Breast Implant Replacement in Toronto

Implant exchange removes an existing implant and places a new one. The operation may also require pocket repair, capsulectomy, scar revision or breast lift.

What this procedure may address

  • Implant rupture or age
  • Desire for a different size or profile
  • Malposition
  • Capsular contracture
  • Asymmetry
  • Changes after pregnancy, weight change or ageing

What patients need to understand

A simple exchange is not always sufficient. Enlarged pockets, thinned tissues and breast descent may require reconstruction, and a larger implant can worsen tissue stretch.

Assessment and planning

Planning uses implant records and imaging where available. The existing pocket, capsule, skin, breast tissue and nipple position are assessed before the replacement device is selected.

Recovery

Recovery varies with the amount of capsule and pocket work. Swelling and implant-position changes continue for months. Future monitoring and additional surgery remain possible.

Individual postoperative instructions take priority over general timelines published online.

Risks and limitations

The proposed benefits must be weighed against risks that include:

  • Bleeding or hematoma
  • Infection
  • Anaesthetic complications
  • Poor wound healing or unfavourable scarring
  • Asymmetry or contour irregularity
  • Altered sensation or numbness
  • Persistent pain or swelling
  • An unsatisfactory result or need for revision surgery
  • Changes in nipple or breast sensation
  • Breast asymmetry
  • Fat necrosis or delayed wound healing
  • Capsular contracture
  • Implant rupture, leakage, movement, malposition or visibility
  • Rippling or palpability
  • Future implant monitoring and additional surgery
  • Breast implant-associated malignancies and systemic symptoms attributed by some patients to implants

This list is not exhaustive. The risks relevant to the proposed treatment are discussed during consultation and again before informed consent.

Consultation with Dr. Elahi

A consultation with Dr. Elahi is an assessment of anatomy, goals, alternatives, scars, recovery, risk and whether treatment is appropriate. It does not create an obligation to proceed.

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