Implant Exchange vs. Implant Removal: Options for Breast Implant Revision

August 1, 2024

Breast implant revision is a decision many women face at some point after their initial breast augmentation. Whether it’s due to a change in personal preference, complications, or simply the natural aging process, understanding your options is essential.

Dr. Joe Gryskiewicz brings over three decades of experience in cosmetic breast procedures to guide you through your breast augmentation journey. Specializing in achieving optimal results tailored to each patient’s unique needs, our plastic surgeon offers expert advice on implant sizes and their impact on your desired outcome.

What is Breast Implant Revision?

Breast revision is a term you might hear if you’ve had or you’re considering breast augmentation. Let’s break it down:

• Definition: At its core, breast implant revision is a surgical procedure. Its primary purpose is to either replace or remove breast implants that were previously placed in the body.
• Not a One-Size-Fits-All: Just as every individual is unique, so too are the reasons and methods for breast implant revision. Some people might opt for a simple replacement, while others might decide to remove their implants altogether.
• A Common Procedure: If you’re considering a breast implant revision, know you’re not alone. Many women choose to have their implants revised at some point. It’s a standard part of the journey for some, especially as preferences, lifestyles, and bodies change over time.

Reasons to Have Breast Implant Revision Surgery

• Physical Changes: Just like natural breasts, implants can undergo changes over time. They might shift in position, or their shape might alter. Sometimes, these changes can lead to discomfort or a look that’s different from what you initially desired
• Lifestyle and Preference: As you move through different stages of life, what you want from your implants might change. Maybe you initially wanted a more prominent look but now prefer something subtler. Or perhaps you’ve taken up activities where larger implants might feel cumbersome.
• Health Concerns: While breast implants are generally safe, there can be complications. If you experience pain, swelling, or any other unexpected symptoms, it’s essential to consult with a medical professional. Sometimes, a revision is recommended to address these concerns.

While we’ve touched on some reasons above, let’s dive deeper into specific motivations people have for seeking breast implant revision:

• Capsular Contracture: This term refers to the natural scar tissue that forms around the implant, which can sometimes harden. If it becomes too tight, it can cause discomfort and alter the appearance of the breasts.
• Implant Rupture: Implants are durable, but they’re not indestructible. Over time, there’s a risk of rupture. If an implant breaks or leaks, a revision is necessary to replace or remove the compromised implant.
• Desire for Change: Personal preferences evolve. You might decide you want a different type of implant, like switching from saline to silicone. Or, you might want to change the size or shape to better suit your current desires.

Breast Revision with Breast Implant Replacement

When you first decided on breast augmentation, you made choices that felt right for you at the time. However, as time goes on, your needs and desires might change. That’s where implant exchange comes into play:

• A Second Chance: Think of implant exchange as an opportunity to revisit your initial decision. It’s a procedure that allows you to replace your current implants with new ones.
• Versatility: The beauty of this procedure is its flexibility. Whether you’re looking to change the size, shape, or even the type of your implants, an implant exchange can accommodate those wishes.
• Not Just for Aesthetics: While many people opt for an implant exchange for cosmetic reasons, it’s also a practical solution for addressing complications or issues that might arise with your current implants.

Benefits of Breast Implant Exchange

Choosing to undergo an implant exchange can offer several advantages:

• Updated Look: Our preferences evolve as we move through different life stages. An implant exchange allows you to adapt your appearance to match your current desires. Whether you’re looking for a more subtle look or a bolder statement, this procedure can help you achieve your aesthetic goals
• Address Complications: No medical procedure is without its potential complications. If you’re facing issues like implant rupture, leakage, or any other unexpected challenges, an implant exchange provides a solution. It allows you to replace problematic implants and restore peace of mind.
• Material Switch: The world of breast augmentation offers a variety of implant materials. Maybe you initially chose saline implants but now find yourself curious about silicone, or vice versa. An implant exchange lets you make that switch, giving you the chance to experience the different feel and appearance each material offers.

Considerations

While there are many benefits to an implant exchange, it’s essential to approach the decision with a full understanding of the considerations involved:

• Surgery: Any surgical procedure comes with inherent risks. From anesthesia to potential complications, it’s vital to be aware of these risks and discuss them thoroughly with your plastic surgeon.
• Recovery: If you’ve already undergone breast augmentation, you have an idea of the recovery process. However, it’s worth noting that recovery from an implant exchange might differ slightly. Factors like the extent of the procedure, your overall health, and how closely you follow post-operative care instructions can influence recovery time.
• Cost: Financial considerations are a reality of medical procedures. An implant exchange might come with additional costs, not just for the new implants but also for the surgical procedure itself. It’s essential to get a clear understanding of these costs and plastic surgery financing options upfront to make an informed decision

Breast Implant Revision with Implant Removal

Breast augmentation is a journey, and for some, that journey might lead to a decision to remove their implants. Let’s explore what implant removal entails:

• A Clear Choice: Implant removal is precisely what it sounds like. It’s a surgical procedure designed to remove breast implants from the body. Unlike implant exchange, where the old implants are replaced with new ones, implant removal means no new implants are inserted.
• A Personal Decision: The reasons for choosing implant removal are as varied as the individuals making the choice. It might be a personal preference, a medical recommendation, or a combination of factors.
• A Return to Original: Without the added volume of implants, your breasts will return to a state close to their natural size after the procedure.

Benefits

Choosing to have your implants removed can offer several advantages:

• Natural Look: Over time, you might find that you prefer the look and feel of your natural breasts. Implant removal allows you to embrace your body’s original size
• Health Concerns: If you’re experiencing complications or health issues related to your implants, removal can be a solution. Whether it’s discomfort, complications like capsular contracture, or other concerns, taking out the implants can alleviate these issues.
• No Maintenance: One of the realities of having breast implants is the potential need for future check-ups or revisions. By choosing implant removal, you’re opting out of any future maintenance or procedures related to implants.

Considerations

• Appearance Change: After removal, your breasts will appear different than they did with implants. Depending on factors like the length of time you had the implants and your skin’s elasticity, you might notice changes in shape or some sagging. Fortunately, this can be corrected with breast lift surgery.
• Surgery: Implant removal is a surgical procedure, and like all surgeries, it comes with its set of risks. It’s essential to discuss these risks with your plastic surgeon and understand potential complications, from anesthesia reactions to post-operative infections.
• Recovery: Post-surgery recovery is a crucial phase. The duration and nature of the recovery can vary based on individual factors and the specifics of the procedure. It’s essential to follow your surgeon’s post-operative care instructions closely to ensure a smooth and safe recovery.

Should I Choose Breast Implant Exchange or Implant Removal? 

Personal Preference

When it comes to decisions about your body, your personal preferences play a pivotal role. It’s essential to reflect on what feels right for you:

• Visual Goals: Consider the aesthetic outcome you’re aiming for. Do you want a more natural appearance, or are you looking for a specific shape or size? Visualizing your desired outcome can guide your decision.
• Comfort Level: Think about how you want to feel day-to-day. This includes both physical comfort and how you feel about your appearance when you look in the mirror.
• Long-Term Vision: Consider how you see yourself in the future. Your feelings and preferences might evolve, so it’s worth thinking about how your decision today aligns with your long-term vision for yourself.

Health and Safety

Your well-being should always be a top priority. Before making a decision, it’s essential to consider the health and safety aspects:

• Medical Consultation: Always consult with a trusted plastic surgeon. He can provide insights into potential risks and benefits associated with each option.
• Potential Complications: Every surgical procedure, no matter how routine, carries some risk. It’s essential to be informed about potential complications and how they might be addressed.
• Your Health History: Your personal health history can influence the best choice for you. Discuss any past medical issues or concerns with your plastic surgeon to ensure you’re making a safe decision.

Lifestyle Changes

Your lifestyle can significantly influence the best choice for you. Reflect on any changes or future plans that might impact your decision:

• Physical Activity: If you’re highly active or planning to take up a new sport or activity, think about how each option might affect your comfort and performance.
• Future Plans: Consider life events you might be planning for, like starting a family. Pregnancy and breastfeeding can influence the appearance and feel of your breasts, which is why many women incorporate breast surgery into a Mommy Makeover.
• Life Transitions: Think about any significant life changes on the horizon, such as career changes or relocation, and how your decision might align with these transitions.

Financial Aspects

Financial considerations are a practical aspect of the decision-making process:

• Upfront Costs: Understand the immediate costs associated with each procedure. This includes the surgery itself, any necessary medical tests, and the price of the implants themselves if you’re considering an exchange.
• Long-Term Expenses: Consider potential future costs. This might include maintenance, check-ups, or potential revisions down the line.
• Insurance Coverage: Check with your insurance provider to see whether any part of the procedure or associated costs are covered.

Further Reading About Breast Surgery with Dr. Joe

• Read Dr. Joe’s Dual Plane Breast Augmentation
• Read Dr. Joe’s Blog about Solutions for A Botched Boob Job
• Read Dr. Joe’s Breast Reduction
• Read Dr. Joe’s blog about What Is a Mini Boob Job?
• Read Dr. Joe’s blog about Breast Augmentation – Implant Sizes and Cup Sizes

Medical References About Breast Implant Revision

• Revision Breast Augmentation – PubMed
• Seven Signs You Need a Breast Implant Revision – American Society of Plastic Surgeons
• Revisions in Breast Augmentation – Oxford Academic
• What You Need to Know About Breast Augmentation Revision – American Society of Plastic Surgeons