Case #1502
Implant Removal and Replacement
A 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 keep a similar look with slightly more fullness. Dr. Azadgoli replaced her submuscular 340cc low profile implants with 380cc moderate profile Motiva implants.
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.
Why this approach
The decisions that shaped this surgical plan.
- Both sides treated in the same session — symmetric planning, identical tissue handling, and matched final contour are easier to achieve in one operative window than in two.
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
Both sides healing in parallel means the early phase is quieter — short walks, full rest periods, and no driving until off pain medication.
- 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
- Aftercare
Extended hyperbaric oxygen course (10–15 sessions) to support bilateral healing.
Bilateral procedures heal more reliably with sustained HBOT.
