Reasons to Undergo Breast Implant Exchange/Removal

• To adjust implant size or material
• For replacing aging implants
• To fix complications after previous breast cosmetic surgery

Breast Implant Exchange or Removal Candidates

Women desire implant exchange or removal for many reasons. Implants are not designed to last forever. They generally have a lifespan of 10 to 15 years, after which a new implant is often required. If complications arise before that time, such as implant rupture, breast implant illness, capsular contracture, bottoming out, asymmetry, or the need for an En bloc capsulectomy, then implant exchange restores the aesthetic appearance and comfort to the breasts. Other patients choose to undergo implant exchange or removal as an elective procedure. It can be challenging to know the specifics of your implants before your initial surgery. For patients who decide that their original implants are either too small or too large, or for those who desire to change the shape, texture, or material of the implants, implant exchange can increase result satisfaction. A consultation with Dr. Baker is the first step to determine your candidacy.

All candidates for implant exchange or removal are physically healthy, non-smokers, and have realistic expectations of their results.

Procedure

Breast implant exchange or removal is an outpatient procedure that surgeons generally perform under general anesthesia. In some circumstances, Dr. Baker may be able to use the same incisions as the previous augmentation to minimize the extent of scarring. During this procedure, Dr. Baker first removes the implant from the breast pocket. If complications, such as rupture or capsular contracture, were the cause of implant dissatisfaction, the surgeon will remove the ruptured material or contracting scar tissue as well. From here, a new implant is inserted into the breast pocket. This implant can be a different material, size, shape, or texture from the previous implant. We then close the incisions, and wrap your chest in a compression garment.

Not all patients who undergo implant removal desire a new implant. For patients who are undergoing implant removal without replacement, the doctor will tighten the surrounding tissue and skin in a breast lift before closing the incisions.

Recovery

Following surgery, we wrap your chest in a compression garment. This garment will reduce swelling, help promote circulation and aid in the recovery process. You should expect some bruising, swelling, and minor discomfort post surgery. Oral pain medication remedies this discomfort in the initial days of your recovery period. Most patients return to work and their regular schedules within one week as the breast explant procedure is often not as invasive as their original breast augmentation surgery; however, patients should refrain from upper body activity or strenuous exercise routines for four weeks until the healing process is complete.

Results

The results of your breast implant removal surgery or exchange will become apparent as soon as the bruising and swelling subside. While this generally happens within the first couple of weeks, it can take upwards of three months for all of the residual swelling to disappear. Once healed, you can enjoy restored confidence and satisfaction with the appearance of your breasts.