The implant is normally left permanently in place since tissue grows in and around it as the body heals. Removing the whole implant would probably damage the body’s repaired tissue and undo some of the benefit. The number of reoperations has been very low using this implant, but in exceptional cases, the metal button may need to be removed if it is prominent under the skin. This will only be after 9-12 months, once the ligament has integrated into your body such that the button is no longer required.