Breast implant removal and replacement

What is breast implant removal and replacement surgery?

Breast implant removal and replacement surgery, sometimes called breast revision surgery, explant surgery or implant exchange, is becoming increasingly common, not just for medical reasons but because a patient’s preference, lifestyle and body naturally evolve over time¹. Some want a different implant size, some prefer a more natural shape, and others simply feel ready to move on from implants altogether. Whatever your reason, this procedure is about regaining comfort, confidence and control, and having the right clinical support to guide you through it.

With hundreds of these procedures performed across our hospitals each year, our consultants and surgeons bring extensive experience and a patient-centred approach to every case. From your first consultation to your final follow-up, you’ll receive clear guidance and supportive care tailored to your goals.

Breast implant exchange vs removal - which is right for me?

Choosing between removing your implants or replacing them depends on your goals, breast anatomy and overall health.

You may prefer breast implant removal if you:

• No longer want implants.
• Prefer a more natural breast shape.
• Have concerns about implant-related symptoms and problems.
• Are experiencing complications, such as a rupture or the hardening of the scar tissue (capsule) around the implant, which tightens and causes pain and discomfort. This is known as capsular contracture).

You may prefer breast implant exchange if you:

• Want to change your implant size or shape.
• Prefer a different implant type (e.g., silicone to saline).
• Want to correct changes after pregnancy, breastfeeding, weight loss or ageing.
• Are replacing older implants as part of routine maintenance.
• Implant rippling or visibility.

Your cosmetic surgeon will help you explore both options and recommend the safest, most natural-looking outcome.

What are the different methods of breast implant removal and replacement surgery?

The right technique depends on your implant type, how long you’ve had them, and whether you’re replacing them.

1. Simple implant removal: The implant is removed through the original scar.
2. Partial or total capsulectomy: The scar tissue that forms around a breast implant, known as a capsule, can be partially or totally removed with the implant. Your surgeon will discuss the pros and cons of capsulectomy with you.
3. En-bloc removal: The implant and capsule are removed together in one piece. This is typically used in cases of suspected breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), an uncommon type of lymphoma (blood cancer) that can develop around breast implants.
4. Implant exchange: Your old implants are removed and replaced with new ones. This may include changing the size of the implants, switching from silicone to saline (or vice versa), changing the implant shape (round verses anatomical) or adjusting the implant position (above or below the muscle).

Your surgeon will explain the benefits and limitations of each method.

Who is suitable for breast implant removal and replacement surgery?

You may be suitable if you:

• Are in good general health.
• Are experiencing breast implant related symptoms.
• Want to change your implant size or type.
• Prefer to return to your natural breast shape.

You may not be suitable if you have uncontrolled medical conditions, active infections or are pregnant or breastfeeding. Your cosmetic surgeon will assess your health, breast tissue and goals to recommend the safest approach.

What are the alternatives to breast implant removal and replacement?

Depending on your goals, alternatives may include:

• Breast lift (mastopexy): This lifts drooping breasts and reshapes them without implants.
• Breast auto augmentation: This repositions your natural breast tissue to create fullness without implants.

How can I prepare for breast implant removal and replacement?

To help ensure a smooth procedure and recovery, your surgeon may advise you to:

• Stop smoking at least 6 weeks before surgery.
• Avoid blood-thinning medications if advised.
• Maintain a healthy weight.
• Arrange support at home for the first few days.
• Attend your pre-operative assessment.

What should I expect during a breast implant removal and replacement?

On the day of your surgery, you will first meet with your surgical and anaesthetic team to prepare for the procedure. Your surgeon will carefully mark your breasts to guide the precise incisions (cuts).

Breast implant removal and replacement surgery is usually performed under general anaesthesia and takes between 1 to 3 hours, depending on the technique.

During the procedure:

1. Your surgeon will carefully open the incision (cut) — usually using the same scar line from your original surgery to avoid creating new marks. They will then gently remove the old implant. If necessary, they will also remove the capsule.
2. Once the old implant is out, the surgeon will thoroughly inspect the "pocket" (the space inside the breast tissue where the implant rests). They check the health of the surrounding tissue, ensure there is no internal bleeding or unwanted fluid, and decide if the pocket needs to be modified to securely hold a new implant.
3. If you are having an exchange, your surgeon will now place the new, pre-selected implant into the breast pocket. This new implant will match the specific size, shape, and material (such as silicone or saline) that you and your surgeon agreed upon during your pre-operative consultations.
5. With the new implant in place, the surgeon will carefully check how it sits. They will often adjust your position on the operating table to evaluate how the breasts look from different angles. If needed, they will make minor internal adjustments to the pocket to ensure the implants sit symmetrically, look balanced, and drape as naturally as possible.
6. Finally, the surgeon will carefully close the cuts using layers of dissolvable stitches. The area is then covered with protective medical dressings, and you will be placed into a supportive post-surgery bra to keep the new implants securely in place while you heal.

How long does it take to recover from breast implant removal and replacement?

Most people return to normal daily activities within 2 to 4 weeks, depending on the technique used and how your body heals.

While your surgeon will provide you with a personalised recovery plan tailored to your body, here are the general guidelines you can expect during your healing journey:

It is always best to listen to your body. If an activity causes pulling, tightness, or discomfort in your chest area, stop and give your body a bit more time to rest.

Does breast implant removal and replacement leave scars?

Scars usually replace your original incision lines and fade over time. They will be slightly longer than the original scars. Scar care advice will be provided by your surgeon or healthcare team.

What are the risks and complications of breast implant removal and replacement?

All surgery carries risks. Possible complications can include:

• Infection.
• Bleeding.
• Changes in nipple sensation.
• Implant rupture (very rare)
• Hardening of scar tissue (capsule) around the implant, which tightens and causes pain and discomfort (capsular contracture).
• Capsular contracture
• Asymmetry
• Poor scarring.
• Fluid collecting around the new implant or in the space where the old implant has been (a seroma).

Success rates for breast implant removal and replacement are thought to be high, with studies showing over 90% of patients are satisfied with their results. br>

How much does breast implant removal and replacement cost at Nuffield Health?

For pricing information, please contact your local hospital. The hospital or your healthcare team will give you a fixed all-inclusive price for the treatment following your initial consultation.

Making the right decision

Choosing to remove and replace your breast implants is a personal decision. At Nuffield Health, you’ll never be rushed. Our surgeons will help you understand what’s achievable, what to expect and how to prepare, so you feel confident every step of the way.

Sources:
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2https://pmc.ncbi.nlm.nih.gov/articles/PMC12738617/