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Breast implant exchange

Breast implant exchange is especially necessary if

    there exists

  • a capsular fibrosis or contracture
  • Complications because of faulty execution (e.g. symmastia) are detected.
  • PIP implants must be removed.

Capsular fibrosis

Capsular fibrosis is a hardening of connective tissue, which can lead to a calcification in later stages. Symptoms range from a somewhat uncomfortable feeling to pain and displacement of the implants. Depending on results, an exchange of breast implants and an accompanying change in implant position are often recommended. Precise planning and execution are very important.


A common faultin breast enlargement surgery is the inaccurate outwards dissection. In my clinic, I constantly see patients who were operated on in Germany or abroad, who show this lateral position because of incorrect execution. Because the implants lie too far outwards, there is little cleavage. I often carry out aesthetic secondary procedures on patients, who undertook surgery abroad.

PIP implants

If you know that PIP implants were used during your breast enlargement, then an exchange is necessary and should be planned immediately. I have removed PIP or Rofill implants from many patients who undertook surgery abroad.

PIP implants have never been used in my clinic.

The problems with PIP patients are of a somewhat different nature, since there is not necessarily a capsular fibrosis. During operations, the shell of these catastrophic implants often rupture and leak coloured silicone. A complete and thorough removal of the foreign bodies and very thorough irrigation with saline solution is very important.

Method of operation

Due the my gentle operation technique and the high-value anaesthetic, the operation can be an outpatient procedure.

Implants can be placed on or under the muscle. The new position must be planned and prepared accordingly.

I generally use the old scars as entrance routes. I make sure that the capsule that has formed is removed along with the implant “in one” (specialist term: in toto), so that it is removed in a manner that is gentle on the surrounding tissue. My specialist instruments for high-frequency surgery are perfectly suitable for this.

The advantage of this method is that no open silicone can escape from the breast tissue because it remains trapped in the resulting tissue capsule. This procedure requires more effort, but retention of the old capsule in the body has health-related disadvantages. According to my method, you have original, ‘new’, scar-free mammary gland tissue, in which the new and highly valuable quality implants can heal better.

Unfortunately, I keep coming across or read in blog entries about doctors who talk about 30-minute procedures. Presumably that means only briefly cutting into the capsule and simply exchanging the implants in the remaining capsule, without removing the capsule tissue. I only find this medically justified for optimal and unremarkable findings. It has nothing to do with scientific and competent plastic surgery.
After the operation, a Steristrip criss-cross tape bandage is applied to optimise wound healing. This reduces the wound tension and gives the new breast optimal support. You will receive a compression bra whilst still in the operating room.