Breast implant exchange

Breast implant replacement in Nuremberg - If your breast or your feeling has changed

A breast implant accompanies you for many years. However, over time, not only the material and tissue, but also your life circumstances, wishes or body image can change. Perhaps your implants look too big. Or too unnatural. Perhaps a hardening of the capsule has occurred – or you simply want to feel lighter.

At the BONITAS practice in Nuremberg, specialist Alejandro Marti will guide you with a wealth of surgical experience and a keen aesthetic sense. For a safe, gentle and customized breast implant replacement – medically sound and stylishly performed.

When does it make sense to change breast implants?

A change is not a “step backwards”, but a conscious decision – for aesthetic or health reasons:

You no longer feel comfortable with the size or shape
There is a capsular contracture (hardening)
Your breast has changed due to pregnancy, weight or age
You want more modern, softer or lighter implants
There is a desire for implant removal with/without breast lift
Technical problems occurred: Rupture, wrinkling (rippling), change in position

BONITAS provides you with honest advice and support.

Common reasons for an implant change

Reason	Frequent symptoms or wishes
Hardening of the capsule (capsular contracture)	Pain, deformation, feeling of pressure
Size request	Too big, too small, no longer fits
Unnatural shape	High-set chest, “double bubble”, visible edges
Age of the implants	Safety concerns after 10-15 years
Desire for explantation	Naturalness, lightness, health considerations
Change of material	On request, e.g. lightweight implants or B-Lite®

What happens during a breast implant exchange?

The procedure is technically more demanding than an initial augmentation, as tissue that has already been operated on must be taken into account. Possible steps:

Removal of the old implants
Treatment or complete removal of the capsule (capsulectomy)
Insertion of new, anatomically fitting implants
Optional: simultaneous breast lift or shape correction
Alternative: removal without replacement, e.g. with autologous fat augmentation or pure tightening

The aim is a result that not only corrects – but inspires.

What options do you have at BONITAS?

New implants - modern, lighter, more attractive
Change from overbust to underbust position (or vice versa)
Implant removal with breast lift (mastopexy)
Correction of capsular changes
Shape improvement through autologous fat (lipofilling)
Comprehensive advice on alternatives - without any pressure

At BONITAS, it’s not just about technology, but above all, your feeling.

Procedure of the operation & healing process

Before the procedure

On the day of surgery

After the operation

The result: your body, your expression - newly tuned

A breast implant change is more than just a technical correction. It is your chance to bring your body back into harmony with your inner self:

Frequently Asked Questions (FAQ): Implant Replacement Nuremberg

How much does it cost to change a breast implant?

Breast implant replacement requires an individual cost calculation – factors such as the duration of the operation, type of anesthesia, necessary capsulectomy and desired implant shape all play a role. A price can therefore only be given after a personal examination, imaging and a detailed treatment plan. Use the consultation to clarify options and possible additional costs transparently. Typically, an implant replacement is more complex than a breast augmentation with implants.

When should breast implants be changed?

Modern silicone implants are “long-term”, but not lifelong products. Replacement is recommended if complications develop – e.g. capsular fibrosis, rupture, visible wrinkling or a desire for a different size. Manufacturers often recommend replacing older models after 10-15 years, while newer cohesive gel implants usually only require surgery if there are problems or changes in aesthetics. Regular ultrasound or MRI checks (from year 5, then every 2 years) help to detect silent ruptures at an early stage.

What should I do after changing my breast implants?

Immediately after the implant change, the following applies: elevate the upper body, wear a special bra and chest strap consistently 24 hours a day for 4-6 weeks to minimize swelling and stabilize the implant pockets. Gentle everyday activities are permitted after 48 hours; heavy lifting > 5 kg, sport and overhead movements should be avoided until week 6. Showering is possible from day 1, bathing and sauna only after complete wound healing. Nicotine, alcohol and blood-thinning medication hinder regeneration and should be discontinued. Contact the surgeon immediately in the event of redness, fever or stabbing pain.

Will the change be more complicated than the first operation?

Yes – changing breast implants is technically more demanding because scar capsules, tissue loosening or positional shifts have to be corrected. At BONITAS, precise planning is therefore followed by a precisely coordinated surgical step-by-step plan. Structural pocket corrections and a holistic aftercare schedule minimize the risk of complications and accelerate healing.

Can I choose smaller implants or have them removed completely?

Absolute: When changing implants, you can switch to a smaller volume or remove the implants completely (explantation). A simultaneous breast lift (mastopexy) is often recommended to adjust excess skin. During the consultation, the findings are assessed and an individualized procedure is created – from pocket reduction to fat transfer to implant removal. A personal examination is essential in order to realistically assess feasibility and risks.

Get your advice now

If you are considering medical aesthetic treatment, schedule your consultation for an honest assessment tailored to your needs.