Why are breast implants replaced?

There are several reasons why your breast implants may need to be removed and replaced. 

1.      Implant rupture or leakage

While modern implants are designed to be durable, they are not immune to wear and tear. A rupture occurs when the outer shell of the implant breaks, leading to leakage of saline or silicone. Silicone ruptures may not be immediately noticeable (known as a “silent rupture”), whereas saline ruptures often lead to noticeable deflation.

2.      Capsular contracture

Capsular contracture occurs when the scar tissue that naturally forms around the implant tightens, leading to discomfort, pain or a misshapen appearance. In severe cases, it can affect the breast’s softness and symmetry.

3.      Changes in breast shape over time

Ageing, weight fluctuations, pregnancy and breastfeeding can alter the natural breast tissue surrounding the implant. Some women may choose to replace the implant with something more suited to their current needs.

4.      Cosmetic dissatisfaction

Some individuals may wish to change their implant size, shape or material to better align with their aesthetic preferences or lifestyle changes.

5.      Implant displacement or rippling

Over time, implants can shift from their original position, leading to asymmetry. Additionally, some implants (especially saline) can cause visible rippling beneath the skin.

6.      Concerns about potential health risks

Although modern breast implants are extensively tested for safety, some individuals may choose to remove or replace their implants due to concerns about long-term risks, such as links to conditions such as breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).

How often are breast implants replaced?

Breast implants do not have a fixed expiration date. At The Coastal Clinic, we always make an individualised assessment of when your breast implants may need to be replaced.

You may be interested to know that:

• The average lifespan of breast implants is 10–15 years.
• Whether your implants need replacing depends on individual factors, such as implant type, complications and personal preference.
• Regular check-ups, including MRI scans (for silicone implants) or ultrasounds, can help assess implant integrity.
• If no issues arise, there may be no need for the removal and replacement of breast implants.

Ultimately, how often breast implants are replaced varies between individuals. Some may never need a replacement, while others may require revision surgery due to complications or aesthetic changes.

How does breast implant replacement work?

Typically, breast implant replacement involves several key steps.

1.      Consultation and planning

The first step is a consultation with Dr Drew Cronin who can assess the condition of your implants, discuss your concerns and goals, and explore whether it is best to remove or replace the implants.

2.      Surgical procedure

Surgery to remove breast implants is performed under General Anaesthetic in one of the private hospitals Dr Cronin operates from. Dr Cronin can in most cases remove the old implants (breast explant surgery) through the existing incision. If a total capsulectomy is performed, the incision may need to be extended.

Depending on personal circumstances, many patients will choose to have breast lift surgery (mastopexy) performed at the same procedure, have new implants inserted (remove/replace surgery), or both.

3.      Recovery and aftercare

Patients typically have breast implant removal surgery performed as a day procedure, though in some cases they may choose to remain in hospital overnight.  After the procedure, patients are monitored in the recovery ward until the effects of the general anaesthetic have worn off, and their pain and nausea are well controlled.  For most patients, this duration is between 2-3 hours.

Patients may experience swelling, bruising and discomfort, which should gradually subside over a week or two. Initially, you should avoid heavy lifting or strenuous exercise. Normal activities can usually be resumed within 4-6 weeks. Dr Cronin provides all patients with more detailed post-operative advice.

4.      Risks and considerations

As with any surgery, there are risks involved in removing breast implants, including:

• Infection
• Implant rupture or leakage
• Scarring
• Changes in nipple sensation
• Asymmetry or dissatisfaction with results.

Following your surgeon’s post-operative care instructions can help minimise complications and aid a smooth recovery.

How can we help?

The Coastal Clinic provides high-quality, patient centric, end-to-end care in comfortable and professional premises on the Gold Coast and Mackay.

Our highly regarded Specialist Plastic Surgeons, Dr Drew Cronin has supported many women through breast implant replacement. At your initial consultation, he’ll listen carefully to your concerns about your current implants, and desired surgical outcomes, examine the area, and recommend the appropriate treatment.

If you’re considering breast implant removal, please book an appointment to discuss your options.