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Breast Surgery

Breast implant replacement

A guide to breast implant replacement and revision in Turkey: the reasons implants are replaced (capsular contracture, rupture, size change, bottoming out, rippling, textured implants), what a revision involves, implant exchange compared with removal, approximate costs compared with the UK, the US and Germany, the stay, recovery and the risks of a second operation.

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Medically reviewed by Op. Dr. Murat Yaman, Plastic SurgeonUpdated October 202610 min read

Breast implant replacement
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Breast implant replacement and revision in Turkey: what it is and who needs it

Breast implant revision — often called breast implant replacement — is any second operation on breasts that already have implants: replacing implants, changing their size or position, treating a hardened capsule or correcting the shape. Breast implants are not lifetime devices — the US Food and Drug Administration (FDA) reports that about 20 in 100 augmentation patients have their implants removed within 8–10 years — so revision is a common operation, but it is more demanding than a first augmentation. The surgeon works with scar tissue, a stretched pocket and thinner breast tissue, and the plan must fix the cause, not only swap the implant.

This page covers breast revision surgery in Turkey specifically. For the full guide to implants, prices and first-time surgery, see breast augmentation in Turkey; if you want the implants out without new ones, see breast implant removal.

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Common reasons for a breast implant replacement

ProblemWhat you noticeUsual correction
Capsular contractureThe breast becomes firm, round, high, misshapen or painfulCapsulectomy (removing the capsule), a new implant, often a new pocket under the muscle
Ruptured breast implantSaline: the breast deflates. Silicone: often nothing — found on ultrasound or MRIRemoval of the implant and leaked gel, usually with capsulectomy, and a new implant
Size changeYou want larger or smaller breastsImplant exchange; a lift if going smaller with loose skin
Bottoming outThe implant has slipped below the fold, the nipple points upwardsRepairing the fold with internal stitches (capsulorrhaphy)
Implants too far apart or too close (symmastia)A wide gap or implants meeting in the middleReshaping the pocket with stitches or a new pocket
Rippling or visible edgesWaves under the skin, often over the muscle in slim womenMoving the implant under the muscle, fat transfer, sometimes a different implant
Sagging over the implant ("double bubble", "Snoopy" shape)The breast tissue drops in front of the implantA lift, with or without implant exchange — see implants with breast lift
Animation deformityThe breast moves or distorts when you tense the chest muscleMoving the implant from under the muscle to over it

A further reason is textured implants. The FDA and the UK MHRA do not recommend exchanging them in women without symptoms, but some women choose to replace textured with smooth implants when they need a revision anyway or for peace of mind; ask for the capsule to be removed and sent to pathology at the same time.

Capsular contracture: the most common reason for revision

Every implant is surrounded by a thin scar capsule; in capsular contracture it thickens and tightens. Surgeons grade it on the Baker scale: grade I is soft and normal, II slightly firm, III firm and visibly distorted, IV hard, distorted and painful. Grades III and IV are usually treated with surgery. According to the manufacturers' long-term studies reported to the FDA, contracture is the most common reason for a reoperation after augmentation.

Simply exchanging the implant rarely fixes contracture — the capsule tends to recur. A revision usually removes the capsule (total capsulectomy), changes the pocket — often from over to under the muscle — places a new implant with a no-touch technique and sometimes adds a biological mesh to support the tissues. Even so, contracture can return, and you should hear that from your surgeon before booking.

Ruptured implants: what to do

A saline rupture is obvious within days. A silicone rupture is often "silent": the gel stays inside the capsule (intracapsular) and nothing changes on the outside. That is why the FDA recommends an ultrasound or MRI five to six years after surgery and then every two to three years. Gel that has escaped beyond the capsule (extracapsular) can cause lumps or tender lymph nodes and needs more extensive cleaning.

A rupture is not an emergency, but the implant should be removed or replaced within a reasonable time. Bring the imaging report and your implant card: many manufacturers offer a warranty that covers a replacement implant, and sometimes part of the surgery, after a rupture.

How much does breast implant revision cost in Turkey?

A revision costs more than a first augmentation because it takes longer and often includes a capsulectomy, pocket repair or a lift. We do not publish a fixed price for revisions; the table gives approximate ranges, confirmed in a written quote after a surgeon has seen your photos, history and imaging.

Prices in euros (€) from hospitals' published price lists, checked October 2026; ranges marked approximate are estimates. The written quote confirms the final price.
CountryApproximate cost of an implant revision with new implantsNotes
Turkeyabout €3,500–€6,500 (approximate, confirmed in a written quote)Includes new implants in most packages; capsulectomy and a lift raise the price
United Kingdomabout £5,000–£10,000Private; the NHS may remove a failed implant but generally does not replace it
United Statesabout $7,000–$15,000Surgeon, anaesthesia, facility and implants often billed separately
Germanyabout €5,000–€9,000Higher with capsulectomy and lift

What changes the breast implant revision cost: the type of capsulectomy, whether silicone has leaked, the new implants (a manufacturer warranty may cover them), a lift or fat transfer, and pocket repair. For comparison, a first augmentation on our site starts at €4,870. Package contents and payment work as described in the main breast augmentation guide.

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Revision or removal?

QuestionImplant revision (exchange)Implant removal
Breast size afterwardsSimilar, larger or smaller as plannedSmaller, often flatter than before implants
Future implant surgeryStill possible over the yearsNone, unless you choose implants again
Often combined withCapsulectomy, pocket change, liftCapsulectomy, lift, fat transfer
Imaging checksContinue for silicone implantsNo longer needed for implants

What to send for a breast implant revision quote

A revision cannot be planned from two photos. The more a surgeon knows before you travel, the more accurate the plan and the written price — and the fewer surprises on the day of the consultation. Prepare:

  • Photos: front, both sides and both 45-degree angles, arms down and then raised, in plain light without a bra. Add a photo with your arms pressing on your hips if your breasts move when you tense the chest muscle.
  • Your implant card: manufacturer, model, surface (smooth or textured), volume and placement. If you have lost it, the clinic or hospital that did the first operation can usually give you the details.
  • The previous operation report: the incision, the pocket (over or under the muscle) and any earlier revisions.
  • Imaging: an ultrasound or MRI from the last year, especially if a rupture is suspected; it shows whether silicone has leaked beyond the capsule.
  • Your goal: the size and shape you want now, and what bothers you most — firmness, position, size, rippling or sagging.
  • Your health: medicines, smoking, pregnancies since the first operation and any symptoms such as swelling of one breast, which need tests before travel.

With these, a surgeon can tell you whether you need a capsulectomy, a new pocket, a lift or only an implant exchange, which implant they suggest and how long you should stay. If the plan changes at the in-person examination, the change and its price should be written down before surgery.

Your stay and recovery after a breast revision

The operation is done under general anaesthesia and takes about two to three and a half hours, depending on capsulectomy, pocket repair and a lift. Most patients stay one night in hospital, sometimes with drains for a few days. Plan about 7 days in Turkey: consultation, tests and the final plan on day one, surgery on day two, checks during the week and a final review before you fly. Bring your implant card, the previous operation report and recent imaging.

Recovery is similar to or a little longer than after the first augmentation: a support bra day and night for about six weeks, office work after about a week, no lifting or upper-body training for about six weeks. Pocket repairs need particular care: sleep on your back and avoid pressure on the breasts as instructed. The result settles over about three to six months. Practical advice for the flight is in our guide to flying after surgery.

Risks of a second breast operation

A revision carries the same risks as a first augmentation — bleeding, infection, changes in nipple sensation, asymmetry — and some are more likely: recurrent contracture, malposition, rippling and further revisions, because the tissues are thinner and scarred. Manufacturers' long-term studies reported to the FDA show higher reoperation rates in revision patients than after primary augmentation. Smoking and very large implants increase the risks. Ask your surgeon what a further correction would cost and who would pay for the trip.

Choosing a surgeon for breast revision surgery in Turkey

Ask for the surgeon's name, how many revisions — not only augmentations — they do, before-and-after photos of revisions like yours (contracture, bottoming out, size change) at least six months after surgery, and how they plan to fix the cause, not only exchange the implant. Make sure the operation is done in a licensed hospital with an anaesthesiologist present. Our guide on choosing a safe surgeon in Turkey lists the general checks; the surgeons and hospitals shown on this page perform breast surgery. Take home the operation report, the new implant card and any pathology report.

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Hospitals with Plastic & Aesthetic Surgery in Turkey

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Frequently asked questions

Approximately €3,500–€6,500 including new implants, depending on capsulectomy, pocket repair, a lift and whether silicone has leaked. The exact price is confirmed in a written quote after a surgeon reviews your history and imaging.

Implants have no fixed expiry date. Many last 10–15 years or more, but the FDA reports that about 20 in 100 augmentation patients have their implants removed within 8–10 years. They are replaced when a problem appears or you want a change.

Yes. Removing the capsule, changing the pocket and using a no-touch technique lower the risk, but contracture can recur, and the risk is higher after a previous contracture.

No, but it should be removed or replaced within a reasonable time. A silicone rupture is often silent and found on ultrasound or MRI; bring the report and your implant card, as manufacturer warranties often cover a replacement.

Yes. If you go much smaller, the skin may be loose and a lift is often recommended at the same time or a few months later.

The FDA and MHRA do not recommend exchanging textured implants without symptoms. Many women switch to smooth implants when they need a revision anyway; ask for the capsule to be removed and sent for pathology.

About 7 days: consultation and tests, surgery with one night in hospital, checks during the week and a final review before you fly.

Unless there is a complication that needs treatment, surgeons usually wait at least six months, often longer, for swelling to settle and the tissues to soften before a revision.

It is often similar. Moving an implant under the muscle makes the first days more uncomfortable; moving it out from under the muscle usually hurts less.

The implant slips below the breast fold, so the nipple points upwards and the lower breast looks too long. It is corrected by repairing the fold with internal stitches, sometimes with a smaller or different implant.

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