Breast implants can enhance confidence and body proportions, but they are not designed to last forever. Over time, some women choose—or need—to update their implants due to lifestyle changes, aesthetic preferences, or medical reasons. If you’re considering a change, you may be wondering whether you need breast implant replacement or breast implant revision. While these procedures share similarities, they serve different purposes. Understanding the differences can help you make an informed decision about your next steps.
What Is Breast Implant Replacement?
Breast implant replacement involves removing existing implants and replacing them with new ones. This procedure is often straightforward, particularly if there are no complications with the original implants or breast tissue.
Common Reasons for Breast Implant Replacement
- Implant Lifespan – While modern implants are durable, they typically last 10 to 15 years before replacement is considered.
- Desire for a Different Size or Material – Some women choose a larger or smaller size or switch between saline and silicone implants for a different look and feel.
- Breast Changes Over Time – Pregnancy, weight fluctuations, or the natural aging process may alter how implants sit, prompting a desire for an update.
- Upgrading to Newer Implant Technology – Advances in implant design, such as more natural-feeling silicone or improved implant shapes, may encourage replacement.
What Is Breast Implant Revision?
Breast implant revision is a more complex procedure aimed at refining, correcting, or improving the results of a previous breast augmentation. While replacement simply swaps out old implants for new ones, revision may involve additional adjustments to the breast tissue, implant pocket, or surrounding skin.
Common Reasons for Breast Implant Revision
- Correcting Asymmetry – Implants may shift over time, causing uneven breasts that require repositioning.
- Refining the Shape or Position – Some women seek a more natural slope, better projection, or adjustments to how the implants sit on the chest.
- Implant Rupture or Leakage – If a saline implant leaks, the body absorbs the saline, causing noticeable deflation. Silicone implant ruptures may be less obvious but still require replacement.
- Capsular Contracture – A common condition where scar tissue hardens around the implant, causing discomfort or distortion.
- Addressing Complications – Issues such as rippling, bottoming out (implants sit too low), or double bubble deformity (when the implant and natural breast tissue separate) may require surgical correction.
- Replacing Implants with Additional Enhancements – Some patients opt for a breast lift or fat grafting to refine their results alongside revision.
Key Differences Between Breast Implant Replacement & Revision
| Factor | Breast Implant Replacement | Breast Implant Revision |
| Purpose | To upgrade or replace implants | To correct or refine previous augmentation |
| Complexity | Generally straightforward | More intricate, may involve tissue adjustments |
| Surgical Approach | Direct implant exchange | May require internal sutures, fat grafting, or a breast lift |
| Ideal Candidates | Those needing a size/material change or addressing implant lifespan | Those experiencing implant complications or unsatisfactory results |
How to Decide If You Need Replacement or Revision
Determining whether you need implant replacement or revision depends on several factors. Consider the following:
- Are you experiencing pain, discomfort, or complications?
- Are you dissatisfied with the look or feel of your implants?
- Have your implants reached their expected lifespan?
- Do you want a different implant size, shape, or material?
- Have your breasts changed due to pregnancy, aging, or weight fluctuations?
The best way to determine your ideal procedure is through a consultation with a board-certified plastic surgeon who can assess your anatomy, concerns, and aesthetic goals.
The Breast Implant Replacement/Revision Process
If you decide to move forward with a procedure, here’s what to expect:
- Consultation – A detailed discussion of your goals, concerns, and surgical options.
- Personalized Surgical Plan – Your surgeon will recommend the best approach for your needs.
- Procedure Day – Surgery is typically performed under general anesthesia, with techniques varying based on the complexity of the procedure.
- Recovery – Most patients experience swelling and tenderness for a few weeks, with a return to normal activities in four to six weeks.
Final Thoughts: Choosing the Right Procedure for You
Whether you’re looking to refresh your results, correct implant concerns, or upgrade to a different style, breast implant replacement and revision offer effective solutions. The key is to work with an experienced, board-certified plastic surgeon who can guide you through the best options for your body and aesthetic goals.
At Hankins & Sohn Plastic Surgery in Las Vegas, we specialize in breast implant revision and replacement procedures tailored to each patient’s unique needs. If you’re considering updating your breast implants, schedule a consultation today to explore your options.