Breast implant exchange in Vienna
In brief
In a breast implant exchange, Dr. Handl replaces existing implants, for example because of capsular contracture, a defect or the wish for a different size, usually through the old scar. The procedure takes about 40 to 60 minutes and is performed as an outpatient under local or general anaesthesia. Office work is usually possible straight away, light sport after one week. Prices start at €5,000.
- Medical review
- This text was medically reviewed by our team on 6 October 2026
- Specialist for this treatment:
-
Dr. Markus-Johannes Handl
- Cost:
- from €5,000
At a glance
- Location
- Practice / clinic
- Outpatient or inpatient
- outpatient
- Duration of the operation
- about 40-60 minutes
- Type of anaesthesia
- local anaesthesia / general anaesthesia
- Recovery phase
- 2-3 days
- Scars
- old surgical scar
- Desk work / office work
- straight away
- Sport
- after 1 week
- Check-ups
- depending on healing, after one week
- Special notes
- sports bra for 4 weeks, sun protection, Steri-Strip dressing
Breast implant exchange
When is an implant exchange necessary?
A breast implant exchange can be necessary for various reasons. In some cases, a change of implant is indicated for aesthetic reasons. Ageing, weight gain or loss or hormonal fluctuations, for example, can change the breasts so that an implant exchange becomes necessary. Medical reasons can also require an exchange, such as capsular contracture, which can lead to hardening of the breast or a change in breast shape.
If you are considering an implant exchange in Vienna, you can rely on Dr. Handl's expertise. In a personal consultation, he explains the course of treatment and discusses your individual goals, expectations and options, as well as possible risks.
In a breast implant exchange, both an enlargement and an improvement of the breast shape are possible. With old breast implants, switching to a modern implant is also often advisable for medical and aesthetic reasons. Dr. Handl can help you choose the right implant for your individual needs.
The operation itself is performed under general or local anaesthesia and can be carried out as an outpatient procedure in Vienna. The access route of a previous operation can usually be used to minimise scarring. After the old implant has been removed, it is checked for damage, and in most cases the old implant capsule is removed. The implant pocket is then reshaped and a new implant is inserted. Depending on the starting point, this can be placed over or under the chest muscle.
After the operation, you can usually return to work and everyday activities after just a few days. However, you should avoid physical exertion in the first weeks after the operation and wear a support bra to aid healing.
With Dr. Handl in Vienna, you have an experienced and qualified surgeon at your side who offers you the best possible treatment.
Breast implant exchange in Vienna by the specialist
A breast implant exchange is a surgical procedure in which an existing breast implant is replaced with a new one. The reasons for changing the implant can be many, for example a change in breast shape or size, capsular contracture (hardening of the capsule around the implant), displacement of the implant, an implant defect or dissatisfaction with the current implant.
Before the procedure, a detailed consultation and examination are carried out to establish the patient's individual wishes and expectations and to choose the right implant size and shape. It is also checked whether an additional breast lift is necessary.
The implant exchange is usually performed under general anaesthesia. The old implant is removed, the breast is lifted if necessary and the new implant is inserted. The operation can be performed as an outpatient or inpatient procedure and usually takes 40 to 60 minutes.
After the operation, the breasts need to be spared for a few weeks to support healing and avoid complications. Sporting activities should be avoided for a few weeks.
A breast implant exchange can help to increase self-confidence and satisfaction with your own body and to achieve an aesthetically pleasing breast shape.
Implant exchange: the day of surgery
On the day of your treatment, we ask you to arrive at the clinic at least 4 hours before the operation. This allows you to check in calmly at the private clinic, as in a hotel.
After the usual admission procedures, you are taken to your room and the anaesthetist goes through all the details of the anaesthesia with you once more.
Directly before the procedure, you are measured and photographed again, and careful documentation is prepared. You can voice wishes and ask questions at any time.
Dr. Handl never operates under time pressure, so the operating time varies with the surgical technique, your anatomy and the effort involved.
After the operation, you spend the first hours in the recovery unit. Experienced nursing staff look after you constantly until you feel fit enough for your own room.
Once you are back in your room, you can also receive private visitors.
Breast implant exchange in Vienna
Breast implant exchange costs
The cost of a breast implant exchange cannot be stated as a flat rate, as it depends heavily on your individual starting point and the desired corrections. An exchange is often combined with other measures, such as removing hardened capsules, reshaping the breast or a simultaneous lift. The choice of new implants, the type of anaesthesia and the decision between outpatient and inpatient treatment also affect the overall calculation.
A further cost factor is the effort involved in planning the operation, its duration and the necessary aftercare. Dr. Handl places importance on a sound medical assessment in order to create a precisely tailored treatment plan based on your physical condition. A binding cost plan is drawn up after the personal consultation and covers all medical services related to your procedure – transparent and without hidden extra costs.
If you are considering an implant exchange, a personal conversation with Dr. Handl gives you the opportunity to discuss your goals, your questions and your medical situation in full. On this basis, you receive a realistic assessment of the options and a sound overview of the expected total effort.
Book a no-obligation consultation now and receive personal care – individual, discreet and at the highest professional level.
Dr. Handl – your specialist for breast implant exchange in Vienna
Replacing breast implants can be necessary or desired for many different reasons – for example because the shape of the breasts no longer matches how you feel, because capsular contracture is causing discomfort, or because the implant should be replaced due to its age. Changes after pregnancy or weight loss, or a general wish for a more modern implant, also often lead to the decision for an implant exchange.
Dr. Markus-Johannes Handl is a specialist in plastic, aesthetic and reconstructive surgery and has many years of experience in breast surgery – both primary procedures and complex exchange and corrective operations. Every treatment begins with a detailed consultation in which Dr. Handl responds to your wishes, assesses the medical options realistically and explains the entire process transparently.
The operation is planned and performed with the utmost precision. The existing implant is removed through access routes that are as inconspicuous as possible, the breast is additionally shaped if needed, and the new implant is carefully inserted. Whether the procedure is performed as an outpatient or with a short inpatient stay depends on your individual circumstances and is also decided in advance. After the procedure, Dr. Handl accompanies you through the healing phase with a structured aftercare plan – with the aim of achieving an aesthetically harmonious and stable long-term result.
An implant exchange is more than a purely technical procedure – it is an opportunity to bring your personal body image back into line with your own expectations. If you value medical quality, aesthetic sensitivity and personal care, Dr. Handl in Vienna is your reliable contact.
Preparation, risks and aftercare
Preparation
Please bring your implant passport and, if available, previous surgical reports and photos to the consultation. Dr. Handl examines whether there is capsular contracture or an implant defect and discusses the size, shape and position of the new implants with you. If the tissue has stretched, a simultaneous lift may be advisable.
Before the procedure, a health check and, if necessary, an anaesthesia briefing take place. From the age of 30, Dr. Handl recommends a precautionary breast examination with ultrasound or mammography before any breast surgery. After consulting us, avoid blood-thinning medication such as aspirin, as well as alcohol and, if possible, nicotine, which delays wound healing.
Risks
As with any operation, bruising, swelling, secondary bleeding, infection and wound-healing problems can occur.
In an implant exchange, the operation is usually performed through the old scar. Possible risks are a new capsule forming around the new implant, displacement, asymmetry and changes in nipple sensation. If the tissue has stretched because of the old implant, an additional lift may be advisable. If general anaesthesia is used, the anaesthetist discusses its risks with you beforehand.
In the informed-consent consultation, Dr. Handl discusses all risks in detail and in relation to your personal situation.
Aftercare
The exchange is usually performed as an outpatient procedure, so you can go home the same day. Office work is often possible again straight away. Wear the sports bra day and night for four weeks, do not lift anything over 5 kg in the first weeks and do not sleep on your front for two weeks.
The first check-up takes place after about one week, and the stitches are removed after about 14 days. Light sport is possible after about one week; wait for the all-clear before putting more strain on the breasts. Protect the scar from the sun.
Frequently asked questions
When is a breast implant exchange advisable?
On the one hand, there can be aesthetic reasons for an implant exchange, such as dissatisfaction with the appearance due to changes caused by ageing, weight gain or loss or hormonal fluctuations. On the other hand, medical reasons can make an implant exchange necessary, for example if an existing implant has led to complications such as capsular contracture. With old breast implants, switching to a modern implant is also often advisable for medical and aesthetic reasons.
What are the risks of a breast implant exchange?
Like any surgical procedure, a breast implant exchange carries risks, for example wound-healing problems or scarring. In the consultation, Dr. Handl informs you in detail about all the risks of an implant exchange.
How does an implant exchange work as a second breast operation?
The treatment is usually shorter than the first insertion, and the procedure can be performed under either local or general anaesthesia. First, a fine incision is made on the breast in order to remove the existing implant intact and gently. This is usually and preferably done at the same place where the implant was originally inserted, so replacing the breast implants does not cause any additional scars. The new implant is then positioned in the existing implant pocket, which prevents it from shifting. Once the exchange is complete, the incision is stitched and the treated breast is supported with a dressing.
Does a breast implant exchange cause additional scars?
Care is taken to make the incision at the same place where the implant was originally inserted, so replacing the breast implants does not cause any additional scars. Dr. Handl also pays particular attention to keeping scars inconspicuous.
What can I do to help the scars heal well?
Dr. Handl pays particular attention to keeping scars inconspicuous. For optimal healing, we also recommend using scar care products and protecting the scar from direct sunlight.
What do I need to consider before the procedure?
Before an operation, it is important to avoid medication that affects blood clotting where possible (e.g. aspirin). You should also largely avoid alcohol and cigarettes. Nicotine can reduce the blood supply to organs and delay wound healing, so we recommend giving up cigarettes as far as possible during the treatment phase. You will find out more in your consultation with Dr. Handl.
Is the procedure painful?
The procedure takes place under local anaesthesia with twilight sedation or under general anaesthesia and is therefore usually felt to be hardly painful. In the first days after the procedure, pain can occur, which can be managed with painkillers. Pain perception varies from person to person.
When can I do sport again after a breast implant exchange?
You should avoid sport for the first 2 to 3 weeks after the procedure.
How long will I be off work after the procedure?
That depends on your job. We recommend taking at least 1 to 2 days to recover after the procedure. Desk work is generally possible again the next day.
How can I support the healing of the scars?
Dr. Handl pays particular attention to keeping scars inconspicuous. For optimal healing, we also recommend using scar care products and protecting the scar from direct sunlight.
What do I need to consider after the procedure?
After the operation, you recover during a rest period in the pleasant surroundings of our premises. Dr. Handl goes through everything necessary for your discharge with you, and you can leave the clinic the same day. Physical rest is very important after the operation. You also need to wear a special dressing or bra. Please avoid movements that can cause strong jolts, tension or pressure in the chest area, and avoid lifting heavy objects. You should also avoid sleeping on your front for the first two weeks. The wound should be protected from water for the first 14 days. The stitches are removed after about 14 days.
Personal consultation
Tell us what you would like to discuss. We will get back to you within two working days to arrange a personal consultation with Dr. Handl.
Prefer to call? +43 1 877 20 20
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