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longer for physical jobs or extensive revision."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any early or late complication after implant exchange, e.g. hematoma, infection, seroma, recurrent contracture, malposition; serious ones few."},"contraindications":["Pregnancy or breastfeeding","Active breast or systemic infection","Untreated or suspected breast cancer","Uncontrolled medical conditions making general anesthesia unsafe","Active smoking or nicotine use (relative)","Untreated body dysmorphic disorder","Bleeding disorders or anticoagulation not manageable perioperatively (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typical implant exchange with or without capsulectomy; usually same-day discharge, occasionally one night."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Gradual return to strenuous upper-body exercise as cleared by the surgeon; light walking earlier."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolution and implant settling after typical implant exchange; capsulectomy cases may take longer."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Usually after the first check at about 1 week, if pain is controlled and no wound concerns. Walk during flight."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check, drain/dressing review if used."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"Check of healing and implant position."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of the settled result."}}],"indications":["Capsular contracture","Implant rupture or deflation","Implant malposition, displacement or bottoming out","Visible rippling or breast asymmetry","Persistent pain or complications related to implant","Implant age or recall-related replacement"],"main_risks":["Bleeding or hematoma","Infection","Seroma","Recurrent capsular contracture","Implant malposition or asymmetry","Changes in nipple or breast sensation","Scarring","Wound-healing problems or tissue thinning","Need for further surgery","Anesthesia-related risks"],"pain":"Moderate discomfort and tightness for the first several days, controlled with oral analgesics; usually less than primary submuscular augmentation unless the implant is moved to a new pocket.","preparation":["Consultation reviewing previous implant details and goals","Ultrasound or MRI to check implant integrity if indicated","Routine preoperative health assessment and labs as needed","Stop smoking and nicotine before surgery","Fasting before general anesthesia","Arrange adult companion and help at home","Review medications and supplements with surgeon"],"recovery_timeline":[{"phase":"Days 0-3","description":"Rest, dressings or support bra, swelling and soreness; drain possible if capsulectomy performed.","restrictions":["No driving until off opioid analgesics","Avoid lifting arms overhead and heavy objects"]},{"phase":"Days 4-14","description":"Pain subsides, return to light daily activities and desk work.","restrictions":["No heavy lifting","Wear support bra as instructed"]},{"phase":"Weeks 2-6","description":"Swelling decreases; gradual increase in activity, return to exercise toward the end.","restrictions":["Avoid strenuous upper-body exercise until cleared","Avoid pressure on the chest"]},{"phase":"Months 3-6","description":"Implants settle and final shape becomes evident.","restrictions":[]}],"rehabilitation_days":{"min":5,"max":10,"unit":"days","qualifier":"Time to ordinary light activities after implant exchange. Strenuous activity and heavy lifting take longer."},"result_longevity":"Implants are not lifetime devices; durability varies with implant type, capsule status and tissue changes, and further revision may eventually be needed.","revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Further reoperation within about 3 years, mostly for recurrent capsular contracture, malposition or size dissatisfaction."},"scars":"Usually through the existing scar (inframammary, periareolar or other prior incision), so typically no major new scar; existing scars may be revised or widen.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for typical implant exchange; staged surgery is exceptional."},"stages":[{"code":"revision_surgery","label":"Implant removal/exchange with pocket management as needed","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Typical uncomplicated standalone revision with implant exchange."},"success":{"metric":"Freedom from recurrent capsular contracture or reoperation","value":85,"unit":"percent of patients","horizon":"2-3 years","population":"Adults undergoing implant exchange with or without capsulectomy for contracture, rupture or size change","evidence_status":"limited"},"techniques":[{"name":"Implant exchange through existing incision","suits_whom":"Patients wanting a size/type change or with a ruptured implant and a satisfactory pocket.","recovery":"Usually 1-2 weeks to return to light activity."},{"name":"Capsulectomy or capsulotomy with implant replacement","suits_whom":"Patients with capsular contracture.","recovery":"Slightly longer swelling; drains may be used."},{"name":"Pocket modification (capsulorrhaphy, neopectoral or plane change)","suits_whom":"Patients with malposition or bottoming out.","recovery":"Often 2-4 weeks of more restricted activity."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Both breasts, typical implant exchange with or without capsulectomy; longer for complex pocket reconstruction."},"initial_assessment_documents":["Front, side and oblique photos of the breasts","Original breast augmentation operative report","Implant type, size and manufacturer card","Breast ultrasound or MRI report","Mammogram report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until the first postoperative check, later reviews done remotely or locally."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=armeniya/procedure=operacia-po-zamene-grudnyh-implantov/"}],"offerFilters":{"offer_count":0,"country_filter":[{"id":40,"name":"المكسيك","alias":"mexico","iso_code":"MX"},{"id":45,"name":"تايلاند","alias":"thailand","iso_code":"TH"}],"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}