What is implant removal or replacement?
Implant removal refers to surgically removing previously placed breast implants and replacement refers to a procedure that removes old implants and replaces them with new ones. Depending on the patient’s goals, we focus on safely removing previously placed implants and, when desired, replacing them with new implants to maintain or improve the overall shape and appearance of the body. The goal of this procedure is not only to remove aging or problematic implants but also to support the surrounding tissue so the area heals properly while achieving a balanced and natural-looking result.
Implant removal may be recommended for several reasons, including personal preference, implant aging, complications such as capsular contracture, implant rupture, discomfort, or changes in aesthetic goals. During the procedure, the existing implant is carefully removed, and in some cases the surrounding capsule (scar tissue around the implant) may also be addressed to improve comfort and support healing.
For patients who wish to maintain or enhance their breast shape and volume, implant replacement can often be performed during the same procedure or after a short healing period. Replacement allows patients to choose a new implant size, shape, or type that better suits their current preferences and body proportions. If a patient doesn’t wish to replace their implants, sometimes a breast lift, fat transfer, or alternative treatments are requested to help enhance breast shape following implant removal.
Depending on the patient’s needs, implant removal and replacement procedures can also be combined with additional treatments to improve skin quality and tissue support.
Every implant removal and replacement procedure is customized based on the patient’s anatomy, the condition of the existing implants, and the desired outcome. With careful surgical planning and expert care, these procedures can help patients achieve a refreshed, balanced appearance while prioritizing safety, comfort, and long-term results.
Benefits of Implant Removal
- May relieve discomfort or pain associated with aging implants or capsular contracture
- Eliminates concerns related to implant rupture or long-term implant maintenance
- Restores a more natural look and feel to the body
- Allows patients to return to their natural body shape and lifestyle preferences
- Can improve physical comfort and overall well-being
- Provides the option to replace implants with a different size or type if desired
- Can be combined with procedures such as a breast lift for improved contour
- Supports long-term health and peace of mind for many patients
Benefits of Implant Replacement
- Allows patients to update the size, shape, or type of their implants based on current preferences
- Restores breast volume and contour after implant removal or implant aging
- Improves overall breast symmetry and aesthetic balance
- Replaces older implants with newer, more advanced implant technology
- Helps address issues such as implant rupture or capsular contracture
- Provides an opportunity to achieve a more natural-looking result
- Can be combined with procedures such as a breast lift for enhanced contour
- Supports long-term comfort, confidence, and aesthetic satisfaction
Implant removal & replacement Overview
Procedure
- Implant Removal & Replacement is a surgical procedure that involves removing existing breast implants and, if desired, replacing them with new implants to restore or enhance breast shape and volume. The procedure usually takes 1–3 hours, depending on the condition of the implants and whether additional techniques are performed.
- During the surgery, the existing implants are carefully removed, and in some cases the surrounding capsule (scar tissue) may also be treated. If replacement is chosen, a new implant is placed during the same procedure to achieve the desired size, shape, or contour.
- Additional procedures such as a breast lift may also be performed to improve overall symmetry and support. Recovery time varies, but most patients can return to light daily activities within a few days.
Anesthesia
- General Anesthesia is most commonly used so that the patient is fully asleep for the procedure.
Recovery
- Recovery after implant removal and replacement varies depending on the complexity of the procedure and whether additional treatments, such as a breast lift, are performed. Most patients can typically return to light daily activities within 2–7 days, while full recovery may take several weeks.
- Mild swelling, bruising, tightness, or discomfort in the chest area is common during the first 5–10 days after surgery. These effects gradually improve as the body heals.
- Patients are generally advised to avoid heavy lifting, strenuous exercise, and intense upper-body activity for about 4 weeks to allow the tissues to heal properly and support the new implant position.
- A supportive surgical bra is usually recommended during the first 4 weeks to help reduce swelling and provide proper support during healing. Following post-operative care instructions and attending follow-up appointments helps promote a smooth recovery and optimal results.
Why Choose Dr. Dreckmann for Implant Removal & Replacement?
Dr. Stephanie Dreckmann is one of the top plastic surgeons specializing in breast implants in Ontario, Canada. Known for her advanced training in breast and body contouring and extensive experience with breast implant procedures, she provides expert care tailored to each patient.
At Valespring, we adhere to strict safety protocols and use advanced surgical techniques and state-of-the-art equipment to ensure patient safety and enhance surgical outcomes. Dr. Dreckmann employs innovative methods to maximize both safety and results, making your breast surgery experience as safe and comfortable as possible.
Breast Implant Types
Saline Breast Implants
Saline breast implants are filled with sterile saltwater after placement in the breast, allowing for precise adjustment of size and shape. They are a safe and reliable option.
Silicone Breast Implants
Silicone implants are made of a silicone case filled with a silicone gel which has a consistency similar to breast tissue, producing a more natural look and feel. Silicone implants are typically smooth and round with a variety styles and sizes available. These are the most common breast implant in Ontario, Canada.
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Prices serve as a guideline only. Fees will be adjusted based on each patient’s individual anatomy and the complexity of the case.
Prices do not include HST
Breast Implant Shapes
Round Implants
Round implants are circular in shape, but when upright, gravity will pull a portion of the implant towards the base, providing a natural look, while still providing more fullness to the upper part of the breast. This is the most popular breast implant shape for breast augmentation in Toronto.
Tear Drop Implants
Teardrop implants were intended to mimic the natural shape of the breast with more fullness at the base of the breast. Given their asymmetrical shape, they had to be textured on the outside to prevent them from rotating. However, we now know that the textured exterior is associated with an increased risk of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). Textured devices, including teardrop implants, were recalled from the market. For this reason, Valespring does not offer teardrop implants.
Breast Implant Sizes
Breast implants in Ontario come in various volumes, diameters and projections. A patient’s recommended implant size is influenced by many factors, such as current breast anatomy and volume as well as desired breast volume. Our expert team will guide you through all the breast implant sizing decisions so you know exactly what you can expect from your breast augmentation surgery.
Breast Implant Placement
Breast implants can be placed above or below the pectoralis major muscle. There are advantages and disadvantages to both approaches. Implants placed above the muscle avoid an animation deformity, which is a motion deformity where you can see the pectoralis muscle contracting over the implant. With the above-muscle approach, there is no violation of the underlying muscle and often a faster recovery. Submuscular placement of the implant is often recommended in very thin patients, to provide enough tissue coverage over the implant and minimize the risk of complications. The breast implant placement is ultimately at the discretion of your surgeon to achieve the safest and most aesthetic result.
Breast Implant Removal Incision Placement
Inframammary Incision
A discrete incision is made under the breast crease which will nicely hide the scar.
See Our Other Procedures Related to Breast Surgery
Breast Lift
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What is implant removal and replacement?
Implant removal and replacement is a surgical procedure that involves removing existing breast implants and, if desired, replacing them with new implants. Patients may choose this procedure to update implant size or type, address complications, or improve overall breast shape and comfort.
Why do patients choose implant removal or replacement?
Patients may consider implant removal or replacement for several reasons, including implant aging, rupture, capsular contracture, discomfort, changes in aesthetic goals, or simply wanting a different implant size or shape.
Can implants be replaced during the same surgery?
Yes, in many cases implants can be removed and replaced during the same procedure. However, if there are certain complications such as infection or significant scar tissue, the surgeon may recommend removing the implants first and placing new ones after a healing period.
How long does implant removal and replacement surgery take?
The procedure usually takes about 1–3 hours, depending on the complexity of the surgery and whether additional procedures, such as a breast lift or capsulectomy, are performed.
What is the recovery time after implant removal and replacement?
Most patients can return to light daily activities within 2–7 days. Swelling and discomfort usually improve within the first 1–2 weeks, while full healing may take several weeks.
Will there be scars after the procedure?
Small, well-hidden scars are most common following this procedure. In many cases, surgeons try to use the same crease incision site from the original implant surgery to minimize additional scarring. Sometimes, however, the incision needs to be lengthened or relocated during the procedure.
Do implants need to be replaced after a certain number of years?
Breast implants are not considered lifetime devices. While many implants last for many years, some patients may eventually choose replacement due to aging implants, changes in their body, or personal preferences. It is recommended to have them reassessed 10 years after placement.
Can implant removal be combined with other procedures?
Yes, implant removal or replacement can often be combined with procedures such as a breast lift (mastopexy) to improve breast position, shape, and overall contour.
Are modern implants different from older implants?
Yes, modern breast implants are designed with improved materials and technology that can provide a more natural feel, better durability, and enhanced safety compared to older implants.
Who is a good candidate for implant removal or replacement?
Good candidates are patients who currently have breast implants and wish to remove or replace them due to personal preference, implant aging, or implant-related concerns. Ideal candidates are generally in good overall health, have a stable body weight or healthy BMI, and have realistic expectations about the results.