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04 - Procedure

Implant
Replacement.

Revision surgery and correction

Implant replacement when indicated. Correction of capsular contracture, rotation, displacement, asymmetry after previous procedures.

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implant replacement
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About the procedure
When replacement is needed.
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diagnostics / workup
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Modern implants do not have an expiration date. They do not "wear out" on a schedule. Replacement is needed when indications arise - medical or aesthetic.

The most common reason is capsular contracture. This is thickening of connective tissue around the implant, which changes breast shape, makes it firm, and sometimes painful.

Other reasons include implant displacement or rotation, shell damage, desire to change size or shape, aesthetic dissatisfaction with a previous result.

Who it is for
Indications.
Capsular contracture grade 3 or 4 on the Baker scale
Confirmed implant damage or rupture
Implant displacement or rotation
Desire to change breast size or shape
Development of rippling - visible implant folds under the skin
Replacement of older-generation implants with modern ones
The Professor Fayzullin's approach
Revision surgery is not «the same thing, only a second time».

Repeat surgery is always more complex than primary surgery. Tissues have been altered by the previous procedure. The capsule may be thickened. The vascular network has been reorganized. Symmetry is often disrupted.

That is why the approach to revision differs. It is not "open, replace, close." It is a full reassessment of anatomy in its current state and an individualized decision for each situation.

From scientific practice
Publications in Scopus-indexed journals
Experience with capsular contracture.

A differentiated approach to capsulectomy - partial or complete - is described in Tagir Fayzullin's publications in Plastic Surgery and Aesthetic Medicine and the Medical Bulletin of Bashkortostan.

Steps
How the journey unfolds.
01
Consultation and assessment

Medical history review, analysis of the previous procedure, assessment of current condition.

02
Extended workup

Ultrasound with breast tissue density measurement, MRI if needed to assess implant and capsule status.

03
Surgical planning

Tactic decision: implant replacement only, replacement with capsulectomy, or combined correction with lift.

04
Surgery

Duration 2-4 hours depending on complexity. Under general anesthesia.

05
Recovery and follow-up

One night in hospital. Check-ups on an individualized schedule accounting for case specifics.

Common questions
FAQ

Didn't find an answer? Ask your question directly.

If the previous procedure was at another clinic - is that a problem?
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No. Most of our patients in this area had surgery elsewhere previously. The more detailed the medical history and records from the previous procedure, the more precisely we can plan revision surgery.
Do both implants need to be replaced if only one has a problem?
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It depends on the situation. With unilateral damage, replacement of one side only is possible, especially if the second implant was placed recently. With bilateral capsular contracture or a need to change size, both are usually replaced.
How much time should pass after the first procedure?
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For planned replacement - no sooner than 12 months after primary surgery, when tissues have fully recovered. For urgent indications (implant rupture, severe contracture) - as medically necessary.
Can implants be removed without replacement?
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Yes. This procedure is called explantation. At consultation, we discuss whether a lift is needed to restore breast shape after removal.
Is revision surgery more expensive than primary surgery?
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As a rule, yes. Revision procedures are technically more complex and require more time. Exact cost is determined after complete workup.
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