Choosing the right breast implant size and shape can be difficult. For some individuals who have undergone breast augmentation, the first choice of implant is too small; for others, it might be too large. In either case, breast implant exchange may be an option.
Our Sacramento plastic surgeon is proficient in breast implant exchange (sometimes referred to as “breast augmentation revision”). While breast implant revision surgery may be ideal for repairing leaking implants or capsular contracture (hardening of the breast implant), it is more commonly done to change cup size. In particular, Dr. Perry has seen a rise in requests for smaller implants in recent years. That said, it is important to make informed decisions when considering breast implant exchange – especially when considering going to a smaller size, which generally involves a more challenging procedure and technical skill than upgrading to a larger implant. To learn more about breast implant exchange, continue reading this page or reach out to our friendly team.
Quick Facts About Breast Implant Exchange
- Sedation:
- General anesthesia
- Inpatient/Outpatient:
- Outpatient
- Potential Benefits:
- Smaller/larger/otherwise more ideal implants; a more proportionate physique; reduction of implant-related complications
- Recovery:
- Everyday activities can usually be resumed in one to two weeks; more intensive activity should be avoided for approximately a month
- Cost:
- Roughly $8,000 to $9,000
Patient Results
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After 
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After Who Is a Candidate for Breast Implant Exchange?
Breast implant exchange can help you achieve the look you desire – be it a smaller, leaner, or a more voluptuous figure. In some cases, your breasts will grow as the skin loosens and stretches, while in other situations they shrink as the breast itself becomes stretched and thinned over the implant and involution occurs. This can create an imbalance in your bodies’ aesthetic harmony, especially with weight loss or following pregnancy. Other reasons for breast implant revision surgery include capsular contracture, which refers to an abnormal hardening of the breast implant capsule.
Meanwhile, breast implant exchange is not recommended for individuals who:
- Are experiencing any kind of active infection
- Have pre-malignant breast disorders or breast cancer that has not been treated
- Are experiencing a suppressed or weakened immune system
- Are pregnant or breastfeeding
- Have diminished blood flow to the breasts (which can be caused by radiation therapy or a previous surgical procedure)
- Are suffering from certain types of medical conditions
- Are taking medications that can affect proper wound healing and blood clotting
In general, candidates for revisional surgery must be healthy and have realistic expectations.
Dr. Charles Perry will conduct a thorough evaluation and talk with you about any potential concerns to determine the next steps.
**Disclaimer: If you are a smoker, you MUST DISCONTINUE smoking a minimum of 4 weeks BEFORE & AFTER SURGERY. A nicotine test will be administered.**
Breast Implant Exchange vs. Removal
When considering changes to your breast implants, it is essential to understand the differences between breast implant exchange and breast implant removal. Both procedures serve different purposes and can have varying impacts. While an augmentation revision aims to replace old implants with new ones, breast implant removal involves explantation without replacement. Ultimately, the decision between implant exchange and removal should be made after a consultation with Dr. Perry, who can help you evaluate your goals, health considerations, and the potential outcomes of each option.
Complementary Procedures to Breast Implant Exchange
Breast implant exchange is frequently accompanied by a breast lift. A small lift or internal tightening can combat future sagging and produce an overall more youthful-looking bustline. Alternatively, Dr. Perry may be able to incorporate procedures like tummy tuck surgery, liposuction, or even certain facial contouring options into your care for a more comprehensive rejuvenation (sometimes called a “Mommy Makeover”). Feel free to discuss all of your aesthetic goals during your first-time meeting with Dr. Perry.
What Is Involved In the Breast Implant Exchange Procedure?
The breast implant exchange procedure is often done using the previous incision and is usually performed in less than an hour. The old implant is exchanged for the new implant. The capsule can be removed and the implant exchanged at the same time, or the process can be staged in some situations. Furthermore, in some circumstances, a drain will be placed for a few days.
Other options to consider are a staged procedure with removal of the current implant in lieu of exchange. This can be followed by breast augmentation after a small convalescence, allowing your tissues to relax and perhaps allowing you more time to consider which size to choose.
What Does Recovery After Breast Implant Exchange Involve?
After your breast augmentation revision surgery, some degree of pain and discomfort can be expected as the breasts heal. Medication may be prescribed to manage pain. After approximately a week or two of healing, patients are generally advised to avoid strenuous activities for about a month. Dr. Perry will provide you with personalized recovery guidelines, and you are encouraged to report any unusual symptoms to our staff.
What Risks are Associated with Breast Implant Exchange?
Symmetry
If the breasts are asymmetrical in shape or size before breast augmentation revision surgery, it is not likely that the procedure will completely correct that concern.
Long-Term Commitment
An additional revision breast augmentation to remove or exchange the implants will almost certainly be necessary later in life.
Permanent Anatomical Changes
Permanent anatomical changes resulting from surgery (e.g. skin rippling, changes in breast sensation, and implant displacement) may be produced in the breasts. If the breast implants are removed, these aesthetic changes may become unacceptable.
Risks Related to Surgery in General
Complications such as bleeding, seroma, infection, scarring, and thrombosed veins are possible (though uncommon) after breast implant exchange.
It is important to remember that Dr. Perry is extensively trained and experienced in breast augmentation revision procedures and works diligently to minimize risks. He will be happy to explain all of the risks and benefits of this treatment and address all of your questions and concerns.
What Our Patients are Saying
“I can’t tell you often enough how much your support and encouragement throughout my cosmetic surgery process still means to me. Without it, I don’t know that I would have had the courage to complete the endeavor. I can honestly say that this is probably the best thing I’ve ever done for myself. My confidence and composure have never been better, and all of you were a huge part of this transformation.”
How Much Does Breast Revision Cost?
At Chrysalis Cosmetics, the cost of breast implant exchange typically ranges from $8,000 to $9,000. That said, pricing for this procedure is contingent upon the surgeon’s fee, surgical supplies, laboratory tests, use of the surgical facility, anesthesia, medications, and otherwise. Additional costs may be necessary if complications arise.
In most cases, breast augmentation revision is not covered under health insurance policies; however, our staff can communicate with your insurance and help you better understand your benefits if you so desire. Additionally, Chrysalis Cosmetics proudly works with plastic surgery financing companies to allow eligible patients to pay for their care through installments. Please reach out to us for more information.
To schedule your breast implant exchange consultation, contact Chrysalis Cosmetics today!
