Breast Implant Exchange
Safe breast implant exchange and implant removal in Munich – en bloc capsulectomy, state-of-the-art implants and over 20 years of experience at Dr. Caspari's clinic.
Breast Implant Exchange in Munich
If you are thinking about an implant exchange, you are in the best hands with us. Our experienced team places great emphasis on your safety and well-being. We offer you individual consultation to understand your wishes and needs.
An implant exchange always requires a postoperative inpatient stay due to the surgical effort involved. Welcome to our clinic in Munich – here you have, directly on site, the perfect operating conditions and afterwards the warm and caring atmosphere in our beautiful clinic rooms.
With state-of-the-art technology and an empathetic approach, we ensure that you feel comfortable throughout the entire process. Trust in our expertise and let us take the next step together towards your new self-confidence.
When Is a Breast Implant Exchange Necessary?
A breast implant exchange becomes necessary or advisable in various situations. The most common reasons that bring patients to our clinic are capsular fibrosis in the various Baker grades (I–IV), breast hardening, and asymmetries caused by scar contracture or tissue changes. If the implant is older than ten years, we also recommend a specialist examination and, if necessary, an exchange.
Further indications for an implant exchange include breast deformation, implant displacement (dislocation), implant rupture, and changes in the surrounding breast tissue. The desire for a different implant shape or size is also a common reason. In every case, we clarify in a personal consultation whether a breast implant exchange is the right step for you.
Capsular Fibrosis – Causes, Diagnosis and Treatment
Capsular fibrosis is a hardening of the connective tissue capsule that naturally forms around every breast implant. Over time, this capsule can contract, leading to hardening, pain, and visible changes in breast shape. Capsular fibrosis is classified into Baker grades I through IV – from a barely noticeable capsule thickening (Baker I) to a distinctly hardened and painful breast (Baker IV). Diagnosis is made through clinical examination combined with imaging procedures such as ultrasound or MRI mammography.
At our clinic, we perform a complete en bloc capsulectomy for capsular fibrosis. The hardened capsule is removed together with the old implant as a whole – a procedure that requires the highest surgical precision. The risk of recurrent capsular fibrosis can be minimized by performing a thorough capsulectomy and using exclusively high-quality implants from reputable manufacturers, for which neither an increased risk of lymphoma (BIA-ALCL) nor implant rupture is known.
Implant Removal Without Replacement (Explantation)
Not every patient wishes to have new implants placed after the removal of their breast implants. Implant removal without replacement – also known as explantation – is of course possible at our clinic. Since volume is lost after the removal of implants, we recommend an accompanying breast lift (mastopexy) in most cases to achieve an aesthetically pleasing result.
The majority of our patients choose an implant exchange with new, high-quality implants. Some patients – particularly those who prefer a somewhat smaller but firm and natural breast – consciously opt for removal only in combination with a lift. Dr. Caspari will advise you individually on the options and the expected outcome.
Combining Implant Exchange with Breast Lift
In many cases, it is advisable to combine the breast implant exchange with a breast lift (mastopexy). This is particularly recommended when a smaller implant is chosen or when the skin has already been significantly stretched by the long presence of the old implant. The combination of exchange and lift enables an optimal result: a firm, full and naturally shaped breast.
The additional lift procedure extends the operating time by approximately 30 minutes. The recovery time remains comparable to a pure implant exchange. In a personal consultation, we will discuss with you whether a combination of both procedures is recommended for your individual result.
Surgical Technique and Procedure for Implant Exchange
For a breast implant exchange, we use – whenever possible – the existing implantation scar from the first operation as the access route. This has the advantage that no additional scar is created. The existing connective tissue capsule is completely removed as part of a capsulectomy to create a clean foundation for the new implant.
It is often a recommended measure to change the implant position – for example, from above the muscle (subglandular) to below the muscle (submuscular) – in order to prevent a recurrence of capsular fibrosis and ensure a long-term stable result. For the exchange, we exclusively use implants of the highest quality standards from reputable manufacturers such as Motiva or Polytech.
Breast Implant Exchange Costs
The cost of a breast implant exchange depends on the chosen implants and the scope of the operation – in particular, whether an additional breast lift is performed. Costs range from €10,000 to €18,000 depending on individual requirements. Due to longer operating times and increased surgical complexity, the costs of an exchange are higher than for a first implantation. The price includes the new implants, aftercare, and the inpatient stay at our clinic. As part of your personal initial consultation, we will provide you with a transparent, individual cost plan.
Risks and Considerations Compared to First-Time Surgery
The surgical complexity and risk of a breast implant exchange are significantly higher compared to a first implantation. Scarred tissue, altered anatomy from the previous implant, and the necessary capsulectomy make the procedure more demanding. This is why it is particularly important to choose an experienced specialist such as Dr. med. Peter Caspari, who brings the necessary expertise in breast revision surgery.
Scar development after an implant exchange is generally normal. We place the highest value on the most inconspicuous scar placement possible and provide comprehensive advice on postoperative scar care. Capsular fibrosis frequently develops with inferior, very inexpensive implants of poor quality – we also help these patients. Patients who have been operated on elsewhere and choose to have their exchange at our clinic are warmly welcomed. We appreciate the trust and devote the utmost care to the concerns of every individual patient.
Dr. Caspari and his clinic have almost 21 years of experience in implant exchange and implant removal, routinely performing these procedures. Our own results on the frequency of capsular fibrosis are based on international statistics and largely correspond to those from medical literature. Particularly positive experiences exist with implants that have a micropolyurethane coating (MPS), while implants of lower quality grades show significantly poorer performance.
Dr. Caspari emphasizes that his clinic exclusively uses implants that meet the highest quality standards. When choosing implants, he places great importance on quality and integrity in dealing with manufacturer offers. He recommends that his patients be guided only by scientifically proven facts to ensure their safety.
In summary, Dr. Caspari has extensive experience and expertise in the field of implant exchange and implant removal, relying on careful selection and high-quality implants.
When is a Breast Implant Exchange Useful? - Focus Online
Learn everything about the most common reasons for an implant exchange, the course of the operation, risks and costs. Dr. med. Peter Caspari explains the most important aspects of breast implant exchange in Munich.
Frequently Asked Questions About Breast Implant Exchange
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