A saline implant removal is an explantation. It involves the removal of the saline breast implant. There are several reasons for such a procedure. Implant rupture or leakage is a common reason. Another possibility is a change in shape or size of the implant (deflation). Women may also ask for a saline implant removal after deciding the results are not satisfactory. Some may want the current implant replaced by a smaller or larger size. The procedure occurs under general anesthesia in an office or outpatient hospital center. It may take between 30 minutes and an hour. The surgeon makes his or her incision through the nipple or under the breast. He or she then removes the implant often after deflating it first. Physical recovery is speedy, but psychological recovery may be more complex. Talk to your plastic surgeon about the process and any emotional complications that may follow.