Breast Implant Replacement

​​Breast implant replacement surgery involves removing old implants and inserting new ones, and may be combined with reshaping or lifting of the breast for improved symmetry and contour. This procedure may be performed for medical reasons (such as implant rupture or capsular contracture) 

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What is Breast Implant Replacement?

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Over time, breast implants may require replacement due to wear, changes in body shape, or medical complications.

Replacement surgery allows the surgeon to remove the existing implant, correct any associated issues, and place a new implant to restore volume and symmetry.

Breast reshaping (mastopexy or internal tightening) can be performed at the same time to improve breast position and contour, particularly if there has been stretching or sagging over time.

The operation may involve:

• Removal of the old implant (with or without the capsule)

• Insertion of a new implant of similar or different size

• Breast lift or reshaping to improve position and shape

• Creation of a new pocket if the previous implant position has changed or become distorted

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When to Consider Implant Replacement

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You may be suitable for implant replacement if:

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• The implant has ruptured, deflated, or changed shape

• There is capsular contracture (hardening of the capsule around the implant)

• You experience pain, distortion, or asymmetry

• The implant has aged or shifted from its original position

• You wish to change implant size or type (e.g., from saline to silicone)

The Procedure

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• Anaesthesia:

  Performed under general anaesthetic for comfort and safety.

• Implant Removal:

  The existing implant is removed through the previous scar. If needed, a partial or total capsulectomy is performed to remove hardened tissue.

• New Implant Placement:

  A new implant is inserted — either in the same pocket or in a newly created pocket to optimise symmetry and reduce complications.

• Reshaping and Lift (if required):

  The breast tissue and skin are tightened, and the nipple–areola complex may be repositioned to achieve a more natural contour.

• Closure:

  The incision is closed with dissolvable sutures and sealed with surgical glue or steri-strips.

• Duration:

  The operation usually takes 2–3 hours. Most patients stay in the hospital overnight.

After the Procedure

• Mild swelling, bruising, or tightness is common and settles within a few days.

• The dressing is waterproof, and you can shower on the day after surgery.

• Continue wearing your surgical bra day and night for at least two months to support healing.

• Avoid heavy lifting or strenuous activity for 2–3 weeks.

• Driving is permitted after your first postoperative review, once comfortable and off strong pain medication.

• The final shape continues to improve over several weeks as the tissue settles.

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Possible Risks and Complications

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As with all surgery, potential risks include, but are not limited to:

• Bleeding or haematoma

• Infection

• Seroma (fluid collection)

• Capsular contracture (scar tissue tightening)

• Asymmetry or malposition

• Changes in nipple sensation

• Skin or tissue thinning

• Delayed wound healing or visible scarring

• Need for further revision surgery

Advantages of Replacement Surgery

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• Restores breast volume and symmetry

• Addresses complications from old implants

• Allows adjustment of size, shape, or implant type

• Can be combined with a breast lift for enhanced results

• Improves comfort and aesthetic outcome

Disadvantages

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• Implants may again require replacement in the future

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Medicare and Eligibility Criteria

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In Australia, Medicare may provide a rebate for breast implant removal and replacement when specific clinical criteriaare met.

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You may be eligible if the surgery is medically necessary, such as:

• Implant rupture, leakage, or deflation

• Capsular contracture causing pain or distortion

• Infection or chronic inflammation related to the implant

• Tissue thinning, extrusion, or malposition of the implant

• Breast deformity after cancer or reconstructive surgery

• The original implant was inserted for breast cancer reconstruction or developmental abnormality

If the replacement is for cosmetic reasons only (for example, size change or aesthetic improvement), Medicare and private health funds do not cover the cost.

Key Points

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• Removes old implants and replaces them with new ones

• May include reshaping or breast lift for optimal results

• Surgical bra required for at least two months

• You can shower from the day after surgery

• Driving allowed after first postoperative review

• Typical hospital stay: overnight

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