Hello and thank you for your question. Although recovery from a first breast augmentation is usually relatively quick, the first operation tends to have more pain due to the fact that there is more dissection and the implants are placed under the muscle, causing discomfort from the new muscle stretch. During an implant exchange, new dissection is usually minimal and therefore the pain associated with the surgery is less. However, if you have implant malposition that needs to be corrected during your revision surgery (such as implants that go to the side), then you may need some capsule work or pocket modifications that could add some extra soreness to your relatively quick recovery. The only other thing I would add is that some people get their implant exchange done 10-20 years after their first operation, when they are less young, and the recovery sometimes can seem a tad harder than they remember. I hope this helps to answer your questions and best of luck to you.Sincerely,Dr. Sean Kelishadi