Breast implants are not lifetime devices. Over time, factors such as ageing, lifestyle changes, or evolving aesthetic goals may influence your decision to remove or replace implants. For individuals with older implants or implant-related concerns, Removal and Replacement surgery may be considered as part of ongoing care.
Dr Gary Kode is a Specialist Plastic and Reconstructive Surgeon based in Melbourne who offers breast implant revision procedures. Each treatment plan is developed based on a detailed clinical assessment, including your medical history, current anatomy, and personal preferences. Whether you are experiencing implant-related complications or seeking a change in appearance, this procedure may offer a way to address your current goals.
Am I a Suitable Candidate for Breast Implant Remove and Replace?
Suitability for Breast Implant Removal and Replacement is determined through a detailed consultation, taking into account your medical history, current health, implant condition and personal goals. You may be considered a candidate for this procedure if you:
- Have concerns about existing implants, including changes in shape, discomfort, or a suspected complication. These may include conditions such as capsular contracture, where the scar tissue around the implant becomes firm or tight, or implant rupture, which can occur over time and may be identified through imaging.
- Have older implants and are considering revision due to their age, changes in appearance, or evolving medical guidelines relating to implant safety and monitoring.
- Have experienced changes in body shape, weight, or lifestyle, and feel that your current implants no longer reflect your preferences or physical comfort.
- Are experiencing physical symptoms such as heaviness, discomfort, or shoulder and neck strain that may be associated with the size or position of your implants.
- Are no longer satisfied with the implant size, shape, or position, and wish to change implant type (e.g. from round to anatomical) or adjust the volume.
- Are exploring options related to systemic symptoms you may associate with your implants.
- Are in good general health, with no unmanaged medical conditions that would significantly increase the risk of surgery or affect healing.
- Are not currently pregnant or breastfeeding, and have allowed sufficient time for the breast tissue to stabilise following weaning, where applicable.
- Do not smoke, or are willing to cease smoking before and after surgery, as nicotine can impair circulation and increase the risk of complications.
- Have realistic expectations and understand that results vary based on factors such as surgical history, anatomy, and individual healing.
Only a consultation with a qualified surgeon can determine whether this procedure is appropriate for you. Dr Gary Kode conducts a thorough clinical assessment, taking into account your medical history, current implant condition, breast anatomy, and individual goals.
Types of Breast Implant Remove and Replace Procedures
Each patient’s situation is unique, and there are several surgical pathways to address different needs. During your consultation, Dr Kode will explain which options are most appropriate for your anatomy and goals.
Removal and Replacement with New Implants
Some individuals choose to maintain breast volume following implant removal by having new implants placed. This may involve selecting a different implant size, shape, or material.
Reasons for choosing this option can include:
- Making changes to the appearance of breast symmetry or proportions
- Replacing older implants based on age, condition, or changes in personal preferences
- Responding to changes in tissue quality or skin elasticity over time
Depending on the condition of the existing implant pocket and scar tissue, the new implants may be placed in the same pocket or a new one may be made during surgery.
Removal with Fat Transfer (Autologous Grafting)
In this procedure, fat is harvested from another area of the body, such as the abdomen, thighs, or flanks, using liposuction. The fat is then processed and injected into the breast tissue to provide volume and shape using the patient’s own tissue.
This approach may be considered by individuals who prefer not to use synthetic implants. The degree of volume achieved with fat transfer varies and may require more than one session depending on the desired outcome.
Removal with Breast Lift (Mastopexy)
In some cases, removal of implants can result in breast ptosis (excess skin) or changes to breast shape. A Breast Lift may be performed to reshape and elevate the breast tissue.
This procedure can be performed on its own or alongside an implant replacement, depending on the amount of volume desired. The surgical technique used (such as periareolar, vertical, or Wise pattern incisions) will depend on skin elasticity and the degree of lift required.
Implant Removal Only (Explantation)
Some individuals choose to have their implants removed without replacement. This may be based on personal preference or concerns about long-term implant use.
In some cases, implant removal is performed with a capsulectomy (removal of the surrounding capsule), particularly if there are signs of discomfort, calcification, or if the individual is exploring options related to Breast Implant Illness (BII). While BII is not currently recognised as a formal medical diagnosis, some patients report systemic symptoms and choose implant removal as part of their care.
Surgery for Breast Implant Remove and Replace
The procedure is performed in a fully accredited private hospitals in Melbourne, under general anaesthetic. Dr. Gary Kode operates at Ramsay Surgical Centre Glenferrie and Masada Private Hospital, offering a sterile, well-equipped environment for every surgery.
Surgical steps generally include:
- Reopening previous incision lines: Typically in the inframammary fold or around the areola, to reduce new scarring.
- Removal of the implant and, where required, the surrounding capsule. Dr. Kode uses techniques to help reduce trauma to the breast tissue and chest wall.
- Thorough inspection of the pocket, determining if it needs to be reshaped, tightened, or expanded depending on whether a new implant is placed.
- Insertion of new implants, if applicable, using a Keller Funnel (a no-touch device) that reduces contamination and supports accurate placement with reduces tissue stress.
- Addition of fat grafting or lifting, if planned, to alter shape and firmness.
All consultations, surgical procedures and follow-up appointments are conducted by Dr Gary Kode personally. This allows for continuity of care and a personalised approach throughout your surgical experience.
Breast Implant Remove and Replace Before & After Photos
Dr Gary Kode’s website includes a gallery of real patients who have undergone breast implant removal and/or replacement, shown with their informed consent. These images illustrate a variety of individual outcomes and surgical approaches, including:
- Replacement of implants for a different shape or volume
- Results of implant removal with a breast lift
- Examples of scar placement and healing appearance
Please note that every patient’s anatomy, healing process, and previous surgical history are unique, and individual results will vary. The gallery is intended for informational purposes and to support informed discussions during your consultation.
Recovery After Breast Implant Remove and Replace
Recovery is an important part of the surgical process. Dr Gary Kode and his team provide personalised aftercare instructions and ongoing support to guide you through each phase. While individual experiences vary, many patients report the following general timeline:
- First 7–10 days: Swelling, tightness, and discomfort in the chest area are to be expected. Oral medication may be prescribed to help manage discomfort. Light walking is recommended early to support circulation and reduce the risk of complications.
- 2–3 weeks: Most individuals are able to return to desk-based work and light daily activities. Strenuous movements, particularly involving the upper body, should still be avoided unless advised otherwise.
- 4–6 weeks: Many patients receive clearance to resume driving, low-impact exercise and wear soft bras without underwire. Swelling typically continues to dissipate during this time.
- 3–6 months: The area continues to settle and the outcome becomes more apparent. Scar tissue softens over time and ongoing healing can continue for several months.
A supportive post-operative bra is provided and should be worn day and night for approximately 4 weeks, then during the day for an additional 8 weeks. This helps support healing and implant positioning (where applicable).
Dr Kode monitors each patient’s recovery directly and is available for follow-up appointments to check progress and address any concerns throughout the healing period.
Risks of Breast Implant Remove and Replace
As with any surgery, risks exist and must be considered carefully. Dr Kode provides thorough pre-operative counselling and takes every precaution to reduce the likelihood of complications occurring.
Potential risks include:
- Bleeding or haematoma requiring drainage
- Infection at the surgical site
- Delayed wound healing, particularly in patients with certain health conditions
- Altered nipple or skin sensation, which may be temporary or permanent
- Scarring, which may become raised or stretched in some cases
- Implant complications, such as displacement or asymmetry if implants are replaced
- Anaesthetic-related risks, especially in patients with underlying health concerns
Early detection and management are key. Dr. Kode has established protocols for prompt post-operative care and follows patients closely during recovery. For more information visit our Risks and Complications page.
Scars with Breast Implant Remove and Replace
All surgical procedures result in some form of scarring. Dr Gary Kode uses surgical techniques aimed at reducing the visibility of scars and supporting the body’s healing response.
Where possible, incisions may be made along existing scar lines to help avoid additional scarring and reduce disruption to the surrounding tissue.
Typical incision sites include:
- Inframammary fold (beneath the breast)
- Periareolar (around the edge of the nipple)
- Vertical incisions (sometimes used during a Breast Lift)
The type and placement of incision used will depend on your individual procedure and clinical considerations discussed during your consultation.
Scar care may involve the use of products such as Hypafix® or silicone-based gels, as well as sun protection and wound care guidance from Dr Kode and his team. While individual results vary, many scars fade significantly over time.
Cost of Breast Implant Remove and Replace
The cost of this surgery depends on a number of variables, including:
- Whether implants are removed, replaced, or supplemented with fat grafting or a breast lift
- The complexity of capsule removal or pocket reshaping
- Anaesthetist and hospital fees
- Type of implant selected (if applicable)
- Post-operative garments and follow-up requirements
Following your consultation with Dr Gary Kode, a detailed quote will be provided, outlining all associated costs. In some cases, Medicare item numbers may apply, particularly if the surgery is being performed due to complications such as rupture or capsular contracture. If eligible, this may also contribute to private health fund rebates, depending on your level of cover.
FAQs About Breast Implant Remove and Replace Surgery
Considering Breast Implant Revision?
If you’re thinking about Breast Implant Removal and Replacement, the first step is a consultation with a qualified surgeon. This is an opportunity to discuss your reasons for seeking surgery, ask questions, and explore options that may suit your individual needs.
Dr Gary Kode provides attentive, personalised care in a private setting in Melbourne. Your consultation includes a thorough assessment of your medical history, previous procedures, and current concerns, followed by a surgical plan tailored to your circumstances.
To find out more or to book a consultation, please get in touch with our team.
