Breast implant exchange

There are many reasons for an implant change. In most cases, women want to change their breast size or shape – for example after a change in weight, after pregnancy or because the breasts have changed with age. The desired changes can vary greatly: While some women prefer to have smaller implants again, others want a little more volume. Or they would like to optimize the shape and change from round to teardrop-shaped implants – or vice versa. In some cases, an implant change is medically necessary. For example, if an implant is damaged or capsular fibrosis has occurred.

Capsular fibrosis is the most common complication after breast augmentation with implants. This leads to tissue hardening and scarring – for reasons that are still medically unexplained – which can deform the breast and cause pain. In order to remedy these complications, it is sometimes necessary to remove the implant that caused them and the corresponding tissue changes and – if necessary – replace it with a new implant.

If an implant change is medically necessary due to complications or if the implant is damaged but not done in time, the breast may become deformed. There is also a risk that certain movements can only be performed with pain. With modern implants, a general replacement – unlike with older implants – is only necessary after 10-15 years instead of earlier.

After changing a breast implant, the same recommendations apply as for the original breast augmentation: give yourself and your body a few days’ rest and avoid prolonged physical exertion for at least a week. Light occupational activities are usually possible again afterwards, but you should wait at least 4 weeks before engaging in heavy physical activity and sport. During this time, you should wear a special support bra to support the healing process. Please also follow all other aftercare recommendations that are part of your personal treatment plan.

No, it is almost always possible to use the same approach to the implants as for the original breast augmentation. This means that the incision is made in the scar in the underbust fold so that no new scars are created when the implants are changed. Sometimes, however, it may be necessary to make additional incisions (for example, for a breast lift performed as part of the implant change), in which case new scars unfortunately cannot be completely avoided. You can find out more details in a personal consultation with Dr. Köhler before your treatment at the prevention center in Zurich.