Implant replacement Düsseldorf: procedure, costs and risks
Breast implants change the breast
There may be medical, personal and aesthetic reasons for an implant change. Sometimes the breast implants are replaced if there is pronounced capsular fibrosis or if the implants have been in the patient's body for a long time.
In addition, the desire for breast augmentation or a different breast shape can also be the reason for changing the implants.
Reasons for changing breast implants:
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Medical necessity: e.g. capsular fibrosis, infections
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Routine replacement after a few years
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Change in the shape of the breast
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Implant dislocation: a slipping or twisting of the implant
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Implant defect: rupture in the surface
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Pregnancies
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Weight reductions
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Other medical reasons, e.g. back problems
It is always medically necessary to replace the implants if the implant endangers the patient's health or restricts their well-being and everyday life.
- Implant change
OP at a glance
Anesthesia
General anesthesia
OP duration
2-3 hours
Socially acceptable
immediately after release
Hospitalization
1 day
Aftercare
Wearing a support bra for 4-6 weeks and, if necessary, a Stuttgart belt for 2 weeks, no stitches need to be removed
Price
with Dr. Dagdelen: from 7900€
Breast implants: Procedure, application and risks
Various implants are used for breast augmentation, which differ in size, shape, structure and material. The choice of the right breast implant depends on the skin, the width of the ribcage and the existing volume of the breasts. Breast implants are plastic or silicone cushions filled with a silicone gel or saline solution. They are surgically inserted into the breast tissue to enlarge breasts, compensate for asymmetries or reconstruct a breast. When replacing implants, you can change the shape and size of the breast and have excess breast tissue removed. If desired, a breast reduction and breast lift can also be performed when replacing the implants. Breast implants are placed under or over the pectoral muscle, with fewer complications occurring when implants are inserted under the muscle. It is also less palpable below the pectoral muscle and makes breast cancer screening easier. If the glandular tissue is well developed, the implant can also be placed above the muscle.
Risks associated with breast implants
As a rule, breast implants are very stable due to their multi-layered shell and very rarely tear. Nowadays, gel-like silicone gels (cohesive gels) are used, which have a significantly lower risk of leakage compared to older implants with liquid silicone. The gel is designed in such a way that even a tear in the implant does not lead to a change in shape or leakage of the silicone. Furthermore, older implants cannot remain in the body for more than 10 years and must therefore be replaced routinely. Newer implants have a much longer lifespan.
Breast augmentations and reconstructions with implants are common cosmetic procedures that, like any surgery, carry a certain amount of risk. For this reason, it is important to find out about the various procedures and potential complications before undergoing breast surgery. Choosing an experienced plastic surgeon also reduces the risks. Your plastic surgeon will take your individual needs and wishes into account in order to achieve the best result. They will also explain the various surgical techniques and answer all your questions about the procedure.
Types of breast implants for an implant exchange
There are many different types of breast implants, which differ in terms of strength, structure, size, shape and filling material. The shape of the implants can be round or anatomically shaped (teardrop-shaped). Round implants with a central bulge are suitable for fuller breasts, whereas anatomically shaped implants provide a natural breast shape. It is helpful to know these differences before changing implants.
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Silicone cohesive filling: This filling material is the preferred choice nowadays, as the gel makes the breasts appear natural. They also have a low risk of leakage, as the implant shape is retained even in the event of a rupture and the silicone does not leak. The cohesive implant is available in different strengths and in a lighter version (B-Lite).
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Saline solution: Breast implants with a saline solution are a safe alternative to silicone implants. The saline solution is harmless and is only filled into the implant during the operation. As the liquid only enters the breast later, only a small surgical incision is necessary. Furthermore, the surgeon can easily adjust the volume of the breast afterwards. If the implant ruptures, the body absorbs the saline solution and excretes it. This is completely harmless to health. The disadvantage is that the breast loses volume over time and the filling material behaves like water under the skin.
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Two-chamber cushion: In implants with dual-chamber cushions, the silicone core is combined with an outer saline ring. The outer saline ring thus offers more security and the inner silicone core ensures an optimal breast shape.
OP at a glance:
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Anesthesia: General anesthesia
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Duration of surgery: 2-3 hours
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Hospital stay: 1 day
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Aftercare: wearing a support bra for 4-6 weeks and, if necessary, a Stuttgart belt for 2 weeks, removal of stitches not necessary
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Socially acceptable: immediately after release
Requirements for a breast implant change
Certain requirements must be met for an implant change, as this is the only way we can guarantee the safety of the procedure. The most important requirements include
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Medical assessment: Before a breast implant replacement is carried out, the patient must undergo a thorough medical assessment. Her general state of health, medication intolerances, allergies, previous illnesses and previous operations are taken into account.
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Consultation: A detailed consultation with the treating surgeon is essential to discuss the goals, expectations and possible risks of breast implant replacement. This allows the patient to make informed decisions and expect realistic results.
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Stable health: The patient should be in a stable state of health to cope with the stress of a surgical procedure and the subsequent recovery phase. Chronic illnesses such as diabetes or heart problems must be treated and controlled accordingly.
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Suitable candidacy: Not every patient is suitable for a breast implant exchange. Women who are pregnant, breastfeeding or have certain medical conditions may not be immediately eligible for the procedure. The surgeon will evaluate the patient's individual situation and make recommendations as appropriate.
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Realistic expectations: The patient should have realistic expectations regarding the results of breast implant replacement. The procedure can improve the size, shape and symmetry of the breasts, but there are limits to what can be achieved surgically. An open and honest discussion with the surgeon will help to set realistic goals.
The surgical techniques for implant replacement
As with other breast operations, there are various surgical techniques for implant replacement, depending on individual needs and the choice of implant. Your plastic surgeon will provide you with detailed information and advice on the various techniques and their advantages and disadvantages.
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Complete replacement: You have the option of removing both implants or one implant completely and replacing it with a new one. This method is chosen if patients wish to change the size of their breasts or if the existing implants are damaged.
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Removal of the implants: It is also possible to remove the implants completely and perform a breast augmentation with autologous fat. After liposuction, the autologous fat is injected into the breast. Implants are no longer necessary.
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Correction of complications: This technique can be used to correct complications such as capsular contracture (hardening of the tissue capsule around the implant), implant rupture or asymmetry of the breasts. It is not always necessary to replace the implant.
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Changing the implant position: If the implant has slipped or twisted, the position can be changed using this technique. Depending on the individual case, a correction can be made or the implant can be replaced.
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Combined procedures: In some cases, the surgeon can perform both a correction and a change of breast implants. A breast implant change can also be combined with other procedures, such as a breast lift or reduction, or liposuction.
Which surgical technique you ultimately choose depends on many individual and medical factors. Our surgeons, such as Dr. Murat Dağdelen, will advise you on all possible methods and take your wishes and needs into account. The aim of the preliminary discussions and examinations is to minimize the potential risks. The consultation also serves to discuss realistic expectations and possible results.
Compliance with these requirements is crucial to ensure that the breast implant exchange is successful and that patient satisfaction with the results is maximized.
Procedure for breast implant replacement
The process of breast implant replacement involves several steps, starting with preparation and ending with post-operative care. Here is an overview of the procedure:
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Preparation and consultation: The patient has a thorough consultation with the plastic surgeon to discuss her wishes, expectations and medical history. The surgeon informs the patient about the procedure, possible risks and the expected recovery time.
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Medical examination and preparation: Before the operation, the patient undergoes a comprehensive medical examination to ensure that she is suitable for the procedure. This may include laboratory tests, imaging and other diagnostic procedures. She will also receive instructions on how to prepare for surgery, such as discontinuing certain medications or fasting before anesthesia.
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Operation day: On the day of the operation, the patient should come to the clinic fasting and accompanied by a relative or a companion. The surgeon will perform the breast implant exchange under general or local anesthesia, depending on the agreed procedure. The operation usually takes a few hours.
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Implant replacement: During the procedure, the old breast implants are removed first. The surgeon can then make corrections to the breast capsule if necessary. He then places the new implants, making further adjustments if necessary to achieve the desired aesthetic results.
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Aftercare and recovery: After the operation, our team takes the patient to the recovery area, where they are monitored by our medical staff. We give our patients post-surgery instructions on wound care, pain management and behavior during the recovery period. Regular follow-up examinations with the surgeon are important to monitor the healing process and detect possible complications at an early stage.
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Long-term aftercare: The patient has regular follow-up visits with the surgeon to check that the implants are healing properly and that there are no problems. Long-term instructions on breast care and recommendations for regular mammograms may also be part of the aftercare.
Note that the exact process of a breast implant exchange may vary depending on individual needs and the procedure chosen. The surgeon will guide the patient through each step of the process and ensure that she is well informed and supported.
The preliminary discussion with the doctor
A preliminary discussion is essential so that we can assess the medical history of our patients before a breast implant replacement. A detailed discussion with the surgeon is particularly important for the correct preparation for the operation and clarification of all questions. This is the only way we can ensure that our patients are aware of all the risks and go into the operation with realistic expectations. During this consultation, various aspects of the procedure are discussed:
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Patient history: The cosmetic surgeon will review the patient's medical history, including previous (breast) surgery, pre-existing medical conditions, allergies and current medication. The medical history is important to identify potential risks and ensure that the patient is suitable for the procedure.
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Goals and expectations: During the consultation, the patient can express her ideas and expectations regarding breast implant replacement. The specialist will match her wishes with the surgical options and explain any restrictions. Together, patient and doctor develop a treatment plan that meets your needs.
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Implant selection: Your attending physician will select the correct implant shape and size with you and, if necessary, illustrate this with images and/or specimens.
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Procedure and risks: During the preliminary consultation, we will explain the breast implant replacement procedure to you in detail. We will also discuss the potential risks and complications of the various procedures and implants. The patient can express her concerns and ask questions about the procedure.
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Preparation for the operation: Above all, preparation for the operation is crucial in order to achieve the best results. The patient is therefore given instructions on how to behave before the operation. This may include quitting smoking, dieting, abstaining from alcohol and discontinuing blood-thinning medication.
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Aftercare and recovery: The aftercare and recovery phase after the implant change is just as important for the best results. The patient therefore receives further instructions and information. After the procedure, sport, physical exertion and direct sunlight should be avoided. The patient should also ensure adequate wound care. Follow-up appointments monitor the healing process and ensure that the operation went according to plan.
The preliminary consultation with the doctor is an opportunity for the patient to ask questions and express her concerns before deciding to have breast implants replaced. The preliminary consultation with the doctor is essential so that the patient can make an informed decision based on all the information provided.
On the day of surgery
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Reception and preparation: We will welcome you to our clinic on the day of your breast implant surgery and prepare you for general anesthesia and the procedure. We will check your vital signs and set up an intravenous line for the anesthetic.
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Consultation with the doctor: After a final consultation with the surgeon, our team will take you to the operating room and induce anesthesia.
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During the operation: While your surgeon performs the implant change, anesthetists continuously monitor your vital functions.
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Aftercare: After the procedure, our team takes the patient to the recovery room, where she slowly wakes up from the anesthetic. The medical team continuously monitors the patient to detect possible complications at an early stage. As soon as the patient's condition is stable, we transfer her to the ward, where we continue to monitor her.
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Aftercare: During this phase after the breast implant change, pain control and wound care are carried out. The patient receives detailed explanations and instructions for aftercare at home on how she can support the healing process, e.g. through wound care and behavior.
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Healing and relaxation: After the procedure, it is important that the healing process is supported in the best possible way. For this reason, the patient should rest for a few days, avoid the sun and refrain from sport and physical exertion. It is also advisable not to smoke or drink alcohol after the operation in order to promote healing.
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Follow-up appointments: At further appointments, the aesthetic surgeon monitors the healing process of the breast and ensures that the procedure went as planned.
Costs for a breast implant replacement
The cost of an implant replacement depends on many factors, e.g. location, surgeon image, experience of the doctors, type of implants and surgical techniques. Across Europe, the average cost of an implant replacement with high-quality preparations is between 4,000 and 8,000 euros. However, these prices can vary greatly depending on the country and location. The exact cost estimate is usually only possible after a preliminary discussion with your doctor. He or she will give you an approximate value for the breast implant replacement. You will receive a detailed cost estimate on request.
If you are seeking to have the costs covered by your health insurance, you should clarify all financial aspects with your insurer in advance. Insurance companies do not generally cover the costs of cosmetic surgery. The costs of implant replacement are only covered in very rare cases and only if there is a medical indication for this. This could be the case if the initial operation was a breast reconstruction following breast cancer and the implant needs to be replaced due to capsular fibrosis. Check all the necessary conditions with your insurance company and our cosmetic surgery doctors.
