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Breast Implant Exchange

In our experience, breast augmentation patients tend to be some of the happiest patients. Over time, some women who have enhanced their breasts with breast augmentation may wonder what can be done to further enhance how their breasts look and feel. The breasts change over the years due to lifestyle choices, the natural aging process, poor healing, implant settling, or implants just wearing out. Equipped with a thorough knowledge of modern surgical techniques and anatomy, George Alexander, MD, FACS, is a highly sought after leader in his field and is regarded as one of the top plastic surgeons in Las Vegas, Nevada. He is a consistent award-winning and board-certified plastic surgeon. Dr. Alexander performs breast implant exchange to treat these imperfections and deliver beautiful world-class results.

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Breast Implant Exchange Options

  • Implant Aesthetic

    Implant Size

    Over time, a person’s preferences and lifestyle often evolve. A breast augmentation patient may decide to exchange her implants for larger or smaller ones, depending on her aesthetic goals.

    Implant Type

    Many breast augmentation patients who opted for saline implants decide to replace them with silicone implants years later. Silicone implants typically ripple less and tend to feel like natural breast tissue as compared to saline implants. Silicone implants are the current “gold standard” and almost always provide the best results in breast augmentation patients.

    Pocket Placement

    To correct implant malpositioning and asymmetry, Dr. Alexander may alter the breast implant pocket placement and size. This technique is designed to restore a balanced and natural appearance to the breasts.

  • Correction of Complication

    Capsular Contracture

    Capsular contracture occurs when scar tissue constricts around one or both implants, distorting the breasts. Should a patient experience this issue, Dr. Alexander usually performs a capsulectomy to remove the capsules. The implants can be removed or replaced during this procedure.

    Implant Rupture

    When a saline implant ruptures, it deflates rather quickly, resulting in a noticeably smaller breast within hours to days. A silicone implant rupture may not be noticed because the silicone gel typically stays in place, but it can be identified with an MRI scan. To correct this complication, your plastic surgeon would remove or replace the implants as soon as possible.

  • Implant Removal

    Some patients want to have their breast implants taken out altogether. Implant removal involves surgically removing the breast implants and sometimes the scar tissue capsule. This procedure can usually be performed through the original breast augmentation incisions to minimize the development of additional scars, but it can often best be accomplished with crease incisions.

  • Combination

    If a patient develops significant sagging (ptosis) of the breasts, breast lift surgery may be an appropriate approach. A breast lift involves removing excess skin, uplifting the existing breast tissue, and tightening the surface of the breasts. This surgery can be performed after an implant removal procedure or in conjunction with implant replacement to produce a more youthful appearance.



While full recovery can take up to six weeks, most patients can resume working after one week. Aftercare instructions, along with a personalized recovery timeline, will be provided during the consultation. Patients may engage in aerobic exercise four to six weeks after surgery, as advised by Dr. Alexander.


Surgery will result in scars, but Dr. Alexander creates all incisions precisely and uses advanced techniques to minimize the appearance of scarring. If suitable, he utilizes the same incision location that was used during the previous surgery. Fortunately, scars tend to fade and blend into the surrounding skin as time passes.


Dr. Alexander has over 20 years of experience with breast surgery and possesses multiple board certifications. Because every patient has unique anatomical needs and aesthetic goals, Dr. Alexander develops entirely customized surgical plans to deliver world-class results. He uniquely combines both art and science to provide the best results for each patient.

The cost of breast implant exchange surgery varies depending on many factors, including implant type, surgical technique, and anesthesia fees. You will receive an exact price after discussing your expectations during your consultation.


Pain will be minimal if the implants are only replaced. The discomfort after implant removal or capsulectomy is similar to that of breast augmentation. Over the last decade, Dr. Alexander has implemented a dual local anesthetic technique that has improved patient comfort considerably. Any post-op pain should be controlled with oral medication prescribed by Dr. Alexander. The bulk of discomfort is experienced during the first 48 hours of recovery and then steadily decreases in most patients.


  • Am I a candidate for breast implant exchange?

    The best way to determine if you are a candidate for breast implant exchange is by scheduling a consultation with a board-certified plastic surgeon. Most patients qualify for this procedure if they have had breast augmentation in the past and can relate to the following:

    • Hardened breasts
    • Breast deformities
    • Unsatisfactory results
    • Breast asymmetry
  • How long does breast implant exchange take?

    Breast implant exchange usually takes one to two hours to complete, depending on the techniques used and the desired extent of enhancement.

  • What type of anesthesia is used during breast implant exchange surgery?

    Dr. Alexander performs all breast implant exchange procedures with general anesthesia. You sleep while he works.

  • Are the results of breast implant exchange permanent?

    Breast implant exchange is considered to have long-lasting results. However, aging and lifestyle factors do alter the appearance of the breasts over time.

A top Plastic Surgeon, Dr. George Alexander, serving more happy patients in Las Vegas, the United States and Internationally.

1725 Village Center Circle, Suite 150
Las Vegas, Nevada USA | (702) 242-6776

“The entire staff at Dr Alexanders office were AMAZING!!! From start to finish, the staff showed the utmost professionalism and care for me. They expressed the most sincerity, kindness, compassion and comfort that I have ever experienced. This was my second breast augmentation. The first was with a doctor in Canada, and let me just say, that I did not know that I could have the experience that I had with Dr Alexanders office UNTIL NOW!! I would refer anyone to them, because I know that they would be in the best hands. They were a wonderful team, and I appreciate them dearly.”

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