The focus is rather on the question:
How can the breast be stabilised in the long term from a biological, functional and aesthetic perspective?
When implants no longer suit your individual situation
Modern breast implant surgery has advanced considerably over the past few decades.
At the same time, many women today are taking a more conscious interest in:
- Implant safety
- Fabric quality
- biological changes
- and the body’s long-term resilience.
Some patients come in with specific complaints.
Others speak less of pain and more of the feeling that their breasts have changed over the years or no longer feel natural.
Many simply wish for a more natural and biological solution following pregnancies, weight changes or long periods of wearing implants.
This is precisely why Dr Wiedner does not view explantation as a trend or an ideological decision.
For her, the focus is always on the patient’s individual situation.
Breast Implant Illness – a sensitive and complex issue
The term ‘breast implant illness’ describes a very diverse range of symptoms reported by patients in connection with breast implants.
These include, amongst others:
- chronic fatigue
- Muscle and joint problems
- Difficulty concentrating
- or a general feeling of being unwell.
From a scientific perspective, this topic must be viewed in a complex and nuanced way.
Not all the connections have been clearly established.
At the same time, Dr Wiedner believes it is important to take the symptoms of affected patients seriously.
She deliberately adopts a calm and scientifically informed approach – free from ideology, but offering honest, personalised advice.
After all, not every patient needs the same solution.
And not every situation can be assessed in general terms.
Explantation involves much more than simply removing implants
The real challenge of an explantation often lies not in removing the implant itself.
The crucial question is rather how the breast can be stabilised biologically and aesthetically in the long term.
Implants change over the years:
- fabric
- Skin tension
- Breast shape
- Blood circulation
- and the entire internal structure of the breast.
Just after:
- larger implants
- longer duration
- previous operations
- or the formation of cysts
the tissue is often:
- thinned out
- overstretched
- physically exhausted
- or have become functionally unstable.
If an implant is simply removed, this can lead to:
- breasts that look empty
- excess skin
- Irregularities in the outline
- or instability.
That is precisely why modern explantation approaches are not solely about removal.
They are about restoring long-term tissue harmony.
The role of the capsule
An important aspect of many implant removals is the issue of the implant capsule.
The body forms a natural layer of connective tissue around each implant.
This capsule only becomes problematic when:
- hardened
- causes pain
- the breast is deformed
- or causes chronic tension.
Whether and to what extent a capsule should be removed always depends on the individual situation.
The key factors are:
- Complaints
- Fabric quality
- Previous operations
- Implant situation
- and the long-term stability of the breast.
Here, too, Dr Wiedner does not take a dogmatic approach.
She makes decisions on a case-by-case basis – with the aim of soothing the tissue in the most biologically appropriate way possible and creating long-term stability.
Autologous tissue and biological reconstruction
Particularly following implant removal, the patient’s own tissue and regenerative techniques play a particularly important role.
Many female patients no longer wish to have the fullest possible breast shape following explantation.
What is often the main focus, however, is the desire for:
- naturalness
- Softness
- biological rest
- and a sense of physical well-being that feels right again.
This is where modern autologous fat and regenerative techniques can be extremely valuable.
Autologous fat is not used solely for volume restoration.
Often even more important are:
- Improvement in tissue quality
- softer contours
- Harmonisation of affected tissues
- improved skin quality
- and biological regeneration.
Dr Wiedner sees significant advantages in this approach, particularly when dealing with thin or damaged tissue.
In her view, modern explantation surgery is therefore not about making the most drastic changes.
Rather, it is about restoring balance to biologically compromised tissue.
Regeneration rather than maximisation
A key component of Dr Wiedner’s philosophy is the biological stabilisation of tissue.
It’s not about achieving the greatest possible volume.
The focus is rather on:
- Fabric quality
- Blood circulation
- Elasticity
- natural transitions
- and long-term resilience.
Regenerative processes such as:
- Autologous fat transfer
- Microfat
- Nanofat
- or biological tissue concepts
They therefore play an important role in modern implant removal strategies.
Particularly following implant removal, these procedures can help the tissue to regain a calmer, softer and more natural appearance over the long term.
An academic perspective and international expertise
Dr Wiedner’s research focuses on:
- Implant safety
- renewable energy concepts
- biological reconstruction strategies
- autologous tissue
- and modern hybrid processes.
Topics such as:
- Breast Implant Illness
- Explantation
- Autologous fat transfer
- and reconstructive breast surgery are currently the subject of intense international debate.
She is regularly invited to speak and deliver keynote addresses at international specialist conferences and is actively involved in the international training of plastic surgeons.
This academic work also shapes her clinical approach:
calm, nuanced, thoughtful and focused on the long term.
Naturalness and long-term balance
For Dr Wiedner, the most challenging aspect of modern breast surgery does not lie in achieving the most dramatic transformation.
Rather, it lies in the ability:
- to soothe biologically stressed tissues
- to restore natural proportions
- and to create long-term, sustainable solutions.
Particularly following implant removal, the focus is therefore often less on ‘more’.
The focus is rather on:
- Quiet
- naturalness
- Fabric quality
- long-term stability
- and breasts that feel natural and balanced once again.
It is precisely in this that Dr Wiedner sees the true value of modern explantation surgery.