Breast implant exchange

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

Drei runde Implantate gestapelt auf dunklem Marmor, Symbolbild zum Thema Brustimplantatwechsel bei BONITAS in Nürnberg

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

At a glance: The breast implant exchange replaces old or damaged implants, corrects capsular fibrosis or changes shape/size according to your wish.

  • Surgery time: 1.5–3 hours under general anaesthesia
  • Indications: rupture, capsular fibrosis, aesthetic change
  • Hospital stay: 1–2 days as an inpatient
  • Recovery: 2 weeks, sport after 4–6 weeks
  • Final result: visible after 3–6 months
  • Prices: in our price overview

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:

BONITAS provides you with honest advice and support.

Common reasons for an implant change

ReasonFrequent symptoms or wishes
Hardening of the capsule (capsular contracture)Pain, deformation, feeling of pressure
Size requestToo big, too small, no longer fits
Unnatural shapeHigh-set chest, “double bubble”, visible edges
Age of the implantsSafety concerns after 10-15 years
Desire for explantationNaturalness, lightness, health considerations
Change of materialOn 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:

Silicone breast implants on dark marble

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

What options do you have at BONITAS?

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

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.

As a guideline, an implant exchange starts from €8,000 (physician’s fee); the exact price follows the individual treatment plan.

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.

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.

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.

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.

Smiling man with dark hair and beard in white coat against light background: Alejandro Marti, specialist in plastic and aesthetic surgery, BONITAS Nuremberg
Get your advice now

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

Scientific References

  1. Asal MF, Barakat KE. „Outcomes of Implant Exchange and Latissimus Dorsi Flap Replacement.” Aesthetic Plastic Surgery. 2024. PubMed PMID 38740623
  2. Kühn S et al. „Implant Replacement or Removal: What Happens after Capsular Contracture? A German Study Examining Breast Implant Revision Surgery and Patient Choices in 946 Cases” Breast Care. 2021. PubMed PMID 34602940
  3. Chen Z et al. „A Long-Term Single-Center Study: Motivations and Strategies in Implant Exchange Surgery.” Aesthetic Plastic Surgery. 2025. PubMed PMID 40670655
  4. Zingaretti N et al. „Surgical Treatment of Capsular Contracture: Literature Review and Personal Technique.” Aesthetic Plastic Surgery. 2021. PubMed PMID 33543344
  5. Patel BC et al. „Breast Implants.” StatPearls. 2025. PubMed PMID 28723027

Medically reviewed and written by
Specialist in Plastic and Aesthetic Surgery 🇩🇪 🇪🇸 · Belegarzt (admitting privileges)
With more than 1,000 plastic and aesthetic procedures performed. Comes from a family with a long tradition in Plastic and Aesthetic Surgery.
Last reviewed: May 2026