Case #1502
Implant Removal and Replacement
59 year old patient with breast implants placed 25 years ago, now with a right sided rupture. She was happy with the appearance of her breasts and wanted to maintain a similar appearance, with slightly more fullness. Dr. Azadgoli replaced her submuscular 340cc low profile implant
59 year old patient with breast implants placed 25 years ago, now with a right sided rupture. She was happy with the appearance of her breasts and wanted to maintain a similar appearance, with slightly more fullness. Dr. Azadgoli replaced her submuscular 340cc low profile implants with 380cc moderate profile Motiva implants.
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Why this approach
The decisions that shaped this surgical plan.
- Surgical plan calibrated against the opposite side. Final shape, scar position, and volume targeted to match — not to a generic ideal.
Pre-op preparation
What to do before surgery. Specific to this case.
- Stop NSAIDs, aspirin, and high-dose fish oil two weeks before surgery; the surgical team provides a full medication list at the pre-op visit.
- Full nicotine cessation 6 weeks pre- and post-op. This includes vapes and nicotine replacement products; the constriction effect is the same.
- Arrange button-front or zip-front tops for the first three weeks — overhead reaching is restricted. A drain holder or apron is provided.
- Day-of transport and an overnight companion (24 hours minimum) are required for discharge.
Recovery timeline
Milestones specific to this case. Individual recovery varies.
- Day 1–7
Light activity, hydration, and elevation. Expect peak swelling between days 3 and 5, then a gradual easing through the end of the week.
- Week 2
Patients off prescription pain medication, walking 1–2 miles daily, and back to most light household activity.
- Week 4
Most patients back to gym cardio at 50 percent intensity. Scar massage protocol begins. Driving restored if not already.
- Week 6
Standard clearance milestone. Patients return to most exercise, gym work, and sleeping in any position.
- Month 3
Most patients consider this the "final result emerges" milestone. The remaining 10 percent of refinement plays out through month 6.
Continued care
Recommended aftercare, skincare, and MedSpa services for Implant Removal and Replacement.
- Compression bra continuously for 4 weeks, daytime for 8 weeks
- No lifting above 10 lb for the first 3 weeks
- Sleep elevated for the first week
- Scar management protocol at 3 weeks
- Gentle implant massage from week 4 if directed
- Medical-grade silicone sheeting on the incision lines
- SkinCeuticals C E Ferulic for scar healing
- SPF 50+ on incisions for 12 months
- Indiba radiofrequency for tissue recovery
- LED light therapy weekly for the first 8 weeks
- Fractional laser for scar refinement after 3 months if needed
