Implant replacement
replacing or removing breast prostheses

Implant replacement
replacing or removing breast prostheses

Breast implant exchange
Surgery to replace or remove breast prostheses

MADRID | ZURICH

The replacement of breast implants is an operation to replace previously placed breast prostheses with new ones or, in some cases, to remove them definitively. With the passage of time, changes may appear in the shape of the breast or in the tissues that make it advisable to consider a new intervention.

One of the most common causes is capsular contracture, also known as capsular fibrosis, a reaction of the body that can harden the tissue around the implant. This phenomenon can appear years after the initial surgery, especially in older implants.

In other situations, the reason for the change may be purely aesthetic. Some patients wish to change the size of the prostheses, improve the shape of the breast or adapt it to the natural changes that occur over time, such as loss of skin elasticity or changes in weight.

Implant exchange surgery makes it possible to update the prostheses for more modern models, correct alterations in the shape of the breast or improve the proportion of the breast, always seeking a natural and balanced result.

  • DURATION 60 - 120 min
  • DISCHARGE FROM THE CLINIC Same day
  • BACK TO WORK 3 - 6 days
  • DURATION 60 - 120 min
  • DISCHARGE FROM THE CLINIC Same day
  • BACK TO WORK 3 - 6 days
  • SUITABLE FOR SOCIETY 3 days
  • ANESTHESIA General
  • FULL RECOVERY 4-6 weeks
  • SUITABLE FOR SOCIETY 3 days
  • ANESTHESIA General
  • FULL RECOVERY 4-6 weeks

Motiva

JOY™ is an all-in-one program that offers women a superior breast augmentation experience. It includes the latest Motiva® implant technology with Ergonomix2®, a minimally invasive procedure offered by JOY™ Partners, and support throughout their journey through our digital tools. Dr. Fakin is honored to be part of this project.

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Instructions

When breast implants may need to be replaced

Breast implant replacement may be considered for various medical or aesthetic reasons. In some cases, the procedure is recommended when the following conditions arise implant-related disorders, In other cases, it is the patient's wish to change the size or shape of the breast. Among the most frequent situations are:

  • Capsular contracture or hardening of the tissue around the implant
  • Rupture or damage to the breast implant
  • Changes in breast shape over time
  • Desire to modify the size or profile of the prostheses
  • Displacement or malposition of the implant

The indication for the procedure depends on factors such as the type of previous implant, the condition of the breast tissue and the patient's expectations.

Surgical techniques

How breast implant exchange is performed

During implant exchange surgery, the existing prosthesis is removed and replaced with a new implant. In many cases, the procedure can be performed using the same scar from the previous surgery, avoiding new visible incisions. Depending on the situation, the procedure may include:

  • Removal of the previous implant
  • Release or treatment of the fibrous capsule
  • Placement of a new breast implant
  • Adjustment of the pocket where the prosthesis is housed

In some cases, implant exchange can be combined with mastopexy. (breast lift) to improve the position of the breast and optimise the aesthetic result.

What brands of implants are currently in use

The choice of implant depends on anatomical factors and patient preferences. Today there are high quality prostheses designed for safety, durability and a natural look. Among the most commonly used brands are:

  • Motivation: Latest generation prostheses with a very natural feel and ergonomic designs. They have a wide variety of profiles and a very low rate of capsular contracture.
  • B-Lite: Extremely lightweight implants, up to 30 % lighter than other implants of the same size, reducing pressure on breast tissue.
  • Nagor: Round or anatomical implants designed to maintain a proper balance between projection and base, offering natural and long-lasting results.

What are implants made of and what shapes are available on the market?

Breast implants can have different shapes, which influence the final result of the breast.

Round implants: They provide even volume between the upper and lower chest.

Anatomical implants: They mimic the natural shape of the breast, with more volume in the lower pole.

Ergonomic implants: They adapt their shape according to the position of the body, behaving similarly to natural breast tissue.

In addition to their shape, implants are also differentiated by their degree of projection or profile, which allows the final result to be adapted to the anatomy of each patient.

Alternatives

Options for patients who wish to remove prostheses

Some women prefer to remove breast implants permanently and keep a natural breast without prostheses. In these cases, implant removal can be combined with other techniques to improve the shape of the breast, such as:

  • Mastopexy (breast lift), which allows repositioning of the breast
  • Lipofilling or fat grafting, to add volume using the patient's own fat.

These techniques can help maintain a harmonious breast contour even after implant removal.

Testimonials

Breast implant exchange :
Frequently Asked Questions

Modern implants are designed to be durable and do not have a mandatory replacement date. However, in some cases, replacement over the years may be recommended if changes in breast shape or problems associated with the implant occur.

It depends on the reason for the surgery and the condition of the tissues. In many cases, the procedure can be performed using the same scar from the previous surgery.

Yes, many patients take advantage of implant exchange to increase or decrease the size of the prostheses and adapt the result to their current preferences.

Yes, in these cases an explantation can be performed, which is often combined with mastopexy or lipofilling to improve the shape of the breast.

The change in the volume and shape of the breast is noticeable from the first few weeks, although the final result is defined progressively as the swelling subsides.

Dr. Richard Fakin
international elite surgeon

Dr. Richard Fakin is Plastic, reconstructive and aesthetic surgeon with solid experience in gender affirmation procedures. He specializes in breast surgery, facial surgery, and advanced body procedures. His practice combines technical precision, aesthetic sensitivity, and a deeply personalized approach to each procedure

At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to offer rigorous medical care, but friendly in its human approach. Each patient receives individualized support, from the first consultation to post-operative follow-up.

As a boutique plastic surgery clinic, the approach is neither massive nor standardized. The team dedicates the necessary time to understand expectations, analyze anatomy, and design a surgical plan precisely tailored to each case. This structure allows us to maintain a high level of quality, confidentiality, and attention to detail in every procedure. Dr. Fakin employs refined surgical techniques that prioritize safety, natural-looking results, and optimized recovery. Meticulous planning and the use of advanced technology allow us to offer harmonious results that reflect each individual's unique identity.

Beyond the technique, Dr. Fakin and his team's commitment is reflected in transparent, honest, and personalized care, where Each patient is treated with dedication and professionalism in all phases of the process.

Our facilities

Madrid

  • C. de Velázquez, 109, 28006 Madrid, Spain
  • madrid@drrichardfakin.com
  • +34 679 85 86 39
  • C. de Velázquez, 109, 28006 Madrid, Spain
  • madrid@drrichardfakin.com
  • +34 679 85 86 39

Zurich

  • Giesshübelstrasse 45, 8045 Zurich
  • zurich@drrichardfakin.com
  • +41 78 206 44 88
  • Giesshübelstrasse 45, 8045 Zurich
  • zurich@drrichardfakin.com
  • +41 78 206 44 88

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