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Breast implant Replacement surgery is breast surgery that involves removing old breast implants and replacing them with new implants. This procedure may be done to correct complications or in combination with other procedures, most commonly a breast lift or mastopexy. Implants can also be replaced to change the size or shape of the breasts if your preferences change with time.
Common reasons for Breast Implant Replacement include:
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
Breast implant replacement surgery typically takes place under general anaesthetic and lasts between 1 to 2 hours depending on the size and shape of the new breast implants, the technique your surgeon employs and whether combination surgery is undergone at the same time.
Your surgeon will start the procedure by removing the original implants via incisions made on the original scar site. If the new implant is similar in terms of size and shape, then the existing capsule will suffice and replacement surgery can be quick.
If the new implant is different from the original implant, then surgery is more complex as the capsule will need to be altered (either enlarged or reduced) in order to accommodate the new implant.
Once the new implant is in place, your surgeon will suture the breast along the your existing scarring line to leaving minimal scarring.
Cadogan Clinic considers individuals fit for the procedure, if all of the following are true of them:
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.
Mr. David Gateley
Mr. Manaf Khatib
Mr. Edmund Fitzgerald O’Connor
Mr. Hazim Sadideen
Mr. Will Sarakbi
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.
The first step for all of our implant replacement patients is to meet with the surgeon we feel is best placed to perform your procedure for a consultation. At the consultation you will be able to discuss with your surgeon what your hope to achieve from the procedure, as well as discuss in detail what may or may not be possible given your existing anatomy.
Your surgeon will take you through the options available to you, and which is the most preferential for you given your stated ambitions. Having established this, several key measurements will be made and standard clinical photography will be taken.
Some questions you might like to ask include:
Finally a comprehensive discussion regarding risks and complications will take place, alongside a discussion regarding what to expect in the post procedure and recovery phase. Your previous medical history will also be recorded (including previous surgery, medications, allergies etc.) and an assessment of your fitness for surgery.
If your surgeon feels you are a good candidate for surgery, you are then invited to consider whether you would like to proceed for surgery or otherwise following a two week 'cooling off' period.
Within this period you are welcome to come in and discuss your potential surgery with your surgeon as many times as you like.
02.Leading up to procedure
If you choose to proceed with surgery, the next time you come into the Clinic after your final consultation will be the day of your procedure. Before admission the following behavioural changes are recommended / required:
03.On the day
On the day of your procedure we ask that you arrive for your admission an hour before the agreed start time of surgery. At this point a nurse will come and record blood pressure and other relevant vitals, you will meet with your anaesthetist and your surgeon who will make the final mark-ups.
The procedure itself takes place under general anaesthetic over the course of one to two hours. Your surgeon will make an incision along your existing scar site, and remove and replace the implants via this aperture in the skin. Your surgeon may need to increase the size of the capsule and the incision site, if a larger or differently shaped implant is being used. Your surgeon will then re-suture along the same scar site once surgery is complete.
You should not feel much pain during the procedure, but you may have some for a few days or weeks afterwards. You'll be given painkillers if you need them.
Following the procedure, you will recover in our ambulatory recovery rooms for between two to three hours, dependent on the scale of the procedure. Once our specialist nursing team are happy that your initial recovery is complete and you are safe to return home, you will be allowed to leave the Clinic accompanied by a friend or member of your family.
Once home you will have access to our dedicated on-call nursing team 24 hours a day, 7 days a week. This team of specialists are dedicated to your comfort and pain control, and are there to field any questions you may have in the immediate post operative phase.
We ask that you come in and see our nursing team 1 week after surgery to ensure your incision sites have been properly reviewed. At this juncture we also recommend you meet with one of our on site aestheticians to discuss ongoing treatment to support the healing and scarring process.
We ask that you come in to see your surgeon after 6 - 8 weeks for a final check up.
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 is a foreign body that does not occur naturally in the human body. When a foreign body is introduced to the human body, the human body recognises it as foreign and organically forms a fibrous tissue capsule around the entire implant. This occurs with a breast implant 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 surgery is effective surgery in which the capsule can be removed (Capsulectomy) and a new implant inserted around which a new, healthy capsule can be formed and the original desired aesthetic restored.
What are pip implants and why should they be removed or replaced?
PIP implants were cheap silicone breast implants that were found to contain an unapproved silicone gel with potential health risks. They were also revealed as prone to splitting and up to six times as likely to rupture as high quality, approved implants.
PIP implants were largely used by low-cost, chain cosmetic providers due to the fact that they were the cheapest on the market. Almost 50,000 women in the UK received these implants.
Understandably, once this was found out by regulators, many women who had received the PIP implants wanted them removed or replaced, even though no link was ever directly proven to serious health complications.
During this crisis, the Cadogan Clinic became one of the most prominent corrective implant Clinics in the country, since 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.
Do you have to replace breast implants every 10 years?
Breast implants do not have an expiration date. It is not the case that implants should be replaced every 10 years. 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, which is usually a result of sub-standard implants or sub-standard surgery. This is not serious or a health risk, but may cause a change in shape or feel of the implant necessitating its removal.
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 implant 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.
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.
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
Breast Implant Replacement surgery is a safe procedure, but it is common after surgery to experience:
As with all surgical procedures, Breast Implant Replacement surgery carries some risk and it is possible that you might experience:
Your surgeon will discuss these risks comprehensively at your consultation and explain how likely these risks and complications are, and how they would be treated.
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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