Breast implant replacement in Zurich

Breast implant replacement – reconciling aesthetics and safety

Breast implants are long-lasting, and many manufacturers even offer a lifetime guarantee. And yet there are some reasons why women may consider – or need – to change their implants. Some want to adjust the size or shape, while others may need another surgery due to medical complications such as capsular fibrosis or implant rupture.

Changing implants can optimize the shape of the breast and alleviate discomfort. At the same time, it is possible to achieve a particularly natural result with an additional breast lift or in combination with autologous fat.at Tremp Plastic Surgery in Zurich, we offer you individual solutions that take both aesthetic and medical aspects into account – for healthy breasts and a harmonious breast shape.

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Important facts at a glance

OP DURATION

approx. 2.5 hours

ANAESTHESIA

General anesthesia

HOSPITALIZATION

2-3 days

COSTS

from 12'400 CHF

SOCIALLY ACCEPTABLE

after 1-2 weeks

AFTER-TREATMENT

Support bra for 6 weeks

SPORT

After 6 weeks

Procedure for changing the implant

Preparation

During a detailed consultation, we will determine the best treatment option for you and inform you in detail about the procedure and possible risks. We advise you to refrain from taking blood-thinning medication and nicotine for at least 2 weeks before the operation to ensure optimal wound healing.

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The intervention

The procedure is usually performed under general anesthesia and involves a hospital stay of 2 to 3 nights. Access for replacing the implant is via the existing scar. In the case of capsular fibrosis, the hardened tissue is removed.

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Aftercare

You should rest your body for one to two weeks after the inpatient stay. You will be given a special support bra which you should wear for the next 6 weeks. Avoid sport and heavy lifting during this time.

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Reasons for a breast implant change

Changing breast implants can make sense for both aesthetic and medical reasons. Health aspects and individual wishes play a decisive role here:

Implant change due to capsular fibrosis

After insertion of the breast implant, the body normally forms a capsule of connective tissue around the implant to hold it in place. In some women, this capsule formation leads to excessive hardening of the tissue, which is known as capsular fibrosis.

Capsular fibrosis in breast implants can be promoted by various factors. There is an increased risk if a hematoma or infection occurs after the operation. The placement of the implant also plays a role. If the implant is placed above the muscle, the risk of capsular fibrosis is higher than if it is placed below the muscle.

The coating of the implant is also important. Implants with a rough surface have a lower risk of capsular fibrosis than smooth-walled implants.

Classification according to Baker

Capsular fibrosis is classified according to Baker.

Baker I: A soft capsule surrounds the implant, no changes are visible.
Baker II: Slight hardening of the connective tissue, possible feelings of tension.
Baker III: Moderate hardening of the connective tissue, incipient deformation of the implant.
Baker IV: Shrinkage of the connective tissue around the implant, severe pain and considerable deformation of the breast.

If the implant lies under the muscle, the risk of capsular fibrosis after 10 years is around 10 %. Treatment with implant removal should be considered for Baker III-IV at the latest.

Further reasons for an implant change

Other possible reasons for a breast implant change include

Implant rupture or leakage: Modern implants are very resistant, but damage or rupture of the shell can occur over time. In this case, the implant should be removed and replaced immediately.
Desire for a new size or shape: Many women wish to have their implants adjusted over time, e.g. to achieve a more discreet or fuller décolleté.
Breast changes due to pregnancy or weight loss: Pregnancy or significant weight changes can affect the appearance of the breast. Changing the implants can help to optimize the breast shape.
Outdated implants: Older implants should be examined regularly. Even if there is no discomfort, it may make sense to change them in order to insert more modern, safer implants with a more natural feel.
Dissatisfaction with previous surgery: In some cases, patients are not satisfied with the results of their previous breast augmentation. Changing implants can help to achieve a more harmonious and aesthetic result.

Options for breast implant replacement

Depending on the initial situation and individual wishes, there are various options for changing breast implants.

Simple implant change

In a simple implant exchange, we remove the old implant and replace it with a new one. Other implant shapes or sizes can also be selected.

Implant replacement with breast lift

If the tissue has sagged over the years or the skin has lost its elasticity, a breast lift can also be performed. This lifts the breast and gives it a youthful, firmer shape.

Change to smaller implants or implant removal

Some patients decide to switch to smaller implants or to go without. In this case, a breast lift or breast augmentation with autologous fat (lipofilling) can help to achieve a harmonious and natural result.

Change after capsular fibrosis

In the case of capsular fibrosis (Baker grade III or IV), the implant and capsule must be surgically removed. A new implant can then be inserted or, alternatively, autologous fat treatment can be performed.

Our before and after pictures for changing breast implants

Before

After

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Your advantages at our clinic

Many years of experience and expertise

State-of-the-art technology forscar-saving results

Individual advice and customized solutions

Personal support and close aftercare

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Costs of a breast implant replacement in Zurich

The cost of breast implant replacement in Zurich depends on the chosen procedure. The price is made up of the surgery, anesthesia, hospital stay and aftercare. The costs at Tremp Plastic Surgery generally start at CHF 12,400.

During a personal appointment, we will draw up a detailed cost plan for you and, if necessary, inform you about your financing options. If medically indicated, the costs may be reimbursed by your health insurance company. We will be happy to assist you with the application process.

Risks of an implant change

The risks after the operation are comparable to those of a breast augmentation, breast reduction or breast lift. Temporary swelling, bruising or changes in sensitivity are possible. Infections rarely occur. However, thanks to careful planning, modern surgical techniques and Dr. Tremp’s many years of experience, possible complications can be minimized right from the start.

Real opinions, real success – experiences of our patients

Rosa Andreottola (Anna)
Recession over Google

Dr Tremp is not only a doctor but also, above all, a very decent, respectful and professional person. From the very first minute, I knew that I wanted him to perform my nose operation. No other doctor had ever given me the confidence and courage to take this step. Thanks to his expert advice, I was able to make a confident decision to go ahead with the procedure.
Dr Tremp performed my nose operation two weeks ago. I am satisfied, and I will continue to receive support after the operation, which gives me even more confidence. He takes the time to discuss any concerns.
I would have Dr. Tremp operate on me again anytime. He is simply an excellent doctor who always puts the patient’s well-being first. Thank you very much for everything. As a patient, you appreciate it and it gives you peace of mind when you know that someone is there for you.

Florina Hasi
Recession over Google

I am very impressed with PD Dr. Tremp – a top doctor with incredibly kind and empathetic human qualities! He has a high level of professional and social competence! He is very sensitive and his explanations of treatments are easy to understand. The treatment was painless, with no bruising, no side effects and no swelling!

Tessy bucher
Recession over Google

I feel completely at ease at this practice. The doctor takes his time, listens attentively and explains everything clearly. The practice team is also very friendly and well organised – short waiting times and a pleasant atmosphere. I can wholeheartedly recommend this practice!

Rosa Andreottola (Anna)
Recession over Google

PD Mathias Tremp, MD

As a specialist in plastic, reconstructive and aesthetic surgery, Dr. Mathias Tremp cares for his patients with great empathy. Thanks to his extensive training, years of research and continuous further training, he is a renowned expert in the fields of facial surgery, breast surgery and body lifting.

FAQ – Frequently asked questions about implant replacement in Zurich

When should breast implants be replaced?

A change may be necessary for medical or aesthetic reasons. Sometimes aesthetic expectations change and a change is desired. Medical reasons include, for example, capsular fibrosis and implant damage.

What is capsular fibrosis?

Capsular fibrosis is the most common complication of breast augmentation with implants. A hardened tissue capsule forms around the implant which, depending on the stage, can lead to pain and deformation of the breast.

Does health insurance cover the costs of implant replacement?

If breast implants are removed for medical reasons, your health insurance may cover the costs in some cases. Whether and to what extent this is the case for you must be checked with your insurance company.

Can capsular fibrosis be prevented?

The risk of capsular fibrosis can be minimized by choosing an implant with a textured surface and placing it under the muscle. Nicotine consumption is also a risk factor for capsular fibrosis.

What do I need to consider after a breast implant change?

About one to two weeks after the procedure, most patients are able to socialize and work again. You should refrain from sport for the next 6 weeks.

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Do you have any questions?

Would you like to find out more or would you like a personal consultation? We are happy to help you.