Breast Revision

Conveniently located to serve the areas of Lake Oswego, Portland, OR and Woodburn, OR

Breast implant exchange, or implant revision, is a procedure designed to replace existing breast implants with new ones in order to address cosmetic goals, health concerns, or complications that may have developed over time. (1)

Breast implant revision can also be indicated if personal preferences evolve over time, causing the patient to change their mind about their current breasts.

Dr. Quita Lopez and her experienced team at Aesthetic Laser Center tailor advanced cosmetic surgeries to each and every one of their patients. Dr. Lopez is a board-certified cosmetic surgeon who leads Aesthetic Laser Center and is recognized for her precise skills and close listening to her patient’s goals. Every procedure is designed with careful attention to detail, ensuring that each patient receives results that look natural, feel comfortable, and support long-term satisfaction.

If you are ready to refresh your appearance and increase your confidence, contact us online or call any of our offices in Lake Oswego and Woodburn at (503) 353-0888.

About Breast Implant Revision

Breast implant revision or exchange allows patients to update or correct their implants, creating results that align more with their lifestyle and aesthetic vision. Many patients may seek an exchange if the implants have aged and require replacement or if they desire a new look or different feel. Some of the many reasons why women may seek breast implant revision/exchange include the following:

Dissatisfaction with Implant Size or Shape

One of the most common reasons for a breast implant revision is dissatisfaction with the size or shape of the existing implants. Some patients decide that their implants are too large and wish to reduce their size for a more natural appearance. Others may feel that their implants are too small and want to increase their volume. Implant exchange provides the opportunity to make these adjustments and achieve better proportions that feel right.

Implant Leakage or Rupture

Both saline and silicone implants can leak or eventually rupture. When saline implants rupture, the implant deflates quickly and visibly. Silicone implant ruptures are often “silent” because they can only be detected through imaging tests. (2) In either case, implant exchange is required to restore proper breast shape and prevent further complications.

Capsular Contracture

Scar tissue around the implant naturally forms, but when the tissue tightens excessively, it can lead to a condition called “capsular contracture.” This can cause pain, inflammation, distortion, or hardness in the breast. An implant exchange with a capsulectomy can remove the hardened scar tissue and restore comfort and aesthetics. (3)

Aged or Outdated Implants

Implants are not lifetime devices, and many patients who received their implants 10 to 20 years ago choose to update them with newer models to achieve a refreshed look and improved safety. Modern implants also tend to offer longer durability and reduce the risk of rupture. (4)

Lifestyle or Body Changes

Weight fluctuations, pregnancy, breastfeeding, or aging can significantly alter the way implants look and feel. Patients often find that their implants no longer fit or mold their body after these changes. When this occurs, a breast implant exchange allows results to be refreshed and reshaped to their liking and match their current physique.

Desire to Change Implant Type

Some women decide that they prefer the softer, more natural feel of silicone implants, while others choose saline to prevent any future rupture. Implant exchange makes it possible to switch implant type, placement, or shape according to personal preference if patients are not fully satisfied with their current appearance.

Benefits

Breast implant exchange offers multiple benefits, which can improve both your physical and mental health. Dr. Lopez and her team perform this procedure with the goal of restoring both comfort and confidence as they:

  • Correct implant complications such as rupture, leakage, and capsular contracture
  • Adjust the implant size and/or shape
  • Improve breast symmetry and balance
  • Renew self-esteem and peace of mind

Candidates

If you are dissatisfied with the size, shape, or look of your implants or are experiencing complications, or if they are more than ten years old, you may be an ideal candidate for a breast implant revision. Additionally, if you wish to switch the material of your implants, such as saline to silicone or vice versa, an exchange will be the ideal procedure for you. You must also be in relatively good health and have realistic expectations for your results.

Personal Consultation

During your personal consultation, Dr. Lopez will begin by reviewing your medical history and addressing your concerns and desired outcomes for your revision. She will also perform a physical exam to evaluate the state of your implants and determine the best treatment approach for your needs. This meeting is also an opportunity for you to ask any questions, express your goals, and better understand the procedure in detail. Dr. Lopez will also explain the different implant options, surgical techniques, and potential complementary procedures that can further elevate your results. Her goal is to ensure that by the end of your consultation, you will have a clear idea of what to expect and thoroughly understand your treatment plan. If you are ready to take the next step towards a breast implant exchange, contact us online or call our office at (503) 353-0888 to schedule your personal consultation.

Preparation

Preparing for your breast implant exchange is an important step toward ensuring a smooth and safe procedure. Dr. Lopez and her team will provide detailed instructions to help guide you during the weeks leading up to surgery. They may advise you to:

  • Discontinue blood-thinning supplements and medications
  • Avoid alcohol consumption or nicotine products
  • Arrange transportation back home
  • Create a designated recovery space for healing
  • Stock up on comfortable clothing
  • Prepare ready-to-eat meals

Procedure

Breast implant revision or exchange is performed as an outpatient procedure under anesthesia to reduce discomfort. Dr. Lopez aims to use the same incision lines from your original augmentation to reduce additional scarring. The specifics of your surgery will depend on the condition of your implants and your desired outcome.

The exact details of each implant exchange will vary depending on your goals. If scar tissue from a capsular contracture is present, Dr. Lopez may perform a capsulectomy to remove the hardened capsule before replacing the new implants. In the case of an implant rupture, the area will be cleaned carefully to prevent complications and resutured after Dr. Lopez inserts a fresh implant. Additionally, if patients are experiencing sagging breast tissue, Dr. Lopez may recommend combining an implant exchange with a breast lift for optimal results. Surgery will typically last one to three hours, depending on its complexity and Dr. Lopez’s selected techniques. You may return home that same day.

Recovery

The recovery experience after a breast implant revision or exchange will vary based on the complexity of your procedure. During the first week, swelling, bruising, and mild soreness are normal and expected as you begin your recovery process. Dr. Lopez will also prescribe medications to reduce overall discomfort.

You will likely be cleared to resume light activities and return to your desk job after a week. However, you should avoid strenuous exercise and heavy lifting for several weeks to allow your body to heal and avoid opening sutures. Dr. Lopez will provide you with specific aftercare instructions and schedule follow-up appointments to monitor your progress.

Your healing process is unique. If you have any questions or concerns, our team will be available.

Results

Your results from a breast implant exchange can be both restorative and transformative. Once your swelling subsides, you will notice an improvement in your breast size, shape, and overall contour. You may also feel relief from prior discomfort or tightness from past complications, such as capsular contracture. If you decide to replace older implants, the modern and new models will provide a more natural look and feel. If you combine your exchange with a breast lift or fat transfer, you will be able to see a transformative shape and change in proportion. Your final results will take several months to fully refine as tissue adjusts. With proper aftercare, your new implants can provide long-term satisfaction and peace of mind.

Corresponding Procedures

Pairing other procedures with a breast implant exchange can enhance your overall results. Dr. Lopez frequently recommends complementary treatments to maximize results, which may include:

Breast Lift

A breast lift raises and reshapes sagging breasts over time or after weight fluctuations cause breasts to sag. You can pair a breast lift with an exchange, as it restores youthful positioning and firmness.

Breast Reduction

Breast reduction can pair with an implant exchange to decrease the overall size of the breast and improve physical support. This creates a balanced and proportionate appearance.

Fat Transfer to the Breasts

Fat transfer to the breasts adds natural volume and softness using fat harvested from other areas of the body. Pairing it with an implant exchange creates a fuller and natural enhancement.

Liposuction

Liposuction sculpts surrounding areas of the body such as the flanks, abdomen, and thighs to deliver a cohesive appearance that matches your breast revision.

Cost of Breast Implant Exchange in Lake Oswego and Woodburn

The cost of your implant exchange depends on several factors, such as the complexity of your case, the type of implants you receive, and whether you pair it with additional procedures. During your personal consultation, Dr. Lopez will provide you with a cost estimate that is completely tailored to your plan. We also offer financing options to make treatment more accessible. Contact us online or call our office at (503) 353-0888 to learn more about the cost of your treatment.

FAQ

How often should implants be replaced?

Breast implants typically last 10 to 20 years, though some patients require a replacement soon due to complications or preference changes.

Can I change my implants from saline to silicone during an implant exchange?

Yes, many patients switch their implant types during an exchange based on their aesthetic goals and personal comfort.

Will I need a breast lift with implant exchange?

Not necessarily, although a breast lift is recommended if sagging is present. Dr. Lopez will evaluate your anatomy to determine if it will improve results.

What happens if my implant ruptures?

If rupture occurs, Dr. Lopez will carefully remove the implant and clean that area before inserting a new implant and resuturing over the same incision areas.

How long do results from an implant exchange last?

Results from an implant exchange are designed to last many years. However, implants are not lifetime devices, and a future replacement may be necessary.

References

  1. Denney BD, Cohn AB, Bosworth JW, Kumbla PA. Revision Breast Augmentation. Seminars in Plastic Surgery. 2021;35(02):098-109. doi:10.1055/s-0041-1727272
  2. Gossman W, Shikhman R, Moufarrege R. Breast Implant Rupture. StatPearls Publishing; 2019. Accessed August 12, 2026. https://www.ncbi.nlm.nih.gov/books/NBK459308/
  3. Safran T, Nepon H, Chu CK, et al. Current Concepts in Capsular Contracture: Pathophysiology, Prevention, and Management. Seminars in Plastic Surgery. 2021;35(03):189-197. doi:10.1055/s-0041-1731793
  4. Hillard C, Fowler JD, Barta R, Cunningham B. Silicone breast implant rupture: a review. Gland Surgery. 2017;6(2):163-168. doi:10.21037/gs.2016.09.12