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Implant Exchange in Buffalo, NY

Dissatisfaction with your breast augmentation can be the result of postoperative complications, a poorly performed surgery, or implant choices that don’t properly complement your body’s natural shape. Women who are dissatisfied with their breast augmentation may choose to replace implants that aren’t providing them with their ideal aesthetic.

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The Benefits of Implant Exchange

  • Achieves the breast size you desire
  • Improves the shape of your breasts
  • Corrects postoperative complications that may cause pain
  • Restores your confidence in your breast appearance

Reasons for an Implant Exchange


  • Implants that create larger or smaller breasts than you envisioned
  • Implants that are too large or too small compared to your frame and create an unbalanced appearance
  • Large, heavy implants that cause back and neck pain


  • Visible rippling or wrinkles under thin breast tissue
  • Visible edges around the implants
  • Implants that sit too high on the chest
  • Lack of definition or cleavage


  • Saline implants may rupture due to trauma or wear on the outer shell
    • Saline ruptures are immediately noticeable; the breast takes on a deflated, empty appearance
  • Silicone implants leak slowly over time
    • Many patients don’t know if they have a silicone implant leak; an MRI is often required to diagnose a ruptured silicone implant


  • Capsular contracture is the constricting of the scar tissue that naturally forms around the breast implant
  • In severe cases, the implants must be replaced in order to remove all the scar tissue
  • Textured implants may be placed to help prevent future capsular contracture from forming
Breast revision patients seeing Dr. Koch for the first time can greatly benefit from the use of VECTRA® 3D imaging. The VECTRA® XT is a 3D imaging system that simulates your possible results. By analyzing patient anatomy and measurements, this system allows you to see what you would look like with various implant sizes. Imaging technology is a crucial part of your consultation because it provides a glimpse at your post-surgery body. This realistic image allows you to choose an implant size that will give you the look you desire. This is highly beneficial during the revision process to help patients choose new implants that will provide them with the look they envision.
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Before & After


Immediately After

Immediately After

The breast revision implant exchange recovery will feel very similar to that of your original augmentation.  You will be placed in a sports bra, and you will most likely feel a pressure-like discomfort around the chest.  There will be some minor bruising and swelling.  Most pain resolves within 48 hours, and pain medication will be prescribed to alleviate any further discomfort.  Most patients feel good enough to return to work after a few days of downtime.

2 Weeks After

2 Weeks After

Patients can return to light physical activity.  Some minor swelling may still persist, which will continue to resolve over the next several weeks.

6 Weeks After

6 Weeks After

Patients can resume all normal activities such as swimming, chest exercises, and yoga.  Most swelling will have subsided, but minor swelling may still persist.


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