Breast Procedures – San Luis Obispo

Breast Implant Exchange

Implants are not lifetime devices. When it is time to replace them, what changes and what does not.

Serving San Luis Obispo and California’s Central Coast • 1250 Peach Street, Suite D

Approach

Implants replaced

Anesthesia

General

Return to work

7 to 10 days

Final results

Several months

What implant exchange involves

If you are considering implant exchange

An implant exchange replaces implants you already have. Sometimes that is because something has gone wrong with them. Just as often it is because a decision made a decade ago no longer fits the person who made it.

The FDA’s guidance is the honest starting point: breast implants are not lifetime devices, and you should assume that additional surgery will be part of having them.

Are you a candidate?

Exchange suits healthy women with existing implants, whether the reason is a finding on a scan, a change in the breast, or a change of mind about size.

Your implants have aged

There is no expiry date stamped on an implant, and the FDA is clear that the life of an implant varies by person and cannot be predicted. What is predictable is the direction: the longer implants are in, the higher the chance of a complication that leads to surgery.

A rupture has been found

Saline rupture announces itself. Silicone rupture usually does not. The FDA identifies MRI as the most effective way to detect a silent rupture, with ultrasound an acceptable alternative for women who have no symptoms.

The breast has become firm

Capsular contracture is the tightening of the scar capsule around an implant. It is one of the more common reasons an implant is exchanged, and the capsule itself usually has to be addressed at the same time.

You want a different size or implant

Wanting smaller is as common a reason as wanting larger. Implant materials and shapes have also moved on since many women had their first operation.

What to expect

An exchange usually goes through the incision from your first operation, so it rarely adds a scar. The old implants come out, the capsule is dealt with as your findings require, and the new implants go in. Contracture and a ruptured gel implant are both recognised reasons to remove capsule tissue. Where the capsule is soft and healthy, leaving it alone avoids a longer and more invasive operation for no benefit.

Choosing the new implant is the part worth taking time over. Size, profile, and whether saline or silicone suits you are decisions made in front of a mirror with sizers, not from a catalogue. A lift is sometimes added: if the skin has stretched or the nipple has settled low, changing the implant alone will not lift the breast, and Dr. Hosn will say so rather than let you find out afterwards.

Breast implant exchange procedure with Dr. Wally Hosn in San Luis Obispo

Before and After Gallery

See real patient results from Dr. Hosn

Browse before and after photographs from Dr. Hosn’s implant exchange patients, each shown from three angles.

Planning your consultation

Bring your implant records: manufacturer, size, type, and the year of your original surgery. Bring recent imaging if you have had any. Be ready to say what you would change about how you look now, in your own words rather than in cc.

The typical patient meets with Dr. Hosn three times before proceeding with any major procedure. That matters especially for breast surgery, where those conversations define your expectations for size, shape, and scarring well before any commitment is made.

Schedule a Consultation

Begin with a conversation.

Dr. Hosn takes time with every patient to make sure the plan is right before any procedure moves forward.

Procedure at a glance

Surgical time 3 to 4.5 hours
Anesthesia General
Facility Accredited outpatient surgical center
Return to work ~2 weeks
Light exercise 3 weeks
Full activity 6 weeks or more
Final results Up to 12 months

Procedure, recovery and results will vary from patient to patient.

American Board of Plastic Surgery

Board Certified

Dr. Wally Hosn M.D.

American Board of Plastic Surgery

Ready to take the next step?

Schedule a private consultation with Dr. Hosn to discuss your size goals, the technique he recommends, and what results you can realistically expect.

Dr. Hosn’s patients

Implant exchange results

  • Breast Implant Exchange before photo, patient of Dr. Wally Hosn, San Luis Obispo
    Breast Implant Exchange after photo, patient of Dr. Wally Hosn, San Luis Obispo
    Breast Implant Exchange before photo, patient of Dr. Wally Hosn, San Luis Obispo
    Breast Implant Exchange after photo, patient of Dr. Wally Hosn, San Luis Obispo
    Breast Implant Exchange before photo, patient of Dr. Wally Hosn, San Luis Obispo
    Breast Implant Exchange after photo, patient of Dr. Wally Hosn, San Luis Obispo

    Breast Procedures

    Breast Implant Exchange Before & After

  • Breast Implant Exchange before photo, patient of Dr. Wally Hosn, San Luis Obispo
    Breast Implant Exchange after photo, patient of Dr. Wally Hosn, San Luis Obispo
    Breast Implant Exchange before photo, patient of Dr. Wally Hosn, San Luis Obispo
    Breast Implant Exchange after photo, patient of Dr. Wally Hosn, San Luis Obispo
    Breast Implant Exchange before photo, patient of Dr. Wally Hosn, San Luis Obispo
    Breast Implant Exchange after photo, patient of Dr. Wally Hosn, San Luis Obispo

    Breast Procedures

    Breast Implant Exchange Before & After

Individual results vary. Photographs are published with patient consent. See the full before & after gallery.

Select a body area

Where would you
like to start?

Every plastic surgery procedure is performed by Dr. Hosn himself, in an accredited outpatient surgical center, with the same standard applied whether it is a fifteen-minute injectable or a five-hour abdominoplasty.

Facial Procedures

Face

Lifting what has descended, opening what has hooded, and softening what has etched in. Surgical and non-surgical.

Breast Procedures

Breast

Size, shape and position are three separate questions. The consultation is where you work out which one you are asking.

Body Procedures

Body

For contour that diet and training have stopped changing, usually after pregnancy or significant weight loss.

Skin Care

Skin

The daily work that decides how the surgical work ages. Medical-grade formulations, prescribed rather than picked off a shelf.