Change of Breast Implants - Marbella Madrid

After implantation of any foreign object, such as a pacemaker or a breast implant, the natural healing response of our body results in the formation of a surrounding layer of connective tissue, a so-called capsule. Hence, every woman with a breast implants has a capsular envelope around it. The term capsular contraction or capsular fibrosis describes a condition where the capsule contracts along its collagen fibers and becomes eventually smaller than the implant itself. This results in a visible change of the implant’s position and aesthetic appearance, in some cases associated pain and discomfort. Numerous factors may trigger this process, especially possible bacterial contamination (biofilm), which may result in an inflammatory reaction leading to stimulation of fibroblasts and subsequently capsular contraction. The texturing of implant’s silicone envelope and its sterile handling during the implantation may play an important role in triggering this process.

Not necessarily. It depends on the severity grade (Baker I to IV) as assessed in clinical examination based on the patient´s symptoms. Generally, if discomfort or pain, visible change of implant position or asymmetry are present, revision surgery may be indicated. Newest generation implants have shown in studies that the likelihood of capsular fibrosis is significantly reduced compared to data from studies with older breast implants. Some manufacturers give life time guarantee that includes severe grades of capsular contraction and facilitate new implants free of charge in case of revision surgery.

Your preferences and anatomic proportions are key in finding the implant brand best suited to you. All brands we use are major global brands, certified, approved and latest generation.
They all provide you with a life-long guarantee for the implant and, in some cases, even a reimbursement for re-operation in case of late-onset complications.

Motiva: New kind of responsive gel that imitates natural breast movement in motion, extremely low risk of capsular fibrosis in 6 years of survey, natural and pleasant touch, only available in round shape. ➯ Motiva Novel

B-lite: Only implant brand on the market using a silicone gel crosslinked with small hollow microspheres making the implant up to approx. 30% lighter than other silicone implants. Less weight means less strain on the tissues decelerating the weight-induced sagging process and making recovery less painful. ➯ Reduced Pain and Accelerated Recovery

Nagor: Highest possible projection (i.e. breast forward distance from the chest wall in relation to diameter) amongst all anatomic shape implant brand, our choice for all non B-Lite anatomic augmentations. ➯ Nagor

All current breast implants are made of medical grade silicone. The silicone molecules are three-dimensionally linked, which minimizes the possibility that the cohesive gel leaves the silicon shell even in the extremely unlikely case of an implant rupture. The silicon shell surface ranges from smooth to different degrees of texturing, depending upon brand and model. In case of B-lite implants, the medical grade silicone gel features additional microsphere inclusions, resulting in less weight for a given size.

Round: Form of a compressed sphere, offering some more fullness to the upper part of the breast (upper pole)

Anatomic: Form of a teardrop, these form stable implants do not change their shape if you hold them upside down

Ergonomic Gel: The gel is moving in the shell depending on posture and motion, just like a natural breast

For most implants, there are three to four degrees of projection (breast forward distance from the chest wall) available – from low, moderate, high and extra high. 

Please do not be misguided the common misconception that anatomic implants only can give natural results whereas round implants can create a prominent décolleté. The final shape of your augmented breast results does not only depend on the shape and the positioning of the implant, but also on the quantity, elasticity and shape of your natural breast tissue. Therefore, natural and more augmented looks can be achieved by both anatomic and round implants, and your anatomy will decide which implant we will recommend after a thorough evaluation for your individual case.

In case of implant change surgery, we normally use the existing scars and make additional scars only in case it is absolutely necessary. Those scars are typically found in the following locations:

Inframammary fold: In the fold under the breast, slightly visible scars, mostly covered by the breast itself

Periareolar: Circular, around your nipple (areola), barely visible between the normal breast and the hyperipigmented skin of the areaola

Vertical: In cases where a breast uplift is necessary, additional vertical scars may run in the the midline of the breast, extending downwards into the inframammary fold.