Breast Implant Exchange & Lift

Procedure After breast implant surgery, scar tissue forms around the implant (=capsular contracture), which can cause discomfort and cosmetic concerns. This natural process happens after about 10–15 years. If the overlying tissues have become lax, implant replacement combined with a breast lift can improve the shape and size.
Women over 50 or women with a strong family history of breast cancer should have a breast cancer screen prior to cosmetic surgery.
Breast implants come in different volumes and projections (=profiles), can be round or teardrop–shaped (=anatomical / contoured), have a rough (=textured) or smooth surface and can be placed under the muscle (=dual plane) or over the muscle (=subglandular). Teardrop shaped implants look more natural but can rotate. Rough implants last longer (=less capsular contracture) but have a small cancer risk (BIA–ALCL). Implants under the muscle last longer (=less capsular contracture) and look more natural but surgery takes longer and causes more bruising.
A breast lift (=mastopexy) removes skin, reshapes the breast and lifts the nipple area. The improvement is mainly in the central and lower breast areas. The implant gives fullness to the upper breast.
I don’t use drains routinely. The wounds are repaired with sutures under the skin which don’t require removal and dissolve within four months. A support garment following surgery is recommended.
Scars Anchor shaped: Around & below areola & in breast fold
Operation time 3 hours
Anaesthesia General
Hospital Stay Day Surgery > (Overnight)
Benefits Cosmetic, Psychological, Functional, Symptomatic
Risks Bleeding, Infection, Scar problems (stretched, thick, abnormal pigmentation, red, retracted etc.), Skin cones, Skin penetration, Wound separation, Slough, Necrosis (Nipple / skin / fat), Pain, Nerve injury (Numbness, weakness), Bruising, Swelling, Overcorrection, Undercorrection, Asymmetry, Remaining stretch marks, Recurrent redundancy / droopiness, Cosmetic imperfections (higher risk after subsequent pregnancies / weight changes / menopause), Seroma, Shoulder problems, Pneumothorax, Inability to breastfeed, Capsular contracture, Implant rupture or leak, silicone granuloma, lymphadenitis / displacement / rotation / extrusion, Rippling, In most patients breast implants do not cause medical disease but there is a small risk of developing cancer (e.g. BIA-ALCL or BIA-SCC) and other not yet known diseases in future, Contour irregularities, Unfavourable nipple shape / position, Need for further surgery (including implant removal), Allergic reaction, Chest infection, Heart attack, Stroke, Blood clots in legs & lungs
N.B. Most complications are unlikely and serious risks are rare
Risk factors Smoking / contraception / flights within 6 weeks of surgery, overweight, high blood pressure, bleeding tendency, diabetes
Optimising factors Diet rich in Vitamin C and protein, plenty of fluids, fresh air, scar massage, sun protection, support garments, breast band and massage (only if advised by me)
Discomfort 1 – 2 weeks
Bruising 2 – 3 weeks
Recovery Light activities 2 weeks, Driving 3 weeks, Physical work / sports / sex 6 weeks, Unrestricted 3 months
Acceptable appearance 2 – 4 weeks for most patients (This is subjective)
Final result 6 – 18 months
Alternatives No Surgery, Garments, Bra Enhancers, Implant Removal and mastopexy, Fat transfer instead of implant replacement, Implant exchange or removal without mastopexy

Get in Touch

Fill in the form below to get in touch. We aim to get back to you within 24 hours.