The Details on Removing and Replacing Breast Implants

The majority of women who opt for breast augmentation are pleased with the changes they experience.

They feel good about themselves, their clothes fit better, and they have increased confidence.

Even so, there are times when removing and replacing breast implants may be recommended or even needed.

We’ll take a look at the reasons for breast removal and replacement, as well as what goes into the actual procedure.


Reasons for Removing and Replacing Breast Implants

As we said above, most women find that breast augmentation goes the distance in improving their lives.

There are times though where a woman may decide that she’s not satisfied with having implants and may just want them removed.

In other situations, women feel the implant size isn’t right – whether it be too large or too small. Or perhaps they want to switch from saline to silicone for a more realistic feel.

On occasion, breast augmentation complications can arise from the shape, size, texture, or positioning of the original implants.

And sometimes the problem is with the implant itself though. These include malposition, capsular contracture, implant leaking, implant rupture, or rippling of the implant.

In all of these cases, patients would opt for removal and replacement.


The Removal and Replacement Procedure

In order to get to the root of the problem, a board-certified surgeon schedules a consultation with the patient to perform a breast implant revision examination.

He or she then helps the patient determine which type of breast implants will be best. There are many factors that patients should consider when choosing breast implants.


  1. The Type of Implant

Patients who are unhappy with the results of their breast augmentation surgery may choose a different type of implant to garner better results.

The surgeon will discuss the benefits and risks of each type with the patient.


  1. The Texture of the Implant

Breast implants are available with smooth surfaces, round shape, or anatomic.

Smooth implants move more freely and are often used to replace textured implants that have rippled.


  1. The Size of the Implant

It’s not unusual for patients to choose an implant that’s too large then experience the complications that come from too large a breast implant such as over-stretching of the capsule, breast ligaments, and skin envelope.

The surgeon will recommend a size that will most complement your body shape and size to create a proportionate figure.


  1. The Cohesiveness of the Implant

There is a range of gel cohesiveness- or thickness and stickiness. Patients with capsular contracture may benefit from replacing with a higher cohesive gel.


Incision Options

The surgical procedure for replacing breast implants is essentially the same as the initial breast augmentation surgery.

The patient likely had one of the two common types of types of incisions for breast augmentation: periareolar and inframammary. There may also be a need to tighten the capsule and/or perform a simultaneous lift procedure.



This incision is made along the inferior border of the areola. The surgeon then inserts the implant in the breast pocket. This method offers excellent scar quality which is difficult to see after it heals at the junction between the pigmented areola and breast.

There is little risk of losing nipple sensation because the nerve to the nipple does not come through the skin. Instead, it travels along the ribcage and through the gland to the nipple. Breastfeeding should not be interrupted with any incision choice.



With this incision, the cut is made along the inframammary fold – which is the crease of skin underneath the breast. There is very little risk of losing nipple sensation with an inframammary incision.

In the case of both of these incision types, the surgeon will typically reuse the incision to remove and replace the implant.


Recovery after Removing and Replacing Breast Implants

To ensure no complications arise, patients are typically seen by the surgeon the day after the surgery.

Rest will be needed for 2-3 days following surgery. Then be prepared to take 3-5 days off from work and avoid any strenuous activity for 2-4 weeks.


Are You a Candidate for Breast Implant Removal and Replacement?

If you’re experiencing problems or just feel dissatisfied with your implants, contact us today.

It’s time to set up a consultation with one of our board-certified plastic surgeons to discuss your options for removing and replacing breast implants.

We’ll help you find comfort and restore your confidence.