Implant Replacement +/- Capsulectomy
What is Implant Replacement and Capsulectomy?
Implant replacement with capsulectomy is a combined procedure that removes existing breast implants and scar tissue and then replaces the implants with new ones. This approach is chosen by women who want to refresh their breast appearance, update implant type or size, or address issues such as firmness, asymmetry or changes over time — all while maintaining a natural, balanced result.
Why Choose Implant Replacement and Capsulectomy?
There are many reasons to consider this procedure:
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You want to update your current implants for a different size, shape or profile.
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Capsular contracture (scar tissue tightening) has developed and is affecting comfort or breast shape.
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You have implants that are aging, uncomfortable or no longer aligned with your aesthetic goals.
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You want a natural, refreshed breast appearance with healthier surrounding tissue.
It’s a personalised procedure that can enhance both comfort and cosmetic outcome.
How the Procedure Works
This surgery is performed under general anaesthetic. The existing implants are removed, and scar tissue (capsule) is cleared through either part or full capsulectomy as needed to release tightening or distortion. Once the capsule has been addressed, new implants are placed in the optimal position to create the desired breast size and shape. The incisions are closed carefully for the best possible scar positioning.
Many women choose this option when they want a more refined, natural look or are switching implant type — for example, from older saline or round implants to newer styles that offer improved shape and feel.
What to Expect After Surgery
After surgery, swelling, tenderness and bruising are common in the first few days. A supportive postoperative bra helps the breasts settle into position and provides comfort during recovery. Most patients can return to light daily activities within a week, while heavy lifting, strenuous exercise and high-impact movements should be avoided for 4–6 weeks.
Over the following months, swelling continues to subside and the final shape becomes clearer as the tissues heal.
Important Considerations & Long-Term Information
Implants are not lifetime devices - replacement is a normal part of long-term management for many women. Combining implant replacement with capsulectomy helps to address both volume and tissue health, particularly if scar tissue has developed.
The final appearance depends on your anatomy, implant choice and skin quality. Some women also choose a breast uplift at the same time if sagging is present, which can further refine contour and shape.
Frequently Asked Questions
Key Features To Be Aware Of:
- Surgical time – 2-3 hours
- Anaesthetic type – General anaesthetic
- Time off work – 1-2 weeks office work, 2-6 weeks manual work
- Hospital stay – 0-1 nights
- Shower – immediately
- Reasonably mobile – 2-7 days
- Sleeping position – back or side
- Exercise including gym – 6 weeks
- Bras and garments – front fastening post-op bra for 6 weeks day and night
- Sexual activity – after 1-2 weeks when comfortable
- Full recovery – 6 weeks
- Driving – 1-2 weeks
- Drains – yes for capsulectomy, removed day 1
PATIENT TESTIMONIALS
Further information on Miss Jackson's work and independent testimonials can be found on her TopDoctors profile.
