Breast Implant Replacement in Liverpool & Wirral

Long-Standing Silicone Breast Implants Assessment and Revision Surgery

Patients across Liverpool and the Wirral increasingly present with long-standing silicone breast implants and wish to explore implant replacement, removal, or revision surgery. Breast implants are not lifetime devices, and implants that have been in place for 10 years or longer require structured clinical review.

At our clinic, The Clinic @51, serving Liverpool, Wirral, and Merseyside, we provide a safe, evidence-based pathway for patients considering breast implant replacement, fully aligned with CQC, BAAPS, BAPRAS, and MHRA guidance.

When Should Silicone Breast Implants Be Replaced?

Patients from Liverpool and the Wirral commonly seek review due to:

• Silicone implants in situ for 10–20+ years
• Suspected or confirmed implant rupture
• Capsular contracture, hardening of the breasts with implants distortion.
• Breast shape changes or implant malposition
• Concerns regarding breast implant illness (BII)
• Anxiety following implant safety alerts
• Desire to change implant size, shape, or profile
• Desires to have their breasts lifted with reinsertion of new implants

Even in the absence of symptoms, long-standing implants benefit from specialist assessment and imaging.

Specialist Assessment of Long-Standing Breast Implants

Initial Consultation

Your consultation includes:

• Review of implant type, surface, manufacturer, and date of insertion
• Assessment of previous breast surgery or complications
• Evaluation of symptoms suggestive of rupture or capsular contracture
• Breast cancer risk assessment and screening history

This structured approach supports patient safety, informed consent, and clinical governance.

Imaging for Silicone Breast Implant Integrity (Liverpool & Wirral)

Where clinically indicated, investigations may include:

• Ultrasound scan – first-line implant assessment
• MRI breast scan – gold standard for detecting silent silicone rupture
• Mammography (age-appropriate) with implant-displacement views, in the UK this is recommended for females age 40 and over.

All imaging is reviewed by experienced breast radiologists.

Risks Associated with Long-Standing Silicone Breast Implants

Patients are counselled on recognised risks, including:

• Silent silicone implant rupture
• Progressive capsular contracture
• Silicone granuloma or lymphadenopathy
• Breast implant–associated anaplastic large cell lymphoma (BIA-ALCL) (rare)
• Breast implant=associated squamous cell carcinoma.

Risk discussions are documented in line with GMC consent standards.

Breast Implant Replacement and Revision Options

Liverpool & Wirral

Implant Exchange

• Removal of old implants
• Replacement with modern silicone implants
• Optional capsulectomy
• Opportunity to alter size, profile, or implant plane

Implant Removal (Explantation)

• With or without capsulectomy
• Suitable for patients wishing to remain implant-free
• May be combined with breast lift surgery

Implant Replacement with Breast Lift

• Common for implants >10–15 years old
• Addresses ptosis (breast droop), and skin laxity
• Improves long-term aesthetic outcomes

All treatment plans are individualised to anatomy, implant history, and patient goals

Below is The Clinic @51 colour coded flowchart as formulated by Mr. Ali Juma. It is evidence based and is designed with the highest level of governance and patients’ safety as the main driver.

Governance, Safety, and Traceability

Our Managing patient wishing replacemnt of breast implantsLiverpool and Wirral breast implant services comply with:

• Care Quality Commission (CQC) Fundamental Standards https://www.cqc.org.uk/guidance-regulation/providers/assessment/assessment-framework
• GMC Good Medical Practice https://www.gmc-uk.org/professional-standards/the-professional-standards/good-medical-practice
• MHRA implant traceability requirements, https://www.gov.uk/guidance/cosmetic-breast-augmentation-risk-awareness-tool
• BAAPS and BAPRAS professional guidance https://baaps.org.uk/patients/safety_in_surgery/breast_implant_safety.aspx & https://www.bapras.org.uk/public/patient-information/patient-advice-and-guidelines/alcl-and-breast-implants

Patients receive full implant documentation, including manufacturer details and serial numbers.

Breast Implant Review Appointments

Liverpool & Wirral

If you have long-standing silicone breast implants and are considering replacement or removal, a specialist consultation ensures safe, informed decision-making.

To make an appointment kindly contact us on: 07855466345 or 0151 2301648