Expertly place, exchange, or safely remove breast implants to restore your natural body contour and aesthetic harmony.
Breast implants and removal (explantation) encompass specialised surgical protocols designed to either place, exchange, or safely extract silicone or saline breast devices. Whether patients seek to update their existing implants, restore volume, or permanently remove their devices due to lifestyle shifts, capsular contracture, or rupture, this comprehensive approach prioritises both anatomical health and physical comfort.
Dr. Gus Hoogendyk approaches implant placement, revision, and explant surgery with meticulous surgical precision. When performing removal, he employs advanced techniques, including total capsulectomy (en bloc removal) when clinically indicated, ensuring all scar tissue and device material are removed cleanly. To maintain an elegant silhouette, explantation can be combined seamlessly with a breast lift or fat grafting to reshape the breast mound.
“Whether refining your silhouette with implants or returning to your natural contour, every decision is guided by patient safety, comfort, and aesthetic harmony.”
Recreates a balanced, natural breast contour suited precisely to your evolving lifestyle.
Resolves tightness, pain, and firmness associated with severe capsular contracture or old devices.
Performs en bloc or total capsulectomies to safely remove scar capsules alongside the implant.
Can be combined seamlessly with a mastopexy (breast lift) or fat transfer to prevent a deflated appearance.
Allows for seamless implant exchange to modern, cohesive silicone gels.
Enhances comfort during exercise, sleeping, and everyday physical activities.
Each stage is designed around your comfort, safety, and outcome. Dr. Gus walks every patient through this process in detail during your fully private consultation.
Thorough clinical assessment of current implant integrity, capsule health, and individual aesthetic goals.
Precise surgical mapping in theatre, with general anaesthesia administered for absolute safety.
Careful insertion, revision, or total capsulectomy extraction of implants and scar tissue, followed by tissue reshaping if planned.
Wounds are closed with dissolving sutures, supportive surgical bras are fitted, and drains are placed if necessary.
Follow-up evaluations monitor tissue contraction, with final refined contours emerging as swelling resolves.
Recovery focuses on tissue healing and support, offering a predictable timeline for returning to everyday routines.
Expect mild to moderate soreness. Rest is prioritised, with temporary drains managed if placed in theatre.
Drains are removed, and soreness subsides, allowing a comfortable return to desk work and light daily activities.
Swelling decreases significantly; a supportive, wire-free bra is worn while avoiding heavy lifting.
Over 3 to 6 months, breast tissue settles into its final, natural shape, and incision lines fade to faint marks.
Ideal candidates include individuals seeking initial implant placement, device replacement, or complete explantation
You may be a candidate if you:
Breast Augmentation
To increase the perceived size, restoring structural tone and vitality to the upper torso for a fuller, more balanced feminine form.
“For years, I felt that my silhouette didn’t quite match my active lifestyle. I wanted a change, but I was terrified of looking ‘overdone’ or artificial. Dr. Gus set my mind to rest. His approach turned out to be so considered the recovery was smoother than I anticipated, but the real impact was the confidence. For the first time, I feel completely at home in my own skin. I am just about the surgery. It was about the care and the precision behind it.”
— Dana S, Zurich
Breast Augmentation
To increase the perceived size, restoring structural tone and vitality to the upper torso for a fuller, more balanced feminine form.
“For years, I felt that my silhouette didn’t quite match my active lifestyle. I wanted a change, but I was terrified of looking ‘overdone’ or artificial. Dr. Gus set my mind to rest. His approach turned out to be so considered the recovery was smoother than I anticipated, but the real impact was the confidence. For the first time, I feel completely at home in my own skin. I am just about the surgery. It was about the care and the precision behind it.”
— Dana S, Zurich
Breast Augmentation
To increase the perceived size, restoring structural tone and vitality to the upper torso for a fuller, more balanced feminine form.
“For years, I felt that my silhouette didn’t quite match my active lifestyle. I wanted a change, but I was terrified of looking ‘overdone’ or artificial. Dr. Gus set my mind to rest. His approach turned out to be so considered the recovery was smoother than I anticipated, but the real impact was the confidence. For the first time, I feel completely at home in my own skin. I am just about the surgery. It was about the care and the precision behind it.”
— Dana S, Zurich
The surgery typically takes 1,5 to 3 hours, depending on whether an en bloc capsulectomy, implant exchange, or breast lift is performed.
Surgery is conducted under general anaesthesia in a fully accredited surgical theatre or day clinic.
Existing incision lines are utilised wherever possible to minimise new scarring, though
additional lift incisions may be required if skin tightening is performed.
Most patients return to light desk work within a week. High-impact cardio and heavy upper-body lifting must be avoided for 4 to 6 weeks.
Skin contracts naturally over time, but Dr. Gus often recommends pairing removal with a breast lift or fat grafting to preserve an elevated, firm contour.
A private, no-obligation consultation with Dr. Gus is the first step. Come with questions, leave with clarity. We keep availability limited to ensure every patient receives undivided attention.