What is Breast Implant Replacement Surgery?

Breast implant replacement surgery may be considered for a range of reasons. Over time, breast implants may change in appearance or feel due to ageing, changes in body weight, pregnancy, or the development of capsular contracture (a condition where scar tissue around the implant becomes firm).

Some people seek this procedure to alter the size or type of their implants or to address discomfort or concerns related to their previous Breast Augmentation. Others may choose replacement due to changes in personal preference or lifestyle.

In certain cases, revision breast surgery may also be performed to address outcomes from a previous procedure that did not align with expectations. Regardless of the reason, this type of surgery involves careful assessment of your current breast condition, medical history, and previous surgical technique.

Dr Carmen Munteanu performs revision and replacement procedures with the goal of supporting breast health and achieving a result more suited to your current needs. During your consultation, she will discuss your concerns and outline the options available based on your individual circumstances.

Guide Remove and Replace Implants

Symptoms that may require Breast Implant Replacement Surgery

  • Breast Asymmetry: Breasts that appear uneven. One breast that appears bigger or smaller than the other.
  • Bottoming out: The nipple is positioned too high on the breast as the implant has dropped.
  • Capsular contracture:  A complication resulting in hardening of the implant pocket.
  • Double bubble: A crease across the lower part of the augmented breast.
  • Rippling: Creasing skin texture usually on top of breast.
  • Ruptured implant: Remove and possibly replace an implant.
  • Symmastia: Implants come too close together crossing the midline.

Reasons For Exchanging Implants

  • Wanting to change breast size (larger or smaller)
  • Changing the type of implant (fill, brand, projection, round vs teardrop)
  • Ageing implants – read the warranty information of a breast implant
  • Treating a complication like capsular contracture, rotation or a double bubble
  • Needing a revision augmentation to alter pronounced breast asymmetry
  • Wanting a Mastopexy/Breast Lift to treat ptosis after pregnancy or ageing
  • Concerns related to sensitivities or allergies
  • Rippling where an implant shows visible folds or wrinkles underneath the skin
  • Post-surgical scarring
  • Pain in the breast area after Breast Augmentation

Breast Implant Replacement Before and After photos

Disclaimer: All before and after photos on this website feature actual patients who have undergone procedures performed by Dr. Carmen Munteanu, with their written consent for use. These images represent individual outcomes and may not reflect the results other patients will achieve. Factors such as genetics, overall health, and adherence to post-operative care can influence individual results. While these images provide a visual representation of potential results, they do not guarantee similar outcomes for all patients.

You can see photos of Breast Implant Replacement when you visit Dr Carmen’s clinic.

If you would like to see examples of Dr Carmen’s Breast Surgery work visit the photo page.

Changing Your Implant Type or Brand

Breast implants are not considered lifetime devices, and over time, some individuals may choose to replace them. This decision might be based on changes in lifestyle, aesthetic preferences, or clinical considerations such as implant age or concerns about feel or appearance.

Some patients seek to update their implants after several years due to advancements in implant design, changes in size preference, or a desire to change the implant material. Others may be advised to consider replacement as part of their ongoing health monitoring or due to recommendations made during routine medical reviews.

If you are considering replacing your implants, Dr Carmen Munteanu will provide a detailed assessment and guide you through the options available based on your goals and clinical needs.

Medical Reasons for Breast Implant Exchange

Capsular Contracture

Capsular contracture occurs when the body reacts to the foreign substance by forming scar tissue around the implant. This may cause the implant to harden or fix into place, restraining its movement and affecting it appearance. Capsular contracture can be quite painful and uncomfortable and should be addressed at the earliest sign of complication.

Ruptured Breast Implants

In some cases, a change of shape or reduction in size may indicate a ruptured implant. The rupture of a saline implant is often noticeable immediately, but if a silicone implant ruptures, the effect may be slow and difficult to distinguish, which is why routine check-ups are strongly recommended.

Ruptures can either be contained within the breast capsule (intracapsular) or can be more dangerous, where the leakage seeps past the capsule and into the breast tissue and body (extracapsular), leading to further health risks.

Implant Malposition or Rotation

When an implant is positioned incorrectly behind the breast, the result may look distorted. While placing it too high will cause an upper bulge that tips the nipple downward, an overly low insertion will make the upper breast appear empty, prompting the nipple to tilt upward. A mal-positioned implant can be treated by repositioning the device.

 How Can You Check On Your Existing Breast Implants?

  • Attend all follow-up visits after surgery including your Annual reviews.
  • Be sure to schedule these into your diary and keep your surgeon up to date on changes to your contact information (phone, email address).
  • Stay vigilant about any changes to your breast shape or sensitivity. The same recommendations are for all women even those who do NOT have breast implants.
  • Alert your surgeon immediately if you have any changes to your breast appearance and/or other concerns.

Assessing Your Implant Status:

  • Discuss review time frames with your Plastic Surgeon and be sure you attend your surgery reviews.
  • You may be asked to get a scan at certain points in time, such as MRIs or Ultrasounds.
  • You can also ask to get your implant surgery details registered on the breast prosthesis database if available in your region.

Annual Breast Review By Your Plastic Surgeon

  • We recommend your reviews be done with your original Surgeon in your local area, if available.
  • This can be an issue if you have overseas breast surgery with an unknown doctor.
  • Avoid having surgery overseas because breast surgery patients tend to lack adequate follow-up care and reviews, or revision options of their breast augmentation results when they have surgery in overseas facilities.

Risks and Complications of Breast Implant Replacement Surgery

As with any surgical procedure, breast implant replacement carries potential risks and complications. These may vary depending on your health, the type of implant used, and the specifics of the surgical approach.

Common risks and complications may include:

  • Infection: As with any surgery, there is a risk of infection, which may require antibiotics or additional procedures.
  • Bleeding or haematoma: Accumulation of blood under the skin may require further treatment.
  • Changes in sensation: Some individuals may experience changes in nipple or breast sensation, which can be temporary or permanent.
  • Implant-related concerns: These may include rupture, deflation, wrinkling, folding, or implant malposition over time.
  • Capsular contracture: The formation of firm scar tissue around the implant, which may cause discomfort or distortion in shape.
  • Asymmetry: Differences in breast shape or position may occur and sometimes require further correction.
  • Poor Scarring: All surgery results in scars. While most fade over time, individual healing responses vary.
  • Delayed healing: This may be influenced by lifestyle factors such as smoking or underlying health conditions.
  • Anaesthesia-related risks: General anaesthesia carries its own set of risks, which will be discussed during your consultation.

All surgery has risks – for detailed information about the risks and potential complications of breast implant replacement please visit the risks of surgery page.

The time frame for replacing implants can vary from patient to patient. Typically, you should consider exchanging them at the 10 year mark; although not every woman does. Some women have had their implants in place for decades, but there are varying medical opinions about time frames for replacing your implants.  As a general guideline, risks of implant deterioration increase as the implants age, so keep this in mind.

When Can Implants be Replaced Following Surgery performed Elsewhere?

In most cases at least 6 months following surgery elsewhere. This is because the original doctor should provide post-operative care and surgery takes time to settle. Furthermore, Dr Carmen has no insight into how the surgery has been performed, the implants used, and infection control employed. She also does not have full insight into how patients from other clinics have been managed in the post-operative phase.

However, if you remain dissatisfied with your results after 6 months and have been unable to get an agreed path forward with your original doctor, then we recommend you see your GP for a referral to Dr Carmen.

If you are experiencing a serious complication from surgery elsewhere such as an infection or wound breakdown, you should contact that clinic urgently. You should also consider presenting at emergency or your GP if you are unable to get in contact with that clinic.

What is involved with Breast Implant Replacement Surgery?

Breast implant replacement surgery involves the removal of existing breast implants, which may be followed by the placement of new implants. The surgical approach will depend on several factors, such as:

  • The reason for implant replacement (e.g. age of implants, change in size or material, presence of firmness or discomfort)
  • The type and placement of the original implants
  • Any associated concerns such as capsular contracture or implant rupture
  • Whether a lift or other adjustment is required at the time of replacement

During surgery, the original implants are removed through incisions, which may follow the same pattern as the initial augmentation. In some cases, the scar tissue (capsule) surrounding the implant may also be removed or changed. New implants may then be placed, or the area may be reshaped without implant replacement depending on the individual’s goals.

Breast implant replacement surgery is performed under general anaesthesia in an accredited hospital. Dr Carmen Munteanu will tailor the procedure to your specific needs and provide detailed information on what to expect before, during, and after surgery.

Recovery and Aftercare

Following breast implant replacement surgery, dressings will be applied to the incisions and a support bra or elastic bandaging can be worn to provide support to the breasts and reduce swelling as you heal.

For the first three weeks following your surgery, you should only perform light activities. Most patients should be able to return to work within 7 to 14 days. It is expected to experience visible bruising and discomfort for about two weeks following your surgery and swelling should start to subside within three weeks.

Aesthetik profile uses Healite II treatments post-operatively to assist with healing, help reduce swelling and reduction of surgical scars.

How Much Is Breast Implant Replacement Surgery?

Understanding Fees and Rebates for Breast Implant Replacement Surgery

At your initial consultation, you will receive a detailed written quote outlining the costs associated with your procedure. This typically includes:

  • Surgeon’s fee
  • Anaesthetist’s fee
  • Surgical assistant’s fee
  • Hospital-related costs, including theatre and day stay fees

All post-operative care is included in this quote for the initial 6-week period—or longer, if healing takes more time due to individual circumstances.

Medicare and Private Health Insurance

Depending on your clinical situation, you may be eligible for a Medicare item number, which can make a difference to your out-of-pocket costs. If you have appropriate private hospital cover, your health insurer may contribute to a portion of the hospital and theatre fees, and in some cases, post-surgical items such as dressings or compression garments.

In addition:

  • You may be eligible for a Medicare rebate on your initial and follow-up consultations with a referral from your GP.
  • Private health funds may provide an additional rebate for your procedure, depending on your level of cover and eligibility for a Medicare item number.

We recommend contacting your health insurer in advance to confirm your cover and any potential out-of-pocket expenses. Our administrative team is also available to assist you with quotes and guidance regarding item numbers and insurance claims.

Payment plans are available for some patients. – See the payment information

Why Visit Dr Carmen for Breast Implant Replacement Surgery?

Dr Carmen Munteanu is a Melbourne-based Specialist Plastic and Reconstructive Surgeon with extensive experience in a range of breast procedures, including breast implant replacement. She approaches each case with careful planning, clinical insight, and consideration of individual patient needs and preferences.

Why patients choose Dr Carmen:

  • Extensive Surgical Experience: With over 25 years in practice, Dr Carmen has performed a wide range of cosmetic and reconstructive breast procedures, including implant replacement in both routine and complex cases.
  • Comprehensive Consultations: Each consultation includes a detailed review of your current implants, medical history, and goals. Dr Carmen will discuss potential benefits, limitations, and any additional procedures that may be appropriate for your situation.
  • Individualised Treatment Planning: Whether you’re seeking replacement due to concerns about implant condition, changes in breast appearance, or a preference for a different size or type of implant, Dr Carmen provides a tailored surgical plan that reflects your anatomy and objectives.
  • Ongoing Care: Dr Carmen remains involved throughout your surgical experience—from the initial consultation to post-operative care—ensuring continuity and consistency.
  • Range of Surgical Options: Dr Carmen is experienced in various implant replacement techniques, including implant exchange, removal with replacement, and revision procedures where needed. Available options will be discussed in detail during your consultation.

Breast implant replacement is a personal decision and requires thoughtful evaluation. A consultation with Dr Carmen can help you understand the available options and what may be most suitable for your needs and long-term outcomes.

Any information about your previous surgery is paramount to understanding the intrinsic details. This includes the type and size of implants, and when the implants were inserted.  This will help Dr Carmen plan your surgery.

Further Reading with Dr Carmen