Breast Implant Exchange: When and Why to Consider Replacement Surgery

Admin
Nov 17
4 min read

(By Dr Shweta Aggarwal, Consultant Plastic Surgeon, London)

Introduction

Breast implants aren’t designed to last forever. Most women enjoy beautiful results for many years, but time, lifestyle, and body changes can all influence how implants look and feel. Eventually, some patients consider a breast implant exchange — also called implant replacement or revision surgery.

Whether you’re experiencing discomfort, want to change your size or shape, or simply wish to refresh your results, understanding your options helps you make an informed, confident decision.

1. How Long Do Breast Implants Last?

Modern implants are remarkably durable, but no device is lifelong. On average, most manufacturers recommend reviewing implants every 10–15 years, although many remain safe and stable far longer.

You might need to consider an exchange sooner if you notice:

Visible asymmetry or rippling
Breast firmness or pain (capsular contracture)
Deflation or rupture (especially in older implants)
Desire for a different size or shape

Tip: Even without symptoms, routine review by your surgeon every few years helps detect subtle changes early.

2. Why Might You Need a Breast Implant Exchange?

Implant exchange may be medically necessary or elective:

Medical reasons include:

Implant rupture or gel leak: Usually confirmed by ultrasound or MRI.
Capsular contracture: Tightening of the scar capsule causing pain or distortion.
Malposition or rotation: When an implant slips out of place or turns.
Changes in breast tissue due to ageing, weight fluctuation, or pregnancy.

Elective reasons include:

Wanting a smaller or larger size
Switching to a different implant material, type or surface
Refreshing results after 10–20 years
Desire for a more natural feel or appearance

3. What Are My Options During an Exchange?

One of the advantages of revision surgery is flexibility. During an exchange, your surgeon can:

Change implant size: Many women choose smaller or more proportional implants as their body and lifestyle evolve.
Adjust shape or projection: Options include round or anatomical (teardrop) implants, and low- to high-profile designs.
Change material and surface: Modern cohesive-gel implants provide excellent safety and shape retention.
Combine procedures: A breast lift (mastopexy) or fat transfer can enhance contour and correct sagging for the most natural result.

4. What Happens During the Procedure?

Breast implant exchange is usually performed under general anaesthesia and takes 1.5–3 hours, depending on complexity.

Surgical steps may include:

Removal of the existing implant (and capsule if needed).
Creation or adjustment of the implant pocket.
Insertion of new implants — possibly via the original scar.
Optional tightening of skin or lift for improved shape.

Most patients can go home the same day. Dissolvable sutures are commonly used, and drains may be required.

5. Recovery and Aftercare

First week: Expect mild swelling and tightness; discomfort is well controlled with oral medication.
Weeks 2–4: Return to light activity; avoid strenuous upper-body exercise.
6 weeks onward: Resume full activity, including the gym.

Your results will continue to settle over several months as swelling resolves and the implants drop naturally into position.

7. Will I Need a Breast Lift at the Same Time?

If skin has stretched or breasts have descended slightly, combining exchange with a mastopexy (breast lift) can restore a youthful shape. Your surgeon will assess skin elasticity and tissue quality to recommend the best option.

8. Cost, Insurance, and Longevity

In the UK, implant exchange is generally considered an elective procedure and is not covered by the NHS, except for specific complications such as rupture in reconstructive cases.

Private pricing depends on complexity and whether additional procedures (lift, capsulectomy) are needed. Modern implants are designed for long-term safety, but it’s wise to plan for another review after 10–15 years.

How do I find a board certified plastic surgeon?

The surgeon should be listed on the GMC Specialist Register for Plastic Surgery. Membership of professional organisations such as BAAPS (British Association of Aesthetic Plastic Surgeons), BAPRAS (British Association of Plastic, Reconstructive and Aesthetic Surgeons), or ABS (Association of Breast Surgery) also indicates recognised expertise.

Summary

Implant exchange offers the opportunity to refresh your results, correct issues, or simply evolve your look to match who you are now.

If your implants are more than a decade old or you’ve noticed changes in comfort or shape, it’s sensible to schedule a professional review.

Dr Shweta Aggarwal, Consultant Plastic & Reconstructive Surgeon in London, offers personalised assessment and advanced techniques in breast implant exchange, removal, and reconstruction.

Book a confidential consultation to discuss your goals and create a plan tailored to you.

FAQs

How long do breast implants last before needing replacement?

Implants don’t have an expiry date, but review is recommended every 10–15 years. Replacement may be advised earlier if you experience pain, distortion, or rupture.

Why might I need a breast implant exchange?

Common reasons include rupture, capsular contracture, implant movement, aesthetic change, or a desire for a different size or material.

What’s recovery like after an exchange?

Most patients return to normal daily activity within a week and to full exercise after six weeks.

Will my breast shape change after replacement?

Yes, shape can be refined with new implant size, placement, or combined lifting for natural proportion.

References

Adams WP et al. Breast Implant Revision Surgery: Indications and Outcomes. Aesthet Surg J. 2021;41(8):876-889.
Maxwell GP et al. Long-Term Safety and Effectiveness of Cohesive Silicone Gel Implants. Plast Reconstr Surg. 2020;146(1):11-23.
NICE. Breast Implants and Cosmetic Surgery – Patient Safety Update. 2023. www.nice.org.uk