Nellie Movtchan, MDPlastic and Reconstructive Surgery
Nellie Movtchan, MD

Breast / Implant removal or exchange

Implant removal or exchange.Revisit your options.

Your reasons for choosing implants may have changed, or you may have a concern about an existing implant. Explore removal or replacement with Dr. Movtchan, including how each option may affect breast shape and recovery.

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Illustrative concept photograph; not a patient result

Understanding the procedure

Removing or replacing implants.

Removal takes out an existing breast implant. Exchange replaces it, sometimes with a different size or type. People may consider either option because of discomfort, rupture, hardened scar tissue around an implant, or a change in preference.

The plan may also include removing some surrounding scar tissue, called a capsulectomy, or a breast lift. The shape of your breasts after removal depends on your tissues and the procedure.

Other breast procedures

Is it right for you?

Could implant removal or exchange be right for you?

A consultation considers your medical history, anatomy, healing risks, and expectations. Bring your questions and discuss whether surgery fits your health and plans.

  • Discuss conditions or medications that may affect healing.
  • Be open about smoking or nicotine use.
  • Describe your own goals, rather than another person’s expectations.
  • Bring any records of your implants, prior operations, and imaging.

Talk through your options

Your consultation with Dr. Movtchan.

Meet with Dr. Movtchan to discuss your options. Bring your medical history, prior procedures, medications, and the questions you most want answered.

Illustrative consultation scene; not Dr. Movtchan or her patients

  1. Your goals

    Describe why you are considering removal or exchange and what you hope the breasts will look like afterward.

  2. Your options

    Discuss removal alone, exchange, capsule removal, a lift, and practical support during recovery.

  3. Your preparation

    Ask about anesthesia, the care setting, and what you would need to arrange beforehand.

  4. Your decision

    Talk through the potential outcome, risks, recovery, and costs before deciding.

Benefits & limitations

Risks and limitations.

Understand the alternatives and limitations as well as the potential benefits. Results vary, and surgery cannot guarantee a particular appearance.

Your health, implant history, and the planned operation affect the risk assessment. Possible risks include:

  • Bleeding or infection
  • Fluid collections
  • Changes in sensation
  • Asymmetry or contour irregularities
  • Loose skin after removal
  • Unfavorable scars
  • Further surgery
  • Blood clots or anesthesia complications

Recovery planning

Planning for your recovery.

Plan for help at home and time away from your usual activities. Your instructions will address work, driving and exercise according to your operation and how you are healing.

  1. Before surgery

    Plan practical support

    Ask about transport, help at home, a supportive bra, and time away from responsibilities.

  2. Early recovery

    Follow your care instructions

    Understand dressings, any drains, medication instructions, follow-up, and symptoms that need a call to the surgical team.

  3. Returning to routines

    Check before increasing activity

    Discuss separate milestones for work, driving, lifting, and exercise.

Recovery varies with the operation and the individual. Follow the instructions given by your surgical team.

Questions

Questions about implant removal or exchange.

What will my breasts look like without implants?

It depends on skin quality, breast tissue, and how long the implants were in place. Some people consider a lift at the same time.

Does the capsule always need to come out?

Not always. Ask what is recommended for your situation and why.

Can I switch to a different size or type?

Often, yes. Discuss the options and how a change may affect your tissues.

How do I know if an implant has ruptured?

Silicone ruptures can be silent. Ask about imaging and follow the monitoring guidance for your implant.

What should I ask about the cost?

You’ll receive a written estimate after your consultation. Review the surgeon’s fee, facility, anesthesia, follow-up and any additional care before deciding.