Award Winning Specialist Clinic
We've won 12 top industry awards since 2010 and regularly feature in the national and international press.
Industry Leading Consultants
We've invited only the very best consultants in the country to practice with us.
Care Quality Commission
We're regulated by the independent regulator of health and social care in England.
GMC Registered Surgeons
All of our surgeons are registered with the General Medical Council.
Medically Reviewed April 2023, by Mr. Bryan Mayou (GMC: 1414396) - founder of the Cadogan Clinic and one of the world's leading plastic surgeons
Breast implant replacement or removal is a surgical procedure, which involves removing old breast implants and replacing them with new implants. This procedure is carried out to correct complications or because of recommendations made by your surgeon or the implants manufacturer. Implants may also be replaced due to an overall change in body size or shape, to better suit your proportions.
Breast implants can also be replaced as part of another procedure such as a breast lift. If your breasts have changed position over time, following a previous breast augmentation, you may wish to correct the positioning and replace the implants to give the best overall result.
Patients choose to replace their implants for a number of reasons. In some cases, it is recommended by surgeons or breast implant manufacturers to replace your implants after a certain amount of time (usually between 10-15 years). Other patients wish to replace their implants because their bodily proportions have changed due to weight loss or gain or because of the natural ageing process meaning the size of their implants no longer suits their frame.
Some patients also opt to replace their breast implants as part of another procedure, to enhance the final result. This may be because of a change of position, shape or size, or because a specific implant model is best suited for the procedure a patient has chosen to have.
1 - 2 hours
Time off work
1 - 2 weeks
Shower after 1 week
Bras & Garments
Sports bra worn for 8 weeks
Restricted activity after 4 weeks
Sleeping on back
Sleeping on back recommended for 1-2 weeks
6 - 8 weeks
1 - 2 weeks
Replacing breast implants is a surgical procedure carried out under general anaesthetic, so you are asleep throughout your surgery and unaware of what is happening around you until you wake up. The surgery usually takes 1-2 hours, however this can be longer if another surgical procedure is involved.
Your surgeon will make new incisions following the same line as your previous surgery, to prevent new scarring. If the new implant is a similar size and shape to the planned replacement, then they will preserve the existing capsule (the area in which the implant sits) and the overall surgery will be very fast, often taking less than an hour. If the new implants are different from the originals, your surgeon will perform a capsulectomy, where part of the breast tissue that has healed around the breast implants is altered or removed to ensure the new implants sit comfortably and are in the correct position.
Once the new implants are in place, your surgeon will suture the breast along your existing scarring line to leave minimal scarring.
At Cadogan Clinic, our consultant surgeons will assess whether you are suitable for an implant replacement in a bespoke one to one consultation.
Your surgeon will examine your breasts and discuss any concerns you may have about your current breast implants. They will discuss your expectations of surgery and ensure you understand the results that are possible for you. Your surgeon may also ask you to have a mammogram or ultrasound scan of your breasts to check for any damage to your current implants. If your original surgery was performed by a different surgeon, you will need to obtain the information about your current implants so your surgical team can add this to your medical records. They will also assess your general physical and mental health to make sure you are suitable for a general anaesthetic procedure, this may include your weight, and any medical and mental conditions you have.
You must be over 18 to have this procedure.
Words from our clients:
"I was extremely satisfied with the care and treatment I received at the Cadogan Clinic. My surgeon was friendly and informative and explained the procedure fully. My procedure went very well and with the excellent care of the nursing staff, I made a speedy and full recovery. Would recommend to anyone."Eva Berry
"At the beginning before the operation the nurse taking care of me made me feel so comfortable. The surgeon and anesthetist helped me feel so calm. Fantastic before and after treatment"Scarlett Elliott
"The girls on the reception at the clinic were very pleasant and professional. The nurse who took out my stitches after my surgery was just lovely and took me through step by step what she was doing and she also recommended a great cream to use to help with healing."Georgina Nolan
“I was treated with care and provided with thorough knowledge about the procedure I was undertaking. My surgeon was very methodical (a perfectionist) and I felt I received A class treatment."Courtney O'Sullivan
"Outstanding experience from the first appointment to being discharged. Very professional, friendly and a fantastic outcome."Gemma Stevenson
"Reception staff very welcoming and efficient. Both nurses who I dealt with were fantastic, and the whole team (anaesthetist, surgeon etc) were friendly but professional, and really put my mind at ease. That I was able to stay later than I perhaps needed after my surgery to fit in with my husbands schedule was greatly appreciated."Emma Davies
Included in this treatment
Up to two 60 minute consultations with a leading specialist plastic surgeon at our award-winning premises in Chelsea
Your procedure carried out at London’s leading specialist cosmetic surgery centre of excellence
24/7 on call nurse assistance
Dedicated Patient Co-ordinator, as a personal point of contact through your journey with Cadogan
A pre-operative medical assessment to ensure you are fit for surgery
Comprehensive post-operative aftercare courtesy of our specialist cosmetic nurses
Regrettably, implant replacement has become increasingly popular in light of recent concerns raised around the quality of implants after the PIP controversy, when disreputable providers utilised poor-quality materials in a bid to cut costs.
The Cadogan Clinic is one of the very few facilities to have never used low-quality PIP products - sadly, other clinics have not made the same commitment to these high standards of healthcare practice in the past. As such, we are a trusted source for anyone needing implant replacement with a safe, high-quality alternative. We have built a world-leading reputation for the replacement of implants carried out by lower-end cosmetic clinics, and we strongly recommend that you contact us if you are experiencing any irritation or inflammation in your chest area and think you may have been exposed to PIP implants in the past.
If you have previously had breast implant surgery at the Cadogan Clinic, you can rest assured your implants are of the highest quality and are not PIP implants.
We have invited a selection of the country's very best consultants to join us at the Cadogan Clinic so that you can be sure that whatever the nature of your treatment, you will be seeing one of the top practitioners in the country.
Miss Sujatha Tadiparthi
Mr Jonathan Britto
Mr. David Gateley
Mr. Manaf Khatib
Mr. Hazim Sadideen
Mr. Will Sarakbi
Mr. Hagen Schumacher
Mr Mark Solomos
Mr. Paul Tulley
Mr. William Van Niekerk
Below you will find some key information to help you prepare for surgery and make necessary arrangements to ensure you have the support you need and that everything runs smoothly on the day.
You will meet your consultant for up to two consultations at our award-winning Chelsea based clinic to discuss your surgery and the results you are looking for from replacing your breast implants. Your surgeon will spend 30-60 minutes discussing your concerns and explaining what you can expect from your results. They may also show you before and after photos of previous patients who are similar to you, so you can visualise your results.
Our surgeons recommend writing any questions you have down so you walk into your consultation fully prepared and are able to get the most from your conversation with your surgeon.
Your surgeon will also assess your overall health and wellness to ensure you are fit for a general anaesthetic surgery. They will complete your medical records by taking your measurements and photos. They may ask you to have a mammogram or ultrasound scan of your breasts to check that your implants are not damaged.
Your surgeon will send your completed surgical plan through to your dedicated patient advisor. If the surgeon has recommended for you to have your breast implants replaced, your advisor will contact you with the surgical plan, your quote and discuss your surgeon’s next available dates. You will then have a compulsory two week cooling off period to allow you to decide on whether to proceed with your surgery.
02.Leading up to procedure
If you decide to replace your breast implants, your next trip to the clinic will be on your surgery day. To allow your procedure and recovery to proceed as smoothly as possible, your surgeon will ask you to prepare using the following instructions:
03.On the day
You will be asked to arrive at the clinic an hour before your scheduled surgery time. You will be greeted by our nurses, who will conduct a pre-op check, to ensure you are ready for surgery. You will then speak with your surgeon and anaesthetist who will be able to answer any questions and who will explain what you can expect from the day. Your surgeon will complete any marking they need to on your body so you are ready to be operated on.
Once you are taken into theatre, your surgical team will get you settled and comfy on the bed and your anaesthetist will administer the general anaesthetic. All procedures at Cadogan Clinic are carried out using Total Intravenous Anaesthesia (TIVA) which is a highly effective yet gentle anaesthetic which reduces the risk of sickness after your procedure and allows for a faster recovery time.
Your surgeon will then complete the procedure and replace your breast implants. Once the surgeon has finished, you will be taken to our recovery ward. You will recover from the anaesthetic and a nurse will check your blood pressure, heart rate and temperature once you have woken up. Once you are comfortable, you will transfer to the ambulatory ward where you will have something to eat and drink in your own room. Our nurses will talk you through any recovery steps you need to take during your first few days at home, plus any medication you need to take. When you are ready to leave, the nurses will discharge you and ask your chaperone to collect you.
During the first few days following your implant replacement you may experience some discomfort and pain. Your surgeon and anaesthetist will have prescribed any medications you will need to minimise any pain and keep you comfortable. You will be mobile 1-2 days after surgery and able to bathe normally after 3 days.
You will wear a surgical bra for up to 8 weeks post-surgery, day and night. This will reduce swelling, assist with healing and maintain your surgeon’s expected results.
You will have an in person appointment with our nurses one week after surgery. They will assess your wounds, remove any stitches and change your dressings. They will explain how to change and remove your dressings in the following weeks and answer your questions.
You will have an appointment with your surgeon 6 weeks after your procedure to allow them to check your final results and take your final photographs for your medical records. You will still be able to contact our specialist nurses after this appointment if you have any questions or concerns.
The Patient Journey. A breakdown of what you can expect on your journey with us
We are deeply invested in ensuring that every step of your surgical journey with us is as informative and reassuring to you as it can be. This article outlines what you can expect at each stage of the journeyThe Patient Journey
What questions should I ask during my consultation?
Your consultation is designed to be perfect opportunity to ask all the pressing questions that you have to your consultant, ahead of making a decision on surgery. It is vital that you are fully informed before making your final decision, and the consultation is therefore a key part of the education and decision making process.
Some good examples of questions to ask, include:
What can I expect after breast implant replacement surgery?
After your surgery, you will be asked to come in for a post-operative appointment to come back and see our nursing staff at the Clinic between 1 and 2 weeks after your surgery. At this point your incision sites will be reviewed, and your preliminary healing will be assessed.
After 6 weeks your surgeon will personally review your progress – again at the Clinic - and make sure you are recovering as expected. In addition, they will remove any stitches and advise you on the need for further dressings.
Throughout the recovery period you will have full access to our 24/7 on call nursing service, and full access to the Clinic and our post-operative facilities.
Our aim is to make you feel as comfortable as possible during the entirety of your recovery period.
How will I feel after my surgery?
As your anaesthetic or sedation wear off you will wake up in our recovery facilities at the Clinic. You may feel a little drowsy but this often wears off within a few hours. After several hours in recovery, you will eat and hydrate. At that point, you will be allowed to leave the Clinic by our nursing staff.
It is common to feel a little pain and discomfort in the immediate aftermath of surgery. This will wear off in due course. Our 24/7 on call service is open to all patients for any question or query they may have at this time.
How will I get home after my surgery?
You will not be able to drive yourself home after the surgery. You should arrange for someone to pick you up and take you home. In addition, you will need to ask someone to stay with you for the first 24 hours after your procedure.
How much time will I have to take off work and exercise?
One of the major benefits of day case surgery and the anaesthetic used at the Cadogan Clinic (TIVA) is that recovery is typically very swift and patients can be back at work and active very shortly after the procedure. Whilst the extent of such activity should be gradually phased in, you should be back at work within a week or two and exercising within four to six weeks.
We always advise that you return to low impact activities first like walking and cycling before you are able to reintroduce more strenuous activity such as lifting heavy weights and doing intense aerobic activities.
When will I see the final results of my implant replacement surgery?
Final results are typically first seen six or so weeks after your procedure, with ongoing improvements beyond this point likely as the healing process fully completes over the next 3 months or so.
Your surgeon will be able to give you specific guidance at your consultation.
What effect can smoking and alcohol have on my results?
Certain lifestyle factors can increase the risk of complications during and after your surgery. These include smoking, drinking alcohol, being overweight and taking drugs (for medical or recreational use.)
The most common impact of smoking before your surgery is that it increases your chances of developing an infection and inhibits your body's natural healing processes. We insist that all patients stop smoking and using nicotine products at least six weeks before surgery. Reducing alcohol intake is also strongly advised.
Your doctor will discuss your current BMI and drug use at your consultation and advise you further on this.
What is capsular contracture?
A breast implant introduces foreign material to the human body, which our body recognises and organically forms a fibrous tissue capsule around. This occurs with every breast implant surgery and is completely normal and expected.
The capsule formation process will be slightly different from person to person, however. In those who form more scar tissue (who 'scar easily'), the breasts develop an excessively hard or high volume of tissue around the breast, which may form with the muscular tissue and cause it to contract.
This is called capsular contracture, and can cause problems with the appearance of the breast implant, deforming the size, shape and proportions of the breast. The contractions themselves can also be uncomfortable for the individual. Breast implant replacement can remove the capsule (a capsulectomy) and a new implant inserted, which encourages a new, healthy capsule to be formed and the aesthetic appearance restored.
What are PIP implants and why should they be removed or replaced?
PIP implants were silicone breast implants that contained a silicone gel that was not approved for use in surgery and had potential health risks. They were also found to be up to six times as likely to rupture as high quality, approved implants.
PIP implants were largely used by cosmetic surgery providers who were looking ot reduce their costs due to the fact that they were the cheapest on the market. Around 50,000 women in the UK received these implants.
Even though no link was ever discovered to link PIP implants to serious health concerns, understandably, many patients who had received the PIP implants in their surgeries wanted them to be removed or replaced.
During the height of the crisis, Cadogan Clinic was at the forefront of assisting patients in replacing their breast implants. As we never used PIP products and enjoy a reputation as one of the leading specialist plastic and cosmetic clinics in the country we continue to see PIP patients today.
How do I know if I have a ruptured implant that needs to be replaced?
Signs of a ruptured implant include:
Ruptured implants need to be removed or replaced as soon as they have been diagnosed.
Are breast implants difficult to remove or replace?
Breast Implant Replacement surgery is relatively straightforward surgery.
Most implants can be removed quite easily, even under local anaesthesia. Polyurethane covered implants (Polytech) can be more difficult to extract, if one wants to remove all the foam covering.
Surgery time is commonly no more than an hour or two.
Why do some people combine implant replacement with breast lift?
The breast will typically resume a normal shape and volume in the few weeks following surgery.
In some instances, particularly in older patients, there may be some excess skin or tissue caused by the effects of ageing or by stretching during pregnancy or weight gain.
Some patients elect to have a combination mastopexy (breast lift) at the same time to ensure to this loose skin is pre-emptively tightened around the new breast mould or even excised completely. This procedure can also ensure an optimal breast and nipple position is delivered, and that the breasts feel firmer following surgery.
Will I need breast implant replacement after my breast enhancement?
Breast implants do not have an expiration date so you may not need to replace them at any stage following surgery.
Breast implant replacement surgery, or a change of implants, is typically only necessary when the breast implants no longer looks or feels good.
Sometimes a change of implants is necessary after childbirth, or due to the natural effects of ageing or following weight loss. In each instance, saggy breasts or asymmetric breasts can easily be corrected by a change of implants.
How is breast implant removal different from implant replacement?
Breast Implant Removal differs from Breast Implant Replacement in so far as the implant is removed and not replaced during such surgery.
After Breast Implant Removal the skin and tissue will retract to how they were before your initial breast implant surgery, meaning that in all likelihood no additional procedure will be required to restore your previous look.
In some instances, however, natural fat transfer breast augmentation alternatives might be necessary to counteract any appearance of breast deflation or emptiness.
Will I need breast implant removal after my breast enlargement?
Breast implant removal surgery is not usually required following breast implant surgery, and is only necessary in the rare instances where there is a complication following surgery. This could be capsular contracture or a ruptured breast implant.
We would typically ask you to get a scan to confirm what has happened, before coming in for a breast implant removal consultation with your surgeon.
When do breast implants need replacing?
Breast implants do not have an expiration date. It is not the case that implants should be replaced every 10 years. Breast implants only need to be replaced if they break or rupture. If implants are looking good and feeling good there is no reason to change them.
Breast Implants only need to be replaced in the very rare case whereby they break or rupture. When a saline breast implant ruptures, it can result in a dramatic change in the appearance of the breast, which will effectively deflate, changing its size and shape. In the rare event of a silicone implant rupture, any leaks tend to stay inside the implant, so a silicone breast implant rupture is not always obvious. However a leaking silicone implant may cause pain, tenderness, numbness, swelling, burning or changes in sensation.
Implants can also be replaced for personal reasons, including wanting to change the shape or size of the implants, breasts change due to weight loss or gain, age or having children.
What happens if you don’t replace breast implants that need removing?
If you think you require breast implant removal then we recommend you get in touch with your surgeon to discuss this immediately.
Implants that require removal or replacing must be removed addressed swiftly, particularly in the case of ruptured implants or capsular contracture.
Where can I get my implants checked or removed?
All of our breast surgeons perform breast implant removal surgery at the Cadogan Clinic. Breast implant removal is straightforward surgery and takes no longer than one hour to complete. If you have any concerns and would like your breast implants checked for potential ruptures, please get in touch with our surgeons who can arrange an ultrasound or MRI scan for you.
Why is Cadogan Clinic so well known for breast implant replacement?
The Cadogan Clinic has become a well-known provider of implant replacement services as our reputation as a trusted cosmetics provider was enhanced following the PIP scandal that implicated so many of our competitors.
As one of the few Clinics in the country not to use PIP products and insist on higher quality products, we were at the forefront of the replacement drive. It remains one of our most commonly performed surgical procedures at the Clinic to this day.
What happens to your breasts when you remove implants?
When breast implants are removed and not replaced, the skin and tissue should retract to how they were before your initial breast implant surgery, meaning that in all likelihood no additional procedure will be required to restore your previous look. However sometimes breasts can appear saggy, droopy or misshapen after breast implant removal. If this is the case, then you may want to consider a breast lift (mastopexy), which can be performed at the same time as implant removal.
Can you have breast implants removed and replaced at the same time?
Yes, you can have breast implants removed and replaced at the same time. However if you have an infection your surgeon will ask you to wait for this to clear up before putting in any new implants. This may take in the region of three months.
Will I feel better after breast implant removal?
If you are suffering pain associated with capsular contracture, removing implants can provide almost instant pain relief. If large or over-sized implants are causing you neck or back pain, then removing these will help to alleviate this pain. If you are experiencing any symptoms of a silicone implant leak, removal will help to resolve this.
What breast implants are used in the UK?
There are two types of implants, silicone and saline. Saline implants are silicone shells filled with sterile salt water (saline). Silicone implants are silicone shells filled with a plastic gel (silicone).
Silicone implants are the most popular as they look and feel more natural and are less likely to wrinkle, ripple or rupture.
Can breast implants be removed and not replaced?
Yes, implants can be removed and not replaced. A person may decide to have their implants removed and not replaced due to natural body changes or personal preference. Occasionally implants may be removed for health reasons, such as capsular contracture.
Can you replace just one breast implant?
Yes it is possible to replace just one breast implant, for example in the case of implant rupture. Great care will be taken when inserting the new implant that symmetry is maintained with the other breast.
How long is breast implant replacement surgery?
Breast implant replacement surgery takes one to two hours from start to finish. The total time depends on a number of factors, including the type of implant used and whether one or both implants are being replaced. The procedure is carried out under a general anaesthetic.
Founded in 2004 by world renowned plastic surgeon Mr Bryan Mayou, we now work with over 100 leading consultants and successfully treat over 20,000 patients each year. We have been winning industry awards since inception.About Us
Best in Class Facilities
All of our treatments take place at our beautiful boutique premises in Chelsea. We have six consulting rooms and five operating rooms, as well as a dedicated pre and post-operative suite, and a full team of specialist nursing staff.Our Clinic
A Strong Tradition of Innovation
We were founded in 2004 by world renown plastic surgeon Mr Bryan Mayou, best known for his pioneering work in the area of liposuction, lasers and microvascular surgery. We continue to collaborate with pioneers in our field.Our History
At Home in Sloane Street, London
We are proud that our state of the art award-winning clinic is located in one of the best neighbourhoods in the countryWelcome to Sloane Street
We offer surgical consultations in London, Birmingham, Chelmsford and Bristol, and attract international patients from all corners of the globe such as as the USA, the Middle East and Europe.Get in Touch
When undergoing Breast Implant Replacement, or any cosmetic surgery, There are risks and potential complications that may occur and you should be aware of. Although Breast Implant Replacement is usually a positive experience with high quality results, there are risks that you need to consider and discuss with your surgeon.
In the event of any unforeseen complications or less than optimal overall outcome, a revision surgery may be required following your initial surgery. The need for a revision surgery can arise due to factors beyond the surgeon’s control. Our skilled consultant surgeons are qualified professionals who have performed Breast Implant Replacement numerous times.
It is also important to to acknowledge that all surgical procedures carry a slight risk of:
Your surgeon will assess your personal risk for all of these factors alongside your general health and suitability for surgery. They will also explain how these risks would be addressed and treated in the event they occur. If you need to take any measures to mitigate these risks.
We believe in the delivery of excellent outcomes and results, and exceptional levels of service. Our outcomes are natural and long-lasting, and we remain the premier choice for cosmetic surgery treatments in the UK.
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Natural Breast Enlargement
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