A second breast augmentation would probably be more painful

You describe the situation of the patient who has decided to remove their implants for some reason or another.

Once the old implants are out the pockets will typically close down. The pectoralis muscles will tighten up to their preimplant size. Redoing the augmentation with reopen the pocket and restretch the muscles leading to a similar amout of postop pain typically.

If you were just switching out old implants most patients will agree that it is much easier the second time around because the breast capsule is already stretched out and you don't have to go through that part again.

Dr. Shah