Breast Implant Removal vs Replacement: Which Is Right for You?

Breast implants are not always a lifelong decision.

Over time, personal preferences and goals may change, leading to the consideration of removal or replacement. Common questions include how surgery may affect well-being, what recovery entails, and the cost of removal and replacement of breast implants.

Dr. Cassileth at The Practice Plastic Surgery in Beverly Hills offers a thorough consultation to help you understand your options and select the best approach for your current needs.

Removal vs Replacement Table

Why Women Consider Removing or Replacing Breast Implants

Rethinking breast implants is common after a decade or more. Although implants do not expire, changes in the body or priorities often prompt evaluation.

According to a 28-year review by the National Library of Medicine, over 40% of implants placed a decade earlier were removed for physical reasons, including capsular contracture. This condition can cause tightness or visible distortion.

Other factors, such as persistent discomfort or evolving lifestyle goals, may also influence the decision to remove or replace implants.

Breast Implant Removal Explained

What It Involves

Once you begin to reconsider your implants, the decision may involve choosing removal or replacement. Removal can offer symptom relief and a more natural look, while replacement may appeal to those satisfied with their silhouette but interested in updated implants.

Factors to consider include current well-being, lifestyle shifts, and willingness to undergo additional surgeries in the future. The right choice is the one that matches your priorities.

Pros and Cons

When considering breast implant removal, it is important to weigh the benefits and potential drawbacks.

Pros:

• Restores a natural breast contour that matches your body.
• Eliminates the need for future implant replacement or related surgery.
• May relieve symptoms such as discomfort, tightness, or implant-related issues.
• Physical activities, clothing, and bras may feel more comfortable.

Cons:

• Some breast volume loss, particularly in the upper breast, is expected.
• Sagging or loose skin may occur if a lift is not performed.
• Final results depend on natural breast tissue and skin elasticity.
• Adjustment period is normal as you adapt emotionally and physically.

A thorough consultation will help clarify which option best meets your needs.

Breast Implant Replacement Explained

What It Involves

If you choose to replace your implants, the procedure starts by removing the old implants.

This allows you to select new implants based on your desired size or shape.

As breasts change with age, a lift or additional reshaping may be recommended to enhance symmetry and achieve your goals. The surgical plan is highly individualized, ensuring each patient receives the right adjustments for the most natural outcome.

Thorough preoperative consultation ensures your questions are answered and your expectations clearly defined.

Pros and Cons

Considering breast implant replacement involves weighing both benefits and drawbacks.

Pros:

• Maintains or restores breast volume and shape.
• Refreshes your appearance, especially if previous implants have aged or changed position.
• Allows for correction of minor issues while preserving your overall aesthetic.

Cons:

• Involves another surgical procedure, with associated recovery time and expense.
• Every surgery carries risks, including the possibility of complications, regardless of prior experience.
• Future replacements are likely, making this an ongoing commitment rather than a permanent solution.

Cost of Removal and Replacement of Breast Implants

When considering the cost of removal and replacement of breast implants, it is important to factor in the surgeon’s experience, surgical facility, anesthesia fees, and the exact nature of your procedure.

Charges may vary depending on if you are removing implants only, choosing replacement, or adding a lift. Some expenses are standard, while others may arise during planning.

Begin by understanding removal costs, then assess any extra fees for additional procedures.

Insurance Coverage: What’s Typically Covered?

Breast implant removal may be covered by insurance in case of a rupture or painful scar tissue that requires removal. When you are having implants removed because of cosmetic purposes, you will probably pay out of pocket.

In case your claim is refused, you may appeal.

• Request your surgeon to provide you with a medical letter and images to support the letter.
• Send all these to your insurer to be reviewed

Risks and Complications to Consider

Potential Risks of Breast Implant Removal

Breast implant removal, like all surgical procedures, involves certain risks. Understanding these possibilities can help you make an informed decision.

• Loose or deflated skin: Skin may not tighten completely after removing larger implants.
• Reduced upper breast fullness: Some volume loss at the top of the breast is common.
• Irregular shape: Without a breast lift or fat grafting, uneven contours may appear.
• Emotional adjustment: Adapting to a new appearance can take time.
• Scarring: All surgeries produce scars; some methods may result in more visible marks.

Potential Risks of Breast Implant Replacement

Implant replacement is not without risk.

Issues such as the recurrence of scar tissue, implant leakage, or the need for further revisions can arise. Sometimes recovery takes longer than expected, or the final results differ slightly between breasts.

Implants have a finite lifespan, so additional replacements may be needed.

Swelling or delayed positioning can also occur. A thorough discussion with your surgeon helps clarify these risks and set realistic expectations.

Shared Surgical Risks

Regardless of the type of breast surgery, several risks are consistent. The body requires time to recover after any procedure.

Reactions to anesthesia are unpredictable. Swelling, fluid buildup, or slow-healing incisions may arise. Scars may be faint or more prominent, depending on individual healing. Sensations such as numbness or tingling near the nipple are usually temporary but can persist.

Being informed about these risks supports a more thorough consultation.

To learn more about your specific options and recovery, visit our breast implant removal page.

How to Choose the Right Surgeon for Implant Removal or Replacement

Select a surgeon who communicates clearly and builds your confidence.

Inquire about their annual volume of explant and revision surgeries; experience matters. Review before-and-after photos from similar cases, and read patient testimonials. Discuss specific techniques, such as en bloc removal, fat transfer, or lifts.

Ensure risks, recovery, and costs are explained thoroughly.

It is always reasonable to seek a second opinion. Dr. Cassileth and her team at The Practice provide honest answers and comprehensive guidance throughout the process.

Breast Implant Removal and Replacement Recovery

Recovery After Removal

Recovery after breast implant removal is typically straightforward. Swelling, mild soreness, and tightness are common during the first week. Rest is essential for optimal healing.

By days five to six, most patients are comfortable with light activities such as walking or preparing meals. Resume driving or desk work after about a week, but postpone heavy lifting.

Should you experience sharp pain, fever, or persistent redness, contact your surgeon promptly.

Recovery progresses at its own pace, allowing yourself time to heal.

Recovery After Replacement

Implant replacement recovery varies for each patient.

Swelling, increased fatigue, and a sensation of chest pressure are common during the first few days, especially after additional procedures.

Walking and gentle movement can resume after one week. Strenuous activities should wait for two to four weeks, based on your surgeon’s recommendations. If symptoms seem unusual, contact your medical team.

Every step of recovery is monitored to keep you comfortable and on track.

How Recovery Differs Between Procedures

Your healing path shifts with each choice. Here’s how the experience may differ:

Emotionally:

• Removal can bring relief, but sometimes a sense of loss.
• Replacement may spark new confidence, or, for some, renewed anxiety.

Physically:

• Expect less swelling and a gentler recovery after removal.
• Replacement may require:
  • More rest
  • A longer pause from work or workouts.
  • Extra care if you change implant size or had capsulectomy.

Scarring:

• Old incisions are usually reused, so new scars are rare.
• Gentle massage, silicone gels, and sun protection help scars soften and fade.

Remember: Everyone’s pace is different. There’s no right or wrong way to heal.

How to Decide: Removal vs. Replacement

Questions to Ask Yourself

As recovery progresses, reflect on key questions to guide your decisions moving forward.

Am I Comfortable With My Implants Right Now?

Consider how your implants feel in daily life and whether they still align with your self-image.

How Important Is Breast Fullness to Me?

Envision your body with less volume. Would a reduction feel positive, or would you prefer to maintain your current contour? A lift may offer shape without implants.

What Matters Most, Now and Later?

Look ahead. Is simplicity and a natural look your goal, or are you comfortable planning for future procedures to maintain a specific result?

Document your thoughts, discuss them with your care team, and remember, your perspective is central to the process.

When Removal Makes More Sense

There are several reasons why breast implant removal may be preferable. Removal may be considered if:

• Chronic issues such as brain fog, joint pain, or skin reactions persist despite other interventions.
• The implant presents problems like rupture, migration, or ongoing pain.
• A desire for less medical intervention and a return to natural form becomes a priority.

A breast lift may be an option for maintaining shape after removal. Clarifying your reasons with your surgeon supports confident decision-making and peace of mind.

When Replacement is a Better Fit

For many patients, implant replacement is a logical step when continued volume, symmetry, or shape remain priorities. Replacement can address changes in position, enhance comfort, and restore the preferred appearance.

Patients often review options for implant type, size, or may choose to combine the procedure with a breast lift. Personalized consultation helps identify the best approach to maintain desired results while addressing new goals.

How Will You Choose What’s Right for You?

Only you know your goals and comfort. Consider both today and the years ahead.

A skilled, honest surgeon can help you explore every option. Our team is committed to clear guidance, no pressure, just partnership.

Request a consultation or gather other options if you need them. Empower yourself with information and support. Your path is unique, and the right decision is always your own.

FAQs

1. What is the cost of removal and replacement of breast implants?

The cost of removal and replacement of breast implants typically ranges from $6,000 to $12,000. Pricing depends on surgeon, location, implant type, and any additional procedures. Request a detailed estimate during consultation.

2. How long is breast implant removal and replacement recovery?

Breast implant removal and replacement recovery usually takes one to two weeks for light activities. Full recovery, including strenuous activity, may require three to six weeks.

3. Does insurance cover the cost of removal and replacement of breast implants?

Insurance may cover the cost of removal and replacement of breast implants if medically necessary. Cosmetic procedures are generally not covered. Confirm coverage with your provider.

4. What are common feelings during breast implant removal and replacement recovery?

During breast implant removal and replacement recovery, patients may experience relief, anxiety, or temporary changes in self-image as healing progresses.

5. How do I choose a surgeon for removal and replacement?

Choose a board-certified plastic surgeon experienced in breast implant removal and replacement. Review credentials and discuss all aspects, including cost, in consultation.