Refining, refreshing, and restoring long-term confidence
Breast Implant Exchange in London
Breast implant exchange is a procedure designed to replace or remove existing breast implants, either to update older implants, refine size or shape, or address changes that have occurred over time. Many women choose this surgery years after their original augmentation to achieve a more natural feel, correct asymmetry, or restore comfort and confidence.
At her London practice, Dr Nicki Bystrzonowski performs implant exchange and revision breast surgery with meticulous attention to detail. Her approach is measured and patient-focused, ensuring that every decision, from implant choice to surgical technique, is guided by safety, balance, and aesthetic harmony.
Whether the goal is to replace implants for peace of mind, adjust proportions, or rejuvenate breast shape after life changes such as pregnancy or weight fluctuation, Dr Nicki’s philosophy remains the same: to deliver results that look natural, feel comfortable, and align with the patient’s body and stage of life.
What Is Breast Implant Exchange Surgery?
Breast implant exchange involves removing old implants and replacing them with new ones, often of a different size, type, or placement, to refresh the appearance and feel of the breasts. Over time, implants can change position or develop complications such as capsular contracture, asymmetry, or deflation.
During consultation, Dr Nicki assesses the condition of the current implants, surrounding tissue, and skin quality to determine the best approach. She may also combine the exchange with a breast uplift (mastopexy) to restore firmness or correct sagging, particularly if the breast tissue has changed naturally over the years.
The procedure is tailored to each patient, whether it’s a straightforward replacement, removal and replacement with reshaping, or removal without replacement for a more natural appearance.
Key Information
| Detail | Summary |
|---|---|
| Procedure Time | 1.5 – 3 hours |
| Anaesthetic | General anaesthetic |
| Hospital Stay | Day case or overnight stay |
| Recovery Time | Light activity after 5–7 days; full recovery in 4–6 weeks |
| Scarring | Usually along existing incision lines to minimise new scars |
| Results Visible | Immediate improvement, refining as swelling subsides |
| Longevity | New implants typically last 10–15 years |
| Follow-Up | Regular review with Dr Nicki to ensure long-term implant health |
How Breast Implant Exchange Works
Consultation and Assessment
A comprehensive consultation with Dr Nicki Bystrzonowski begins the process. She reviews your medical history, evaluates the condition of your current implants, and discusses your goals for size, feel, and shape. The consultation includes guidance on modern implant options and techniques to achieve the most natural outcome.
Anaesthetic and Preparation
The surgery is performed under general anaesthetic. Whenever possible, Dr Nicki reuses existing incision lines from the original augmentation to minimise scarring.
The Procedure
The old implants are carefully removed, and the breast pocket is assessed and adjusted if necessary. Any scar tissue or capsule tightening is treated at the same time. New implants are then inserted into the desired position, above or below the muscle, to achieve the best contour and symmetry.
Sculpting and Refinement
If required, a breast uplift or reshaping may be performed to refine proportions and restore natural projection. Dr Nicki ensures both breasts are symmetrical and in harmony with the patient’s frame.
Recovery and Healing
Patients usually go home the same day. Mild swelling, tightness, or bruising are normal during the first week and improve gradually. Support garments are worn to maintain shape and comfort. Most patients return to light activity within a week and resume full exercise at six weeks.
Long-Term Results
The outcome is a refreshed, natural breast shape that feels comfortable and balanced. Regular reviews are recommended to monitor implant integrity and maintain long-term results.