How Much Will It Cost to Replace my Breast Implants?

I had saline breast implants, size c about ten years ago placed under the muscle. They now sag and I would like to replace them. I live in Albany, NY and I am wondering what the estimated cost would be? Also, is the procedure more complicated, and can the procedures be done under local anesthesia?

Doctor Answers 12

Breast implant and lift costs

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In general, Breast revision, if it is merely replacing an implant and no major revision or lifting of the implant needs to be done, then the replacement fee is far simpler than the actual primary surgery and is thus less expensive.  However, in patients that have implants that sag, a revision is necessary, as well as probable breast lift.  The prices of Breast Augmentation, Lift, or full mommy make overs as well as revisions can vary widely from city to city. For example, a breast augmentation can cost 3-4 times in LA and New York what it costs in Montana.
In looking at the a price quote for breast augmentation, you should consider many variables.
1. The Surgeon's Fee. This can vary widely depending on the experience and results and thus demand for that surgeon. This also sometimes depends on technique. For example, a sub-muscular placement of an implant is much faster and thus takes less work for the surgeon than a sub-fascial placement of the implant that takes twice as long.
2. The Implant. The breast implant price depends on using a saline, memory gel, or highly cohesive (gummybear) implants. Usually saline implants cost about $1,000 for a pair, memory gel $2,000, and highly cohesive $3,000. If fat is used instead of an implant, then usually a fat harvest charge is used instead of implant fee as liposuction supplies are used and the fat purified in a variety of methods. The size of the implant does not matter, only the type of implant. If a dermal matrix is needed then there is an additional charge (usually about $1,000). In revisions, often the same implant can be used which saves on the implant costs. If a breast lift alone is performed, then obviously there is no implant cost.
3. Anesthesia. This can vary as well. If a board certified anesthesiologist is used then the price is higher. If a CRNA (nurse anesthetist) then the price is lower. It is even lower when a doctor just uses a non-certified anesthetist nurse, or just a medical assistant to push the anesthetic drugs (yes, this actually does happen).
4. Facility Fee. This can vary if the surgeon is using a certified surgery center or hospital vs. his non-certified office.
These four components make the total price, so it is best to break these down so the patient knows exactly what she is getting.
Realself has an average cost for each city.
Best wishes,
Pablo Prichard, MD

Phoenix Plastic Surgeon
4.9 out of 5 stars 42 reviews

Cost to Replace Breast Implants

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Cost to Replace Breast Implants
The price varies greatly by geographical location, experience of the surgeon, whether in an outpatient surgery center vs hospital (hospital more expensive), type of breast implant, etc. Make sure you go to the most experience board certified plastic surgeon you can find, look at their reviews, before and after photos, and most important that you feel comfortable after your consultation that you have confidence that you are safe. Cheaper often is not better. If you still have confidence in your original surgeon I would recommend returning to him/her.

Revision costs vary the most of any procedure.

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Hi hairyet, The cost of a revision surgery will vary a great deal depending on what part of the country you live in, the type of implants used, how experienced your surgeon is, what type of anesthesia is used and more. There are just too many variables. Every surgeon has determined what they feel is appropriate for their expertise and time performing this procedure and taking care of you following the procedure. Whatever you decide it's important to check every surgeon's credentials and experience. You have to stay in budget, but there are MANY other factors to consider! 

Once you meet with a surgeon, they will explain things in detail, but you need to understand that if your breasts are sagging, you will likely need a breast lift (mastopexy), this has little to do with the implant and more to do with the natural aging of your breasts over the last ten years. You can exchange your implants at this time, but also keep in mind depending on a variety of factors there can be more to that surgery as well (Especially if you decide to downsize). Simply exchanging implants can sometimes be done under IV or local anesthesia, but the procedure(s) it sounds like you need and want are going to require general anesthesia. It would be a good idea to do some research and understand implant sizing (they are measured in volume, not cup size letters) and breast lifts to have a better grasps of the procedures you may be needed to achieve the outcome you desire. 

William Aiello, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 65 reviews

The Costs for Breast Implant Revision

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The #costs of #BreastAugmentation are contingent on several factors. Such as geographic location, the skill and experience of the surgeon, and operating room and anesthesia fees. Also, different breast implants may have different costs. The approximate costs can be found here on the Real Self website,, or
Moreover, your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. I suggest you view before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Lift and Augmentation in the Midwest: $6500-7500

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It’s virtually impossible to make a specific recommendation without pictures or a physical examination.In this case, your history suggests that you would benefit not only from breast augmentation, but breast lift surgery as well.
Removal and replacement of breast implants performed in combination with breast lift is a commonly performed cosmetic surgery procedure.Prices for this procedure vary widely and depend upon several variables.It’s important to make sure that your fee quote includes the surgeon’s fee, facility fee, anesthesia charge, implant costs and pre and post-operative care.Each of these components may vary widely depending upon the surgeons practice.
Generally, surgeons who operate in dedicated outpatient cosmetic surgery facilities are able to offer lower facility fees than those who operate in hospital based practices.The surgeon’s fee can vary as well depending upon regional differences and levels of local competition.Anesthesia charges can vary and this may be related to the use of a nurse anesthetist verses a physician anesthesiologist.Finally, there may be wide variations in implant charges, depending upon the type of implant chosen.For instance, silicone implants are more expensive than saline implants.
When all of these variables are considered, fees in the Midwestern United States range from $6,500 to $7,500.It’s important to remember that although price is an important component of your decision, it’s not the only consideration.Make sure you have a comfort level with the surgeons experience and reputation and their ability to communicate with you.

Lift breasts instead of replacing implants

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You state that you are size C and are concerned about the sagging.  If you are happy with the size then you do not need to replace the implants but you need a lift.  This can be done through a circumareola incision avoiding any vertical scars.  The lift will also increase your upper pole fullness, increase your cleavage and reshape your breasts.  This may be the more appropriate alternative for you if you are satisfied with your size.  The cost of this is approximately $5,000 to $7,000.  If you want implant exchange at the same time, the additional cost for the implants would be approximately $1,800 (silicone gel) and $800 (saline).  The surgeon's fee and facility time would bring the total of between $8,000 and $9,000.  I place my implants retro-pectoral and that is not practical to do under local.

Best Wishes,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

Cost to Replace my Breast Implants

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Implant exchange like other cosmetic surgery varies considerably across the country and even in the same area. South Florida tends to have lower fees then more expensive areas such as New York or Los Angeles. We charge $2800 + MD Anesthesia related costs for implant exchange with saline implants. Implant Exchange with Gel Implants starts at $3500 + MD Anesthesia related costs. Since you can get quality work at lower costs, patients will travel from throughout the state, the country, and internationally to have surgery in South Florida.

To ensure that you are receiving quality work at the most cost effective prices, consult with board certified plastic surgeons that own their own nationally accredited facilities. The quality must be maintained at the highest level to maintain accreditation. The surgeons also have incentive to hire and train quality staff (to ensure that surgery is efficient and enjoyable), to ensure comfortable and private facilities (to encourage referral), and to eliminate waste (to ensure that these facilities can compete effectively).

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

Cost of implants and lift in NY

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The fees will vary from one part of the state to the next, and it sounds like you need implant exchange and possibly a lift.  Go for a few consults, but remember do not just focus on price because sometimes the best low price is low for a reason.  You may end up paying more in the end for lower quality work.  Good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

The cost of breast implant replacement

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Replacing breast implants in the Northeast can range from $6000 to $10000.  This does not include what a breast lift would cost if that is needed as well.  This usually includes the cost of the surgeons fees, implants, anesthesiologist and operating room facility. 

The difficulty of the procedure can vary from being a straight forward removal of implant and replacement with another one to being more complex and requiring adjustment of the pocket where the implants lay under the breast.  This may be required to make them look even, or you may need additional soft tissue support to achieve the best result.  A breast lift may also be recommended.   That is why the price range is so wide.  

In some cases, the procedure can be done with monitored sedation and local anesthesia but the more complex cases should be performed under general anesthesia.  Again, it varies on your individual situation.  

To find out what you need and how much exactly it would cost, you should be examined by a board certified plastic surgeon.

Adam Hamawy, MD
Princeton Plastic Surgeon
4.8 out of 5 stars 57 reviews

Cost of implant replacement

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Exchange of breast implants is performed under general anesthesia in an accredited facility in NYS.  The procedure may be more complex because you note that there is sagging.  Without a photo and physical examination, I cannot determine whether you need a breast lift along with the reaugmentation.  This certainly will increase the cost of the procedure.  See a board certified plastic surgeon in consultation to obtain a price quote and discuss the logistics of surgery.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.