Implant exchange

An implant exchange replaces existing breast implants with new ones. This can be done for medical, aesthetic, or personal reasons, and is tailored to your breast shape, wishes, and anatomy.

Implant exchange (replacement of breast implants)

An implant exchange is a surgical procedure in which existing breast implants are removed and replaced with new implants.

Many women who have previously undergone breast augmentation with implants choose to have their implants replaced over time. This may occur due to medical reasons, changes in the breast, or a shift in aesthetic preference.

Sometimes an implant exchange is combined with a breast lift to improve the shape of the breast.

Depending on the situation, an implant exchange can also be combined with the treatment of capsular contracture or, in some cases, with the complete removal of implants without replacement.

During a consultation, the approach that best fits your anatomy and expectations will be discussed.

INDICATIONS

When is an implant exchange considered?

01.

Change in breast size or shape

Over time, desires regarding volume, projection, or breast shape may change. An implant exchange allows the implants to be better aligned with current body proportions and preferences.

02.

Capsular contracture around the implant

The capsule around the implant can harden and affect the breast shape or comfort. In such cases, an implant exchange can be combined with treatment of the capsule.

03.

Rupture or aging of implants

When an implant becomes damaged, ruptures, or shows signs of aging, replacement may be advisable.

04.

Changes in the breast over time

Pregnancy, weight changes, and aging can affect the breast shape, which is why an implant exchange is sometimes combined with an additional correction.

procedure

What happens during an implant exchange?

During the surgery, the existing implants are removed and replaced with new ones. Depending on the situation, the capsule may also be treated.

Safety

During the consultation, the existing implants, the breast shape, and your expectations are carefully evaluated. It will be discussed whether a straightforward implant exchange is sufficient, or if a breast lift, capsule treatment, or complete removal of implants is recommended.

Results

The goal of an implant exchange is a harmonious and natural breast shape. The procedure can improve the shape, adjust the volume, and treat capsular contracture. The final result develops gradually in the months following the surgery.

Aftercare

After an implant exchange, the breasts may temporarily feel swollen, tight, or sensitive. Usually, a supportive bra is worn for several weeks to properly support healing. Daily activities can often be gradually resumed after 1 to 2 weeks, while intensive exercise is typically postponed for 4 to 6 weeks.

EXPERIENCE

Frequently asked questions

Do breast implants need to be replaced after 10 years?

No. Breast implants do not need to be replaced as a standard rule after 10 years. An implant exchange is primarily considered in the event of complaints, capsular contracture, damage to an implant, or when you desire a different shape or size.

When is an implant exchange recommended?

An implant exchange may be recommended in cases of capsular contracture, rupture or aging of an implant, changes in breast shape, a desire for different volume, or when the breasts have changed due to pregnancy, weight fluctuations, or aging.

Can I choose a different size during an implant exchange?

Yes. During an implant exchange, you can choose a larger, smaller, or differently shaped implant. The choice depends on your anatomy, skin quality, breast shape, and desired result.

What is capsular contracture?

After placing a breast implant, the body always forms a thin capsule around the implant. This is normal. Sometimes this capsule becomes thicker or contracts, which can make the breast harder, more painful, or distorted.

What happens in the case of capsular contracture?

In the case of bothersome capsular contracture, the capsule can be partially or completely treated during the implant exchange. The required approach depends on the severity of the contracture and the quality of the surrounding tissue.

What happens if a breast implant ruptures?

When an implant is damaged or ruptured, an implant exchange is usually performed. The old implant is removed and, if desired, replaced with a new one.

Can an implant exchange be combined with a breast lift?

Yes. If the breast has sagged over time, an implant exchange can be combined with a breast lift. This involves removing excess skin, reshaping the breast, and repositioning the nipple higher.

Can I also have my implants completely removed?

Yes. Some patients choose to have their implants removed without placing new ones. Depending on the breast shape, this can be combined with a breast lift or lipofilling.

Where are the scars located in an implant exchange?

Often the existing scar can be reused, usually in the breast fold. When a breast lift is required, additional scars may occur around the areola and potentially vertically down to the breast fold.

What is the recovery process like after an implant exchange?

Following the procedure, swelling, tension, and sensitivity may occur. Usually, a supportive bra is worn for several weeks. Daily activities can often be resumed after 1 to 2 weeks. Intensive exercise is generally discouraged for 4 to 6 weeks.

Related procedures

More information about related breast treatments:

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