Breast Implant Replacement Surgery in Sydney

Breast implant replacement surgery is a procedure that may be considered by some patients to address complications with existing implants or to change implant characteristics such as size or type. It is invasive surgery that carries risks and potential complications, and outcomes vary between individuals.

In Sydney, this operation may last around 1–3 hours, depending on the complexity of the surgery and the specific techniques used. Fee estimates at some clinics for breast implant replacement surgery may range from approximately $9,000 to $15,000; however, actual costs will depend on individual circumstances, surgical complexity, hospital and anaesthesia fees, and the type of implant chosen. These figures are indicative only and are not a quote or guarantee of fees.

Patients are encouraged to seek a thorough consultation with a suitably qualified specialist plastic surgeon to discuss their goals, medical history, risks, benefits, alternatives and likely recovery before deciding whether this surgery is appropriate for them.

About Dr Mohammad Hassan Mohaghegh

Surgeon: Dr Mohammad Hassan Mohaghegh

Qualifications: MD, MPhil, FRACS (Plast)

AHPRA Registration: MED0001627149

Registration type: Registered medical practitioner, Specialist Plastic Surgeon (specialist registration in Surgery – Plastic Surgery)

Practice name: Dr Mohaghegh Plastic Surgery Sydney

Website: drmohaghegh.com.au

Phone: 1300 074 466

Email: hello@drmohaghegh.com.au

Address: Shop 1/161 New South Head Rd, Edgecliff, NSW 2027

Information on this page is general in nature and does not replace an in-person consultation and assessment with a qualified medical practitioner. Advertising for cosmetic surgery must be honest, balanced, realistic and informative, and should clearly identify the practitioner’s registration type and specialty where applicable.

Breast Implant Replacement

Breast implant replacement, also known as breast implant revision or secondary breast augmentation, is a surgical procedure in which existing breast implants are removed and new implants are inserted. This type of surgery may be considered to address complications such as implant rupture or capsular contracture, or to change the size or type of implant following an earlier augmentation. Not all patients with implants will require or benefit from replacement, and a detailed assessment is required before any decision is made.

The procedure can sometimes be used to address issues like implant malposition, asymmetry or visible rippling, and in some cases to adjust breast shape. It may also provide an opportunity to change implant dimensions or position. The extent to which these goals can be achieved will differ between individuals due to factors such as anatomy, tissue quality, previous surgery and healing responses, and therefore results cannot be guaranteed.

During breast implant replacement in Sydney, surgeons may use techniques designed to minimise additional scarring where clinically appropriate, such as using previous incision sites. Depending on the clinical situation, it may be necessary to remove some or all of the capsule (scar tissue) surrounding the implant, a procedure known as capsulectomy. In some cases, a breast lift (mastopexy) may be recommended at the same time to address breast ptosis (sagging), but this will depend on examination findings and patient preferences.

Breast implant replacement surgery is not suitable for everyone and is not a simple “swap” in all cases. It is important that patients understand the potential benefits, risks, limitations, alternatives and the possibility of further surgery in the future.

Information about Breast Implant Replacement

Breast implant replacement involves the removal of existing implants and placement of new implants during the same operation, where clinically appropriate. In Sydney, patients considering implant revision may present with changes in implant condition over time, changes in their aesthetic preferences, or concerns related to medical or mechanical complications. A clinical assessment is required to determine whether replacement surgery is appropriate and what approach might be indicated.

The operation often takes approximately 1–3 hours, depending on factors such as the need for partial, total or en bloc capsulectomy, changes to implant pockets and whether additional procedures (for example, a breast lift) are required. Incisions are typically made in or near the location of previous scars if this is suitable from a surgical and safety perspective. New implants may differ in size, shape or material from the previous implants, but this is decided in consultation with the patient after a detailed discussion.

Recovery from breast implant replacement can be similar to or sometimes longer than recovery from the initial augmentation, depending on the procedure performed. Most patients may return to light activities after a period that might range from about 1–2 weeks, although complete recovery, including return to strenuous exercise and heavy lifting, usually takes longer and must be guided by the surgeon’s advice. Individual recovery experiences will vary.

What is a Breast Implant Replacement?

Breast implant replacement is a secondary breast surgery in which existing implants are removed and exchanged for new ones. In addition to changing implants, the operation may involve addressing issues that have developed since the primary augmentation, such as capsular contracture, implant malposition or changes in breast tissue.

In some cases, the surgeon may need to make adjustments to the implant pocket or surrounding breast tissue to support the new implant in a more suitable position. A capsulectomy, which is the removal of part or all of the scar tissue capsule around the implant, may be carried out where indicated. An en bloc capsulectomy (removal of the implant and capsule together) may be considered in selected cases, for example where there are specific concerns about the integrity of the implant or capsule.

Prospective patients should understand that breast implant replacement surgery is more complex than simply exchanging one implant for another and involves its own set of risks and considerations. A personalised assessment and discussion with a specialist plastic surgeon is essential to determine whether this procedure is appropriate and to formulate a treatment plan.

Types of Breast Implant Replacement Procedures

There are several approaches to breast implant replacement surgery. The most suitable technique will depend on the patient’s anatomy, condition of the implants and capsule, previous surgical history, and the reasons for replacement. The following descriptions are general only and may not apply to all patients.

1. Implant replacement without capsulectomy: In some situations, the surgeon may remove the old implant and insert a new implant while leaving the existing capsule (scar tissue around the implant) largely intact. This may be considered when the capsule is soft, non-constricting and not causing symptoms, although the suitability of this approach must be assessed on a case-by-case basis.
2. Implant replacement with partial or total capsulectomy: In other patients, removal of part (partial capsulectomy) or all (total capsulectomy) of the existing capsule may be recommended. This is often considered when the capsule has become thickened or contracted (capsular contracture), is causing discomfort or distortion, or is otherwise judged to be problematic by the surgeon.
3. En bloc capsulectomy: In selected cases, the implant and capsule may be removed together in one piece, which is referred to as an en bloc capsulectomy. This technique may be used where there are specific concerns such as suspected rupture or certain other complications. En bloc resection is not necessary or appropriate in every situation and can carry its own risks; the decision to perform it is made after careful evaluation.

The choice of technique is based on the patient’s individual clinical circumstances, the condition of the implant and capsule, and a detailed discussion between the patient and the surgeon about risks, benefits and alternatives. No single approach is suitable for everyone.

Why Consider Breast Implant Replacement?

Patients may consider breast implant replacement surgery for a variety of reasons. Common indications include mechanical or structural issues with the existing implant, changes in the breast over time, or a desire to alter the size or type of implant used. Not all patients with these concerns will require surgery, and non-surgical options or observation may be appropriate in some cases.

Potential Reasons

• Confirmed or suspected implant rupture or significant leakage.
• Capsular contracture, in which the scar tissue around the implant becomes firm or distorted and may cause discomfort or visible changes.
• Desire to change implant size, shape or material (for example, saline to silicone or vice versa).
• Implant malposition, asymmetry or visible rippling that is not acceptable to the patient.
• Concerns about breast implant illness (BII) or breast implant–associated anaplastic large cell lymphoma (BIA-ALCL); in these cases, a thorough clinical assessment and discussion of current evidence and management options is important.
• Aging of implants over time, often after 10–15 years or more, with changes in implant integrity or breast appearance.

Potential Benefits

Possible benefits of appropriately planned breast implant replacement may include improved breast shape or symmetry, relief from discomfort associated with capsular contracture or malposition, and the opportunity to change implant characteristics. In some medically necessary situations, replacement may form part of the management of complications such as rupture or significant contracture.

It is important to note that cosmetic surgery advertising must not make unsupported claims about psychological or social benefits, or suggest that surgery will definitely improve self-esteem or body image. Individual responses vary and surgery may not address underlying psychological concerns. Patients should discuss their expectations with their surgeon and, where indicated, may be referred for psychological assessment.

Costs and Financial Considerations

The cost of breast implant replacement surgery in Sydney can vary widely. Factors that influence the overall cost include the surgeon’s fees, hospital or day surgery facility fees, anaesthetist’s fees, the type of implants selected, and the complexity of the procedure (for example, whether capsulectomy or a breast lift is also performed).

As an approximate guide, some patients may be quoted between $9,000 and $15,000 or more for breast implant replacement surgery, depending on the factors described above. This range is indicative only and does not constitute a formal quote. An accurate cost estimate can only be provided after consultation and clinical assessment.

In many cases, cosmetic breast implant replacements are not covered by Medicare or private health insurance, especially when the surgery is primarily for aesthetic reasons. Partial rebates or contributions may sometimes apply where there is a recognised medical indication, such as significant capsular contracture or implant rupture that meets relevant item number criteria. Patients should discuss possible Medicare item numbers, private health fund rules and any out-of-pocket costs directly with the clinic and their insurer.

Before and After Photographs

Before and after clinical photographs can help some patients understand the range of possible outcomes and assist with discussions during consultation. Any such images must be of real patients treated by the practitioner, must not be edited or enhanced, and should be presented with consistent lighting, positioning and clothing to avoid being misleading. They must also be accompanied by a clear statement that results vary between individuals.

In line with current cosmetic surgery advertising guidelines in Australia, any before and after images used for breast surgery must be displayed in a manner that does not create unreasonable expectations or trivialise surgery. Images of naked breasts must not be used in advertising materials; modest clinical photography is required. Patients should be advised that photographs represent only the outcomes achieved for those particular individuals and do not guarantee similar results for others.

Prospective patients may have the opportunity during a private consultation to view appropriate clinical photographs, where consent for such use has been given, to help them understand potential approaches and limitations of surgery. Consent for image use must be obtained separately from surgical consent and can be withdrawn at any time.

What to Expect During Breast Implant Replacement

Breast implant replacement surgery is usually performed under general anaesthesia in an accredited hospital or day surgery facility. The procedure commonly takes around 2–3 hours, although this will vary based on the complexity of the case, whether capsulectomy is required and whether additional procedures are performed at the same time.

The operation often begins with reopening an existing incision, where this is suitable, to access the implant pocket. The old implants are carefully removed and, if indicated, part or all of the surrounding capsule is excised. Following necessary adjustments to the pocket or breast tissue, new implants are inserted. The incisions are then closed with sutures, and dressings and a supportive garment are applied.

Patients are monitored in the recovery area following surgery and are given instructions regarding pain management, wound care, activity restrictions and follow-up appointments. It is important for patients to arrange appropriate support at home in the early recovery period and to avoid driving or operating machinery until medically cleared.

Recovery Timeline

Recovery following breast implant replacement differs between individuals, but a general outline may include:

• Week 1–2: Rest and limited activity at home, with a focus on pain control, wound care and wearing a surgical or supportive bra as advised. Swelling, bruising and discomfort are common in this phase.
• Week 3–4: Gradual return to light daily activities. Many patients experience reduced discomfort and can slowly increase mobility, but heavy lifting and strenuous exercise should still be avoided unless specifically cleared by the surgeon.
• Week 6 and beyond: Many patients are able to resume most usual activities, including more vigorous exercise, after the surgeon’s review and approval. Scars will continue to change and usually soften and fade over several months. Final results can take 3–6 months or longer to become fully apparent as swelling settles and tissues adjust.

These time frames are approximate and not all patients will follow the same pattern. Recovery may be longer in complex cases, such as extensive capsulectomy or combined procedures. Close follow-up with the treating surgeon is essential for monitoring healing and responding promptly to any concerns.

Tips for a Smoother Recovery

Following the surgeon’s advice carefully can help support recovery and reduce the likelihood of complications. General measures that are often recommended after breast implant replacement include:

1. Adhering strictly to written and verbal post-operative instructions, including wound care, garment use and activity restrictions.
2. Wearing the recommended surgical or supportive bra as directed to help support the implants and reduce strain on healing tissues.
3. Avoiding heavy lifting, vigorous exercise and activities that strain the chest and upper body until the surgeon gives clearance to resume them.
4. Maintaining adequate hydration and a nutritious diet, within any medical or dietary restrictions, to support the healing process.
5. Attending all scheduled follow-up appointments so that the surgeon can monitor progress, adjust aftercare recommendations and address any problems early.

Patients should promptly contact the clinic or seek medical care if they notice increasing pain, redness, swelling, discharge, fever or any other symptoms that may suggest a complication.

Recovery and Aftercare

Effective aftercare is a key component in achieving the best possible outcome from breast implant replacement surgery. Patients are generally advised to wear a supportive surgical bra or garment as instructed to help maintain implant position and reduce swelling. It is important to keep incisions clean and dry, and to follow specific wound-care instructions provided by the surgical team.

Prescribed medications, which may include pain relief and, in some cases, antibiotics, should be taken according to directions. Smoking and nicotine use are strongly discouraged during the peri‑operative period because they are associated with higher rates of wound-healing problems and other complications. Limiting or avoiding alcohol as recommended can also support recovery.

Patients should gradually return to normal activities, guided by their surgeon. Overexertion too early can increase the risk of complications such as bleeding, wound breakdown or implant displacement. Ongoing communication with the clinic is important if there are any questions or concerns during the healing process.

Importance of Following Post‑Operative Instructions

Following post-operative instructions closely is important for safety and for optimising surgical outcomes after breast implant replacement. These instructions are based on the specific procedure performed, the individual’s health status and the surgeon’s clinical judgment.

Adhering to guidance on medication use, wound care, garment wear, sleeping position, physical activity and follow-up appointments can help reduce the risk of complications and support the healing process. Patients who have undergone more complex procedures, such as extensive capsulectomy, may require additional monitoring and more gradual return to activities.

If any aspect of the instructions is unclear, patients should ask questions and seek clarification from the clinical team. It is important that patients feel informed and supported throughout their recovery.

Potential Risks, Side‑Effects and Complications

All surgery carries risks. Breast implant replacement and associated procedures such as capsulectomy have general surgical and anaesthetic risks, as well as risks specific to breast implants. Not all patients will experience these complications, but it is important to understand them before deciding to proceed.

Potential risks and complications may include (but are not limited to):

• Infection at the surgical site.
• Bleeding or haematoma (collection of blood), which may require further intervention.
• Delayed wound healing or wound breakdown.
• Changes in breast or nipple sensation, which may be temporary or, less commonly, long‑lasting.
• Breast asymmetry or dissatisfaction with cosmetic outcome, which may or may not be improved with further surgery.
• Capsular contracture (hardening of the scar tissue around the implant), which can recur after revision.
• Implant‑related complications such as rupture, deflation, rotation or displacement.
• Scarring, which will be permanent but may fade over time.
• General anaesthetic risks, including, very rarely, serious complications.

There are also rare but serious conditions associated with breast implants, such as breast implant–associated anaplastic large cell lymphoma (BIA‑ALCL) and other emerging implant-related conditions. Patients should discuss these issues, current evidence, and recommended monitoring or management with their surgeon.

Minimising the Risk of Complications

While no surgery is risk‑free, some steps may help reduce the likelihood of complications. These include choosing a surgeon with appropriate qualifications and experience in breast implant surgery, ensuring the procedure is performed in an accredited facility, and fully disclosing medical history, medications and lifestyle factors such as smoking.

Carefully following pre‑operative and post‑operative instructions, including guidance on fasting, medication adjustments, and activity restrictions, is important. Maintaining overall health, such as managing chronic conditions and maintaining a stable weight where possible, may also support better healing.

Regular follow‑up appointments enable the surgeon to monitor recovery and address any emerging issues promptly. Patients are encouraged to contact the clinic if they notice new symptoms or have concerns at any time before or after surgery.

Post‑Surgery Care

After breast implant replacement surgery, patients are usually advised to wear compression or support garments for a specified period to help control swelling and support the breasts. Keeping incision sites clean, dry and protected can help reduce the risk of infection and support optimal scar formation.

Sun protection for scars is important in the longer term, as UV exposure may darken scars and affect their final appearance. Patients are typically advised to avoid direct sun and to use appropriate sun protection measures once wounds have healed.

Patients should follow their surgeon’s advice about when to resume driving, work, exercise and other daily activities. Long‑term, maintaining a healthy lifestyle and stable weight may help preserve the aesthetic outcome of the surgery, although changes in the breasts can still occur over time due to aging, hormonal factors and other influences.

Next Steps if You Are Considering Breast Implant Replacement

If you are thinking about breast implant replacement surgery, the next step is to arrange a consultation with a suitably qualified specialist plastic surgeon. During this consultation, you can discuss your concerns, medical history and goals in detail, and your breasts and implants can be assessed.

1. Contact the clinic to schedule an initial consultation.
2. Prepare to discuss your current symptoms, past implant history and desired changes.
3. Undergo a physical examination and appropriate medical assessment.
4. Review relevant clinical photographs and diagrams to understand potential approaches, where appropriate.
5. Discuss the potential risks, benefits, limitations and alternatives to surgery.
6. Receive an individualised surgical plan and a fee estimate, including information about hospital and anaesthetic costs.
7. Allow time to consider the information provided, including any required cooling‑off periods, before deciding whether to proceed.

In Australia, there are specific regulations regarding consultations and cooling‑off periods for cosmetic surgery. Patients must have at least two pre‑operative consultations, at least one of which must be in person with the medical practitioner who will perform the surgery, and there must be a minimum seven‑day cooling‑off period after informed consent is given before surgery can be booked or a deposit paid. These requirements are designed to support informed decision‑making.

Frequently Asked Questions

How long do breast implant replacement results last?

Modern implants are designed to be durable, but they are not considered lifetime devices. Some patients may keep the same implants for more than 10–15 years, while others may require earlier revision due to complications or changes in their breasts or preferences. Regular review and monitoring of implants is advisable.

Will I lose sensation in my nipples?

Temporary changes in nipple or breast sensation are common after implant surgery and revision, and often improve over time. Permanent changes, including increased or decreased sensitivity, can occur but are less common. The likelihood depends on surgical technique, anatomy and other factors discussed during consultation.

How visible will the scars be?

Scars from breast implant replacement surgery are permanent but usually fade over time. Where possible and appropriate, surgeons may use or extend existing incision sites. Scar appearance varies between individuals and can be influenced by factors such as genetics, wound healing, infection and sun exposure.

Can I breastfeed after breast implant replacement?

Some women are able to breastfeed after breast implant surgery or replacement, while others may have difficulty, depending on the type of surgery, incision placement and individual factors. If future breastfeeding is important to you, this should be discussed with your surgeon prior to any procedure so that this can be factored into planning.

How soon can I return to work?

The timing of return to work depends on the nature of your job and the specifics of your surgery. Many patients in desk‑based roles may be able to return to light duties after about 1–2 weeks, while those with physically demanding jobs may need a longer recovery period. Your surgeon will provide advice tailored to your situation.

Breast implant replacement is a personalised procedure that must be carefully considered. A face‑to‑face consultation with a qualified specialist plastic surgeon such as Dr Mohaghegh is necessary to determine whether this surgery is appropriate for you, to discuss risks and benefits, and to develop an individualised plan.

Important Information and Disclaimer

The information provided on this page is of a general nature only and is not a substitute for professional medical advice, diagnosis or treatment. It does not take into account your individual circumstances. You should always seek the advice of a qualified health professional with any questions you may have regarding a medical condition or procedure and before making decisions about cosmetic or reconstructive surgery.

All cosmetic surgery carries risks and potential complications and may not be suitable for everyone. Advertising for cosmetic surgery in Australia must comply with the Health Practitioner Regulation National Law and the Medical Board of Australia’s guidelines, including requirements to present balanced information about risks and recovery, avoid testimonials, and avoid language that is misleading or that creates unrealistic expectations. Outcomes of surgery vary between individuals, and no guarantees of specific results can be given.