When should the implant type change at revision?
Rippling, contracture history, device recalls, and feel preferences each point toward a different shell, gel, or surface — the problem picks the replacement.
Revision is the moment the implant menu reopens: smooth or textured surface, round or shaped form, softer or more cohesive gel, saline or silicone fill. Choosing well means matching the new device to the reason the old one is coming out.
Matching the device to the problem
Visible rippling argues for a more cohesive gel and better tissue coverage; a contracture history may change surface choice and pocket plane together; textured devices linked to safety communications are often exchanged for smooth ones, with regulators publishing the affected models; and patients unhappy with firmness or feel can move between saline and silicone. Size and base-width fit are re-measured rather than carried over.
No single device type wins for every chest, and outcomes vary with tissue as much as with the implant. Review the specific model, its regulatory status, and its warranty terms with a specialist before signing off.
MediIndex articles are for general information only and are not medical advice, diagnosis, or advertising. Outcomes vary by individual — consult a board-certified specialist for personal decisions.