What is a Breast Implant Exchange?
Breast implant exchange surgery (also known as breast implant revision surgery) is a surgical procedure performed after undergoing breast augmentation. During a breast implant exchange, the old breast implants are removed, and new saline implants or silicone implants are placed within the breast tissue.
There are a number of reasons why women choose to have a breast revision surgery, including weight loss or gain, breastfeeding, desire for a larger or smaller size implant (or implant type, as in saline to silicone), or breast sagginess. Other women experience complications of a breast augmentation procedure like implant rupture, implant malposition, or capsular contracture and opt for revisional breast surgery.
Breast implant exchange can be performed by your original breast augmentation plastic surgeon or another board-certified plastic surgeon specializing in revision surgery like breast implant exchange.

Before Your Breast Implant Exchange
The first step to start your breast implant exchange journey is to have a consultation with Dr. Timothy Janiga. He will walk you through the procedure and ensure it’s the right procedure for your needs. You may also need to adjust the medications you’re taking, stop smoking if you’re a smoker, and arrange for someone to drive you to and from surgery. We’ll give you detailed instructions on what to do before your surgery date.
Your Breast Implant Exchange Procedure
With aging, the breasts can become more ptotic, or saggy. During a breast implant exchange, a breast lift procedure may be used to elevate the nipple-areolar complex to a more youthful location. It can also be used to get rid of excess skin. This is called a mastopexy or breast lift. The type of breast lift performed depends on the degree of sagginess and the amount of natural breast tissue.
Incisions for breast implant revision surgery are typically the same ones used during your breast augmentation – for example, within the breast fold. When the existing breast implants are removed, the capsule of scar tissue that forms around the breast implant can be removed by your plastic surgeon with a capsulectomy, released with a capsulotomy, or repositioned with a capsulorrhaphy. Once the scar tissue is removed, the new breast implant can be placed in the existing implant pocket, or it can be placed in a different pocket location based on your goals.
Meet Your Specialists
After Your Breast Implant Exchange Procedure
Breast implant exchange recovery is similar to your initial breast augmentation surgery. You should expect to take one or two weeks away from your regular schedule to rest and recover, during which you’ll wear a surgical bra to support your new breast implants for at least 3 weeks.
You’ll be prescribed medications to manage discomfort and swelling. Make sure to avoid exercise and heavy lifting for at least six weeks. You will also need to avoid laying on your stomach for at least 6 weeks.
What to Expect After Breast Implant Exchange
Your final results will begin to emerge between three weeks to three months after your procedure. After about 3 months, you will have no further limitations and will be able to return to your usual day-to-day routines.
Frequently Asked Questions
Can breast implants be exchanged?
Can breast implants be reduced in size?
Do breast implants change shape over time?
How long do breast implants last?
Can you feel a ruptured breast implant?
Learn More About Breast Implant Exchange at JanigaMDs
Breast implant exchange surgery can have a lot of benefits. Whatever your reasons or goals, we can recommend your best options. To schedule a consultation and begin planning your ideal breast implant exchange procedure, contact our Reno office to meet with Dr. Timothy Janiga by calling or filling out our online form.