
Breast Implant Downsizing
Implants are exchanged for a smaller size to better align with your body’s proportions and aesthetic goals.
Removing implants safely and skillfully—so you can move forward with a great shape and peace of mind.
Restoring comfort and confidence through personalized care.
Breast implant removal surgery, or explantation, removes breast implants—with or without replacement. Whether due to implant illness concerns, lifestyle changes, or aesthetic preferences, this procedure is performed with surgical precision and compassionate care at North Shore Cosmetic Surgery. Some patients benefit by removal alone, while others benefit by combination with a breast lift or fat transfer to optimize shape and volume. This is surgical care that honors your concerns, respects your decision, and commits to providing the best possible results.
Peace That Comes With Clarity
Breast implant removal gives you back control—over your body, your health, and your sense of self. Whether you're addressing health concerns or looking to adjust your size, this is surgical care that empowers you to listen to your body and honor what it needs.
“Dr. Romanelli was thorough, professional and had wonderful bedside manners. His office staff were extremely helpful and supportive. Dr. Romanelli even made himself available via phone the same day as the surgery to answer my questions and concerns. My wife and I are extremely satisfied with the results of the surgery and the entire process.”Verified Patient
We begin by listening to your goals and the story behind them. Together with your plastic surgeon, you’ll explore options and define an approach aligned with your proportions, lifestyle, and vision.
Your surgical plan is thoughtfully designed around your anatomy, desired outcome, and our philosophy of natural, balanced refinement. Nothing is rushed. Nothing is one-size-fits-all.
From arrival to recovery, every detail is intentional. Our team creates a calm, reassuring environment so you feel informed, supported, and fully cared for.
Healing is guided by close communication, attentive follow-ups, and steady support. We’re with you at every step, ensuring your recovery feels smooth and predictable.
As healing progresses, balance and confidence come into focus. Our goal is for your results to feel unmistakably yours — refreshed, aligned, and effortlessly natural.

Many women choose breast implant removal for aesthetic preferences, lifestyle changes, or precautionary reasons—even without symptoms. The decision is personal and valid regardless of symptoms. We support whatever choice feels right for you.
It depends on skin elasticity, implant size, and duration of implantation. Some women maintain good shape after removal, while others benefit from simultaneous lift. We'll assess during consultation and recommend accordingly.
Yes, many women combine explant with fat transfer for natural volume. This maintains some fullness while eliminating implants. We'll discuss how much size can be replaced depending on your fat reserves.
Physical recovery generally takes 2-4 weeks, up to 6 weeks to return to full exercise.
This is not cosmetic surgery for a different you.
This is clarity — revealed through balance, intention, and deeply human listening.


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“After multiple consultations about a breast implant removal, I chose Dr. Layliev. He understood my concerns with my current implants and did not pressure me for a new set. He was positive that I would not need a lift or the additional scarring. He truly had my best interest in mind. He truly created perfection - his work speaks for itself.”RealSelf Member
“Amazing! I'm very happy with my results. Tummy Tuck - Mastopexy - Liposuction. I feel like a new woman. Thank you Dr. James Romanelli. 5 stars.”A.O.
Whether you’re exploring treatment options or simply gathering information, your journey should feel informed, intentional, and fully supported. At North Shore, our focus is on results that feel natural, balanced, and true to you — guided by experience, artistry, and an unwavering commitment to patient care.
A consultation is a conversation, not a commitment. Let’s talk through your goals and determine the path that makes the most sense for you.

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