A breast implant replacement means that implants which have already been inserted are removed and replaced with new ones. This may be necessary for medical reasons, for example in the event of complications or damage, or for aesthetic reasons, if you are no longer satisfied with the shape, size or position of your implants. The procedure is often also combined with a breast lift in order to additionally shape the breast and adapt it to the new circumstances.

Modern silicone implants are very durable and can often remain in the body for many years without any problems. They have a stable, thick-walled shell that prevents the silicone gel from leaking even in the event of minor damage. A routine replacement is therefore no longer automatically necessary after ten years, as was often recommended in the past.

Nevertheless, it is worth attending regular check-ups, particularly with older implants. This is because some models, especially older generations or manufacturers and brands that are no longer on the market, such as PIP or Natrelle, are more susceptible to damage. Even if you have no symptoms, it is important to consider a medical examination if you notice changes such as hardening, asymmetries or a feeling of tightness.

The reasons for an implant replacement are as individual as the patients themselves. Sometimes it is about health, sometimes about how you feel in your body.

A replacement is medically necessary, for example, in the case of:

• Capsular contracture, when a hardened capsule of connective tissue forms around the implant, which can cause pain or changes in shape.
• Ruptures or leaks in which the implant has been damaged, for example by an accident or material fatigue.
• Displacement or rotation of the implant, which can lead to asymmetries.
• Infections, e.g. caused by germs that enter the tissue during or after the operation.
• Rare complications such as BIA-ALCL, a rare T-cell lymphoma of the implant capsule that is particularly associated with certain textured implants.
• Breast Implant Illness (BII)

For aesthetic reasons, many women opt for a replacement when:

• their proportions have changed over the years,
• the décolleté no longer looks harmonious,
• they would like smaller or larger implants, or
• a more natural result is desired, for example after pregnancy or changes in weight.

In principle, an implant replacement is suitable for any woman who is dissatisfied with her current implants or for whom there are medical reasons. Even if the implants have been in the body for a very long time, a check-up is recommended in order to prevent possible problems at an early stage.

Before an implant replacement is carried out, Lecturer Dr. Matiasek takes plenty of time for a detailed consultation. In a relaxed atmosphere, you discuss your wishes, aesthetic goals and any complaints together. Lecturer Dr. Matiasek explains not only the course of the operation but also the possible risks and the approach that is right for you. This allows you to prepare for the procedure well informed and with a feeling of confidence.

To prepare optimally for the operation, from about one week before the appointment you should only take blood-thinning medication (e.g. aspirin) in consultation with your GP or Lecturer Dr. Matiasek. Alcohol and nicotine should also be avoided as far as possible, as they can impair wound healing. On the day of the procedure you should be healthy and well rested and should not eat for at least six hours before the operation. Small amounts of water or unsweetened tea are permitted until about two hours before the operation.

The procedure itself is performed under general anaesthesia. The operation takes about one to two hours and is carried out on an outpatient basis in most cases. Depending on its complexity, however, an overnight stay may also be advisable.

In most cases, Lecturer Dr. Matiasek uses the same access as in the first operation, for example the inframammary fold. This avoids additional scars. After removing the old implants, he examines the capsule and, where necessary, removes hardened tissue, e.g. in the case of capsular contracture. In most cases a partial capsulectomy and a capsulotomy are performed. Lecturer Dr. Matiasek then inserts the new implants – either into the existing implant pocket or into a newly formed one – and carefully adjusts the shape of the breast. If necessary, excess skin can be removed and the breast lifted in the same session.

Finally, the wound is finely sutured and protected with a sterile dressing. Depending on the procedure, you will additionally receive a support bra or a special compression garment that optimally supports the tissue during the healing phase.

After the procedure, you will first be medically monitored before you make your way home – ideally accompanied. At home, it is important to rest during the first few days and to sleep on your back as far as possible, so that the freshly operated breast is relieved of pressure. For the first six weeks, Lecturer Dr. Matiasek recommends wearing a special compression bra. This not only helps to stabilise the new breast shape but also supports the healing process and reduces the risk of swelling or displacement of the implants.

You should avoid the sun, sunbeds and the sauna for about two months, as heat and UV radiation can disrupt the healing process and adversely affect scar formation. With calm aftercare and a little patience, you yourself make the most important contribution to a beautiful and long-lasting result.

How long will I be unable to work after a breast implant replacement?

After the implant replacement, a break from work of five to ten days is advisable. How long you should actually take off depends on your occupation. Those who do physical work or a lot of lifting usually need somewhat more time to recover. Lecturer Dr. Matiasek will discuss with you individually when you can return to work, so that you return to everyday life safely and with a good feeling.

When can I exercise again after the breast implant replacement?

You should pause sporting activities for around six weeks so that the tissue can recover optimally. Movements that strain the chest muscles in particular should be avoided at first. Light walks are possible again immediately after the procedure. As soon as Lecturer Dr. Matiasek gives the green light at a follow-up check, you can gradually return to your usual training.

Does a breast implant replacement cause new scars?

Lecturer Dr. Matiasek uses the existing access points from the first operation, e.g. in the inframammary fold. As a result, no new visible scars are created. Should a new incision nevertheless be necessary, it is placed as inconspicuously as possible. The aim is always an aesthetic result with as few visible traces as possible.

How can I best care for the scars after a breast implant replacement?

As soon as the wounds have healed completely and the sutures have been removed, you can begin targeted scar care. Special creams or gels support healing and improve the elasticity of the skin. Regularly and gently massaging in these products can help the scars to become softer and less noticeable. At the practice, Lecturer Dr. Matiasek will be happy to recommend the right care product for your skin.

The first changes are usually visible shortly after the procedure, especially once swelling subsides. However, it takes a few weeks for the new implants to settle completely and for the tissue to adapt. The final result is generally apparent after about three to six months. By then, the natural fall and shape of the breast can also be seen in full.

If you are dissatisfied with the result of your previous breast augmentation, notice changes, or are interested in an implant replacement for aesthetic or medical reasons, Lecturer Dr. Matiasek will be pleased to assist you with his many years of experience. Arrange a personal consultation appointment today and obtain comprehensive advice on your options – for a safe, beautiful and lastingly satisfying result.