plan for what can be taken out.
The surgery is usually done under anesthesia. The exact type depends on how extensive the procedure needs to be. You will talk this option through clearly before the day of surgery.
During surgery, your surgeon makes an incision and removes the liquid silicone along with the surrounding tissue that has soaked it up or scarred. Because injected silicone clings to healthy tissue, the surgeon sometimes has to take out some tissue to remove more silicone. Your surgeon will weigh removing as much silicone as possible against keeping as much healthy tissue as they can.
After cleaning out the surgical space, your surgeon may place a drain (a small tube that lets extra fluid escape) and close the incision. Some cases need more than one procedure to clear the remaining silicone gradually.