Implant Exchange

Implant Exchange

Implant Exchange Surgeon Central Coast & Sydney

Breast implant exchange refers to a surgical procedure in which existing breast implants are removed and replaced. This may be undertaken for medical, reconstructive, or personal reasons. At the Oncoplastic Surgical Centre, specialists in reconstructive and oncoplastic breast surgery perform this procedure as part of comprehensive breast care.

The approach is based on medical assessment, current evidence, and collaboration with each individual regarding their clinical needs.

Overview of Implant Exchange

Breast implants are medical devices that may require replacement after a period of time. The reasons for undergoing implant exchange can vary and may include:

  • Implant-related complications: Such as rupture, leakage, or capsular contracture.
  • Changes following reconstruction: Alterations in tissue characteristics or symmetry following prior surgery.
  • Imaging findings: MRI or ultrasound evidence indicating a compromised implant.
  • Reassessment of implant type: Deciding to transition to a different implant material or configuration after clinical review.

The decision to proceed with surgery is based on a detailed assessment and shared discussion between the patient and surgeon.

Clinical Assessment and Planning

A preoperative consultation is conducted to evaluate the individual’s health, surgical history, and implant condition. This may include:

  • Comprehensive review of previous procedures and any related records.
  • Physical examination and imaging to assess implant integrity and tissue health.
  • Discussion of available surgical options, associated risks, and postoperative expectations.

The purpose of this consultation is to provide clear, medically grounded information so that individuals can make informed decisions about their care. No guarantees are offered regarding specific results.

Surgical Procedure

Implant exchange is performed in an accredited hospital or day surgery setting. The exact surgical approach depends on several factors, including the position of the current implant, the presence of scar tissue, and overall tissue quality.

During the operation, the existing implant is removed. In some situations, part or all of the capsule surrounding the implant may also be removed or modified. A new implant is then inserted, following the agreed surgical plan.

Anaesthesia type, duration, and hospital stay vary depending on clinical requirements. Patients receive information regarding postoperative care and follow-up appointments prior to surgery.

Recovery Process

Recovery following implant exchange involves a period of rest, wound care, and scheduled clinical reviews. Patients are provided with written postoperative instructions and information on when to resume regular activity.

Temporary swelling, discomfort, or bruising can occur after surgery. These are monitored during follow-up visits, where the surgeon assesses healing and implant positioning. Ongoing care may include imaging or review appointments to monitor long-term implant condition.

Risks and Complications

All surgical procedures involve potential risks. In implant exchange, these may include:

  • Infection or bleeding.
  • Implant rupture or leakage.
  • Capsular contracture.
  • Changes in nipple or breast sensation.
  • Asymmetry or aesthetic variation.

Possible risks and complications are discussed in detail during consultation to support informed consent. Each person’s response to surgery varies, and outcomes depend on individual anatomy, healing, and medical history.

This provides general information about Implant Exchange. It does not replace a consultation, clinical assessment, or individualised planning.

Implant Exchange FAQs

How do I know if I need my breast implants replaced?

Implant exchange may be recommended if there are implant-related concerns such as rupture, leakage, changes in shape, capsular contracture, or findings on imaging like MRI or ultrasound. Some individuals also seek an exchange as part of reconstructive refinement or to change implant size, type, or position. A consultation and clinical assessment help determine whether replacement is indicated.

Will my new implants be the same size and type as my current ones?

Not necessarily. Implant exchange provides an opportunity to reassess implant size, profile, material (silicone vs. saline), and placement based on current clinical needs and personal preference. Your surgeon will discuss the available options during consultation, including whether maintaining your current size or choosing a different configuration is appropriate.

Is implant exchange more complex than my original breast surgery?

The complexity varies. Implant exchange can sometimes be more detailed than the initial augmentation or reconstruction, especially if scar tissue (capsule) needs to be removed or modified, or if implant rupture or tissue changes are present. The specific surgical plan is determined after reviewing your previous surgeries, current implant condition, and imaging findings.

Your Surgery Timeline

Before Surgery:
Medical Preparations

  • Consultation and Medical Review
    Dr Paul Chen will review your medical history, discuss your treatment plan, and assess whether surgery is an appropriate option for you.

  • Pre-Surgical Tests
    Depending on the type of procedure planned, you may require specific health assessments to confirm your readiness for surgery.

  • Medications and Supplements
    Please inform Dr Chen of all medications and supplements you are currently taking. Some may need to be adjusted or paused before surgery to reduce risks such as bleeding.

  • Smoking and Alcohol
    If you smoke, stopping at least four weeks before surgery is recommended to support your recovery. Reducing alcohol intake before surgery is also advised.

Day of Surgery:
Practical Preparations

  • Fasting Guidelines
    Follow the fasting instructions provided by Dr Paul Chen. This usually means having no food or drink for 8 to 12 hours before your procedure.

  • Clothing and Comfort
    Wear loose, comfortable clothing that is easy to change out of and does not place pressure on the area of surgery.

  • Transportation Arrangements
    You will need to arrange for a responsible adult to drive you to and from the surgical facility.

  • Essential Items
    Bring any required paperwork, identification, and insurance details with you. It is recommended to leave valuables and jewellery at home.

Post Surgery:
Planning for Recovery

  • Recovery Space
    Prepare a quiet area at home where you can rest after your surgery.

  • Medications and Post-Surgical Care
    Ensure you have any prescribed medications, dressings, and other recommended supplies organised before your procedure.

  • Support System
    Arrange for someone you trust to assist you during the first 24 to 48 hours after surgery, including help with mobility, meals, and general care as needed.

Schedule your appointment with
Oncoplastic Surgical Centre

Take the first step towards expert care—schedule your consultation with Oncoplastic Surgical Centre today and receive personalised treatment from Dr. Paul Chen and his team.

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