Hur mycket kostar ett bröstimplantat?

Implantatet ingår i operationspriset. En bröstförstoring med runda Mentor-implantat kostar från 44 000 kr, med Motiva från 50 900 kr och med Polytech från 52 900 kr. Narkos, återbesök och ultraljud i samband med operationen ingår. Det exakta priset får du skriftligt efter konsultationen. Alla priser.

Hur länge håller implantat i brösten?

Moderna implantat håller i många år och har inget bäst-före-datum. Det vanligaste skälet till ett byte är att kroppen förändrats, inte att implantatet gått sönder. Många byter efter 10 till 15 år, andra har kvar sina längre. Ett ultraljud visar om implantaten är hela, och det gör vi när något känns annorlunda eller när du vill veta.

Måste man byta bröstimplantat efter tio år?

Nej. Det finns ingen regel om byte efter ett visst antal år. Så länge implantaten är hela, brösten mjuka och du är nöjd behöver inget göras. Byte blir aktuellt vid ruptur, kapselkontraktur eller när du vill ändra storlek eller form.

Vilka är riskerna med bröstimplantat?

Utöver de allmänna riskerna vid kirurgi, som blödning, infektion och tillfälligt nedsatt känsel som oftast är tillbaka inom sex månader, är kapselkontraktur den vanligaste implantatspecifika komplikationen. Ruptur, rippling och att implantatet förskjuts förekommer men är ovanligare. Lymfomformen BIA-ALCL är mycket sällsynt och kopplad till grovt strukturerade implantat som inte längre säljs.

Hur vanligt är kapselkontraktur?

Kapselkontraktur som behöver opereras, Baker grad III och IV, drabbar färre än 2 procent inom sju år enligt det svenska Bröstimplantatregistret och 4 till 12 procent inom tio år i tillverkarnas långtidsstudier, med lägst siffror för anatomiska implantat med strukturerad yta. Lindrig kapselbildning är betydligt vanligare och behöver inte behandlas.

Hur märker man kapselbildning?

Bröstet känns hårdare än tidigare, kan se rundare ut eller sitta högre, och ibland gör det ont. Lindrig kapselbildning är vanlig och behöver inte behandlas. Blir bröstet hårt eller ändrar form ska du kontakta oss, så undersöker vi det.

Hur känns ett trasigt bröstimplantat?

Ofta ingenting alls. Dagens gel är formstabil och stannar i kapseln, så en ruptur upptäcks vanligen först vid ultraljud, en så kallad tyst ruptur. Ibland märks en förändrad form, att bröstet blir mjukare eller hårdare, ömhet eller en knöl. Misstänker du att något hänt bokar du en kontroll, så undersöker vi med ultraljud och vid behov MR.

Runda eller droppformade implantat, vad passar mig?

Runda implantat ger mer fyllnad upptill och kan inte hamna fel om de roterar. Droppformade, eller anatomiska, ger mer volym nedtill och passar ofta den som har lite egen vävnad och vill ha en mjuk övergång upptill. Vilket som passar dig beror på din bröstkorg, din vävnad och vilken form du vill ha, och det ser vi vid konsultationen. Mer om runda och anatomiska implantat.

Finns det fortfarande droppformade implantat?

Ja. De grovt strukturerade implantaten från Allergan drogs in 2019, men anatomiska implantat med finstrukturerad yta finns kvar, hos oss Mentor CPG, Polytech Replicon och Opticon och Silimeds anatomiska modeller. Motiva gör inga anatomiska implantat. Deras Ergonomix är runt när du ligger och formar sig som en droppe när du står. Mer om runda och anatomiska implantat.

Mentor eller Motiva, vilket är bäst?

Inget av dem är bäst för alla. Mentor har den längsta uppföljningen och finns både runt och anatomiskt. Motiva har en mjukare gel som följer kroppen, ett chip för spårning och ett slätt hölje. Vilket som passar dig beror på din vävnad, din bröstkorg och vilken känsla du vill ha, och det ser vi när vi har mätt.

Rippling är synliga veck eller vågor i huden som kommer från implantatets kant. Det är vanligare vid lite egen vävnad, stora implantat och placering framför muskeln. Rätt storlek, rätt placering och ibland eget fett ovanpå implantatet minskar risken.

Vad gör man åt rippling?

Det beror på orsaken. Lite egen vävnad över implantatet är den vanligaste, och då hjälper en placering bakom muskeln, ett implantat med fastare gel eller eget fett ovanpå implantatet. Ibland är lösningen ett mindre eller smalare implantat. Rippling som bara känns men inte syns behöver inte åtgärdas.

Kan man amma med bröstimplantat?

Ja, de flesta kan det, men andelen som helammar är något lägre än hos kvinnor utan implantat. Ett snitt i bröstvecket och en placering bakom muskeln skonar mjölkgångar och nerver, och mjölken påverkas inte av implantaten. Berätta om du planerar barn, så väger vi in det.

Går det att göra mammografi med bröstimplantat?

Ja. Berätta för röntgenpersonalen att du har implantat innan undersökningen, så använder de en särskild teknik där implantatet förs bakåt och bröstvävnaden fram, ofta med fler bilder än vanligt.

Kan bröstimplantat orsaka cancer?

Bröstimplantat ökar inte risken för bröstcancer. Det finns en mycket sällsynt lymfomform, BIA-ALCL, som kan uppstå i kapseln runt vissa grovt strukturerade implantat, som inte längre säljs. Tecken att vara uppmärksam på är plötslig svullnad, vätska runt implantatet eller en knöl, och då ska du söka vård.

Kan man få bidrag från regionen för bröstförstoring?

Nej, inte för en bröstförstoring av estetiska skäl. All kosmetisk bröstkirurgi i Sverige görs privat och betalas av dig själv. Regionen kan däremot bekosta rekonstruktion efter bröstcancer och i vissa fall operation vid uttalad asymmetri eller när brösten inte utvecklats, men då via remiss i den offentliga vården. Vill du dela upp betalningen går det att ordna hos oss. Alla priser.

Vad händer om jag får en komplikation?

Du hör av dig till oss, och de första dagarna efter operationen når du kirurgerna dygnet runt. Medicinska komplikationer som hör till operationen, till exempel kapselkontraktur, infektion, blödning, rotation eller ruptur, åtgärdar vi utan kostnad under tolv månader genom vår trygghetsgaranti, och tillverkaren ersätter implantatet vid ruptur. Mer om risker och trygghetsgarantin.

Breast implants: price, types, size and how long they last

A happy woman in sportswear, smiling and leaning forwards.

What is a breast implants?

A breast implant is a soft silicone shell filled with silicone gel. Today's implants have a dimensionally stable gel that holds together even if the shell is damaged, which is one of the biggest differences compared to older generations of implants. Saline-filled implants are rarely used in Sweden today, as they feel harder and are more likely to cause visible creases.

All implants we use are CE marked and come from four manufacturers with extensive documentation: Mentor, Motiva, Polytech and SilimedThe implants are similar in many ways, but they differ in shape, surface area and weight and in how the gel feels, and it's those differences that determine which one is right for you.

Various types of breast implants

Four things distinguish implants: shape, profile, surface and weight.

Round or anatomical

Round implants have the same shape all around and provide the most volume in the upper part of the breast. They move freely in the breast pocket and cannot end up in the wrong place if they rotate. Anatomical implants, often called teardrop-shaped, have more volume at the bottom and a flatter upper part, like a natural breast. They are often suitable for those who have little breast tissue of their own and want a smooth transition at the top. The disadvantage is that an anatomical implant can rotate, which is visible, and that it therefore needs a surface that attaches to the tissue.

The difference is not always visible. In a Swedish study from Karolinska, experienced plastic surgeons could not see in pictures which breasts had round and which had anatomical implants. The shape is therefore chosen according to your tissue and your chest, not according to a principle. Per Hedén is the first author of the international guidelines for when anatomical implants are the right choice: usually when there is little own tissue at the top, a narrow or sloping chest or a desire for a soft upper contour. In other cases, we choose round, which cannot end up wrong if they rotate.

Profile

The profile indicates how much the implant extends out from the chest in relation to its width. Two implants with the same width can give completely different results depending on whether the profile is low, moderate or high. Low-profile implants are an underrated option for those who want shape and fullness but not larger breasts.

Surface

The shell can be smooth or textured. Smooth implants slide in the breast pocket and are most often used for round implants. Textured surfaces come in several grades, from micro- and nano-structured to polyurethane surfaces that adhere to the tissue, and are used when the implant should not be able to rotate. We use the polyurethane surface from Polytech and Silimed. Allergan's coarsely textured implant, which was linked to the rare lymphoma BIA-ALCL, was withdrawn in 2019 and is no longer used.

Weight

A standard 300 milliliter silicone implant weighs approximately 300 grams. The lightweight implant B-Lite weighs about 30 percent less at the same volume, which can play a role in larger volumes or thin tissue, as less weight puts less strain on the skin over time.

"As long as Per and I have been doing this, it has always been said: now we have the best implant. I am sure that during my continued career there will be no best implant. There will always be something that has something a little negative in it, because this is not completely natural to the body. But you can reduce the risks."

Jonas Röjdmark Specialist in plastic surgery, in The Faculty Podcast

That is also why we work with four manufacturers instead of one. The choice is made according to your anatomy, not according to which implant happens to be the newest.

Woman in white lingerie showing breasts and neck, focus on upper body.

So we choose size and form

The size of a breast implant is given in milliliters, but it is rarely the volume that is important. What determines is the width of the chest, how much of your own tissue you have, the elasticity of the skin and the distance between the nipple and the breast crease. An implant that is wider than your breast base will end up too close to the center or too far out towards the armpit, regardless of how many milliliters it holds.

“Would this patient trust a tailor who doesn’t measure? Come back next week and I’ll have your wedding dress ready. Aren’t you going to measure your arm? No, I see what you need. They would never trust that. But they trust plastic surgeons who don’t measure accurately.”

Per Hedén Associate Professor and Specialist in Plastic Surgery, in The Faculty Podcast

Therefore, we measure

During the consultation, measurements are taken of the chest, base of the breast and skin, and you try on different volumes of trial implants in a bra to see how they look on your body. We also assume that a natural breast is distributed: approximately 45 percent of the volume above the nipple and 55 percent below, a proportion described by plastic surgeons. Mallucci and Branford and which most people perceive as natural.
The 2Q method and the BAP app

The measurement follows a method developed by Per Hedén, the 2Q method, where the width, profile and volume of the implant are calculated from the measurements of the chest and breast instead of from a desired cup size. The method is the basis for the app BAP, Breast Augmentation Planner, which Per has developed and which surgeons in several countries use for the same planning. According to the app's publisher, the method has been used in over 30,000 breast surgeries. The app is free to download if you want to see how the planning works.
The surgeon directly, and 3D simulation

During the consultation, you will meet the surgeon directly. We also use 3D simulation with Canfield Vectra: a camera takes a three-dimensional image of your chest, and you can see how different implants would fit on you. The image is an estimate, not a promise, something Per Hedén himself has shown in a study of how patients and surgeons interpret simulated images differently. If more visits are needed before you decide, they are included.

3D Simulation · Canfield Vectra

See how different implants would sit on you

Scanning

A camera takes a three-dimensional image of your chest during the consultation.
Try digital

You see how different implants, sizes and profiles would fit on your body.
Decide in peace and quiet

The picture is an estimate, not a promise. If more visits are needed before you decide, they are included.

Rules of thumb

corresponds to approximately one cup size, less on a narrow chest and more on a wide one: 150–200ml
most implants for breast augmentation in Sweden, according to the Breast Implant Register (7,150 implants in 2024): 300–350ml
milliliters and cc are the same thing: 100 ml ≈ 100 g

Rules of thumb are not a substitute for measurements. Two women with the same volume can have completely different results depending on their chest, their own tissue and profile.

If you want small breast implants or a result that is as natural as possible, it is usually the profile and the shape to be adjusted, not just the volume. If you want a clear change, the tissue needs to be enough to cover the implant, otherwise it can the edges are visibleThe surgeon will say no if the measurements do not match the request, and that is part of the job.

"We have different shoe sizes, different hands. And the same goes for breasts."

Riikka Veltheim plastic surgery specialist

The Faculty Podcast Episode 1

Hear the surgeons themselves discuss implant selection, measurement and when they say no

Listen to the full episode

In front or behind pectoral muscle

The implant can be placed in front of the pectoral muscle, behind it or partially behind it, so-called dual plane. The choice is determined by how much of your own tissue is available to cover the implant, how much you exercise and what shape you want. The placement also affects the risk of ripple and capsular contracture.

Knowledge article Breast augmentation in front of or behind the muscle – we go through the differences

Breast augmentation with Riikka Veltheim

Breast lift with implants – Woman

Role model Role model

After 12 months After 12 months

Role model Role model

After 12 months After 12 months

The implants we use: Mentor, Motiva, Polytech and Silimed

We operate with implants from four manufacturers. All four are CE marked and have many years of follow-up behind them, but they differ in gel, surface, shape and weight, which is why we have not committed ourselves to one of them. Which implant will be yours is determined by your measurements and your fabric and what feel and shape you want. Here are the four in brief, with links to the manufacturers for those who want to read more.

Select manufacturer

Mentor

USA

Mentor is one of the world's most widely used and documented manufacturers of breast implants. More than 200,000 patients have participated in over ten clinical studies of Mentor implants.

The round implants we use from Mentor are called MemoryGel Xtra. The gel is cohesive and slightly firmer than in Mentor's classic MemoryGel, which gives more projection and a shape that lasts, while the breast feels soft. They are available in several profiles, including moderate plus and high, so we can choose how much the implant should expand without increasing in width.

Mentor's anatomical implants are called CPG, Contour Profile Gel. They are teardrop-shaped with the most projection in the lower part of the breast and have a firmer gel that retains its shape. The surface, Siltex, is finely textured so that the implant attaches to the tissue and does not rotate.

Mentor also manufactures tissue expanders, which are used in breast reconstruction when the skin first needs to be stretched before an implant can be inserted. We describe how this works on the page about breast reconstruction.

Price from 44,000 SEK round · anatomical 51,000 SEK

Shapes: Round (MemoryGel Xtra) and anatomical (CPG)
Surface: Smooth or Siltex
Particularly: Longest follow-up, over 200,000 study patients
Guarantee: MentorPromise: new implant for life in case of rupture, for ten years in case of capsular contracture grade III–IV, double capsule and late seroma, and up to 1,000 euros for surgery in case of rupture for ten years

Motiva

Costa Rica

Motiva has become one of the most sought-after implants in a few years, especially for its feel. The surface, SmoothSilk, is considered smooth but has a very fine structure that, according to the manufacturer, causes less inflammation in the tissue around the implant. The casing is cast in one piece, TrueMonobloc, and has a blue layer, BluSeal, which shows that the barrier to the gel is intact over the entire implant.

The gel is available in two variants. ProgressiveGel PLUS is in Round Plus, which gives a fuller upper breast. ProgressiveGel ULTIMA is in Ergonomix and Ergonomix2, which are softer and follow the body: rounder when you lie down, more teardrop-shaped when you stand. Ergonomix2, which Motiva also calls JOY, is the latest generation and the softest implant in the series.

Each Motiva implant can be purchased with Qid, a small chip inside the implant that is read from the outside with a handheld reader, so that the manufacturer, size and serial number can be retrieved even if the medical record is not at hand. In 2024, Motiva's round implants and Ergonomix were approved by the US FDA for breast augmentation.

Price from 50,900 SEK

Shapes: Round (Round Plus) and ergonomic (Ergonomix, Ergonomix2)
Surface: SmoothSilk
Particularly: Chip for tracking (Qid), gel that follows the body, FDA approved in 2024
Guarantee: Always Confident Warranty: new implant for life in case of rupture, for ten years in case of capsular contracture grade III–IV; with Qid one year of financial support, extension for a fee

Polytech,

Germany

Polytech is Germany's only manufacturer of breast implants, with over 35 years in the industry. All manufacturing takes place in Germany and the implants are used in over 90 countries.

The implant series is called Sublimeline and comes in three shapes. Même is round. Replicon is anatomical with a round base and teardrop-shaped profile. Opticon is anatomical with a shorter base, for those who have a narrower chest or want more projection in relation to the width. The surface is chosen according to what the implant will do: smooth (POLYsmooth), microstructured (POLYtxt) or finely structured (MESMO).

Polytech is also the manufacturer behind the polyurethane surface Microthane, which grows firmly into the tissue and, according to the manufacturer, has a very low risk of capsular contracture and rotation. Microthane is now manufactured using an updated process, and we use it when the implant is to be attached to the tissue. The polyurethane surface appears in the statistics on BIA-ALCL, with a significantly lower risk than the coarsely structured surfaces that were withdrawn in 2019, and we will discuss this during the consultation if it is relevant to you.

B-Lite, supplied by Polytech, is a lightweight implant. The gel is mixed with very small hollow microspheres, making the implant up to 30 percent lighter than a regular silicone implant of the same volume. This is especially noticeable with larger volumes or when the tissue is thin, as a lower weight puts less strain on the skin over time.

Price from 52,900 SEK B-Lite 75,000 SEK

Shapes: Round (Même) and anatomical (Replicon, Opticon)
Surface: POLYsmooth, POLYtxt, MESMO, Microthane
Particularly: Lightweight implant B-Lite, polyurethane surface
Guarantee: Implants of Excellence: replacement implants in certain cases, registration within six months

Silimed

Brazil

Silimed is Latin America's largest manufacturer of silicone implants, founded in 1978 in Rio de Janeiro. The company was an early adopter of polyurethane-coated implants and has been manufacturing them since 1989, and this is the type of implant we use from Silimed when the surface is to be attached to the tissue. The implants are available in round and anatomical, in the BioDesign and Standard series.

PRICE FROM Price on request

Shapes: Round and anatomical (BioDesign, Standard)
Surface: Smooth, textured or polyurethane
Particularly: Polyurethane surface since 1989
Guarantee: Silimed's replacement program: new implant for life in case of rupture due to manufacturing defects, for ten years in case of capsular contracture grade III–IV

Silimed

How do the four differ?

The manufacturers' guarantees apply to the implant itself: you get a new one free of charge if it breaks, and usually also in the event of severe capsular contracture during the first ten years. The cost of the surgery itself is only partially covered or not at all by the manufacturer. That is why our own security guarantee exists, which covers the treatment of complications during the first year.

Comparison of the four manufacturers
	Mentor	Motiva	Polytech,	Silimed
Coming from	USA	Costa Rica	Germany	Brazil
Shapes	Round (MemoryGel Xtra) and anatomical (CPG)	Round (Round Plus) and ergonomic (Ergonomix, Ergonomix2)	Round (Même) and anatomical (Replicon, Opticon)	Round and anatomical (BioDesign, Standard)
Surface	Smooth or Siltex	SmoothSilk	POLYsmooth, POLYtxt, MESMO, Microthane	Smooth, textured or polyurethane
Particularly	Longest follow-up, over 200,000 study patients	Chip for tracking (Qid), gel that follows the body, FDA approved in 2024	Lightweight implant B-Lite, polyurethane surface	Polyurethane surface since 1989
Price from	SEK 44,000 (round), SEK 51,000 (anatomical)	50,900 SEK	52,900 SEK, B-Lite 75,000 SEK	[price]

“As a woman, I think one of the most important changes in implant technology is that it feels soft to the hand.”

Riikka Veltheim Specialist in plastic surgery, in The Faculty Podcast

We will decide together during the consultation which one is right for you, after we have measured and you have tried different volumes. Often the choice is between two, and then we will go through what distinguishes them so that the decision is yours.

The surgeons who operates with implants

Breast surgery

Breast augmentation, breast lift, reduction and reconstruction — tailored to your anatomy.

How long holding breast implants?

A breast implant has no best-before date, but it is not a lifetime product. Modern implants are made to last for many years, and the most common reason for replacement is not that the implant has broken but that the body has changed: after pregnancy, breastfeeding, weight change or simply over the years. Many people therefore choose to replace their implants after 10 to 15 years, while others keep theirs for much longer.

There is no rule that says implants must be replaced after ten years. As long as the implants are intact, the breasts are soft and you are happy with the shape, there is no medical reason to have surgery. What is needed are check-ups. If you suspect rupture or capsular contracture We examine the breasts with ultrasound, and if necessary with an MRI. If the implants need to be replaced or removed, you can find out how it works on the page about replacement and removal of breast implants.

10–15 years is common before changing – but there is no rule about changing after a certain number of years.

Risks and complications with breast implants

All surgeries carry risks, and implants add some that are specific to them. We discuss these openly during your consultation, as it's easier to make a good decision when you know what can happen. Here are the most common complications related to the implant itself, according to the longest studies available:

How common the complications are, and according to which source
Complication	How common	According to
Capsular contracture requiring surgery (Baker grade III and IV)	< 2 % within seven years in the Swedish registry, 4 to 12 percent within ten years in manufacturers' studies depending on the implant	Breast Implant Registry, Mentor's ten-year studies
Rupture	≈ 1 % per year. Usually not noticeable without ultrasound	Internet medicine, Mentor's ten-year studies
BIA-ALCL, lymphoma of the capsule	8 cases confirmed in Sweden by 2020, 434 in Europe, almost all with coarsely structured implants that are no longer sold	The world of medicine, the Breast Implant Registry, Stark and others 2021

The figures apply to all implants in the studies. Your own risk depends on the implant, placement, tissue and how the surgery is done, and we will discuss this during your consultation.

Capsular contracture

The body always forms a thin scar capsule around an implant. In some people, the capsule contracts and becomes hard, known as capsular contracture. The symptoms are that the breast feels harder, looks rounder or sits higher than before, or is painful. This can happen after a few years or after many.

Capsular contracture is graded on the Baker scale from I to IV. Grades I and II are soft or slightly firm breasts that look normal and do not need to be treated. Grade III shows a change in shape, and grade IV is also hard and tender. It is grades III and IV that require surgery, usually by removing the capsule and replacing the implant, sometimes with a new placement behind the muscle. The risk is reduced with gentle surgical technique, correct investment and right implant surface, and it is lowest for anatomical implants with a structured surface in the manufacturers' ten-year studies.

Rupture

The shell can rupture in rare cases, usually after many years or after a strong external force. Since the gel is dimensionally stable, it remains in the capsule, and a rupture is therefore not always noticeable. This is called a silent rupture, and that is why an ultrasound check is needed if something feels different. Ultrasound is the first choice and is usually sufficient. If the image is unclear, an MRI scan is performed, which is the safest method. The American Food and Drug Administration (FDA) recommends an ultrasound or MRI check five to six years after the operation and then every two to three years, even when everything feels fine. The risk of rupture is around 1 percent per year, and a ruptured implant is replaced.

A woman adjusts her white bra; the focus is on her upper body and back.

Ripple, bottoming out and other shape problems

Ripples are visible folds or waves in the skin from the edge of the implant. This is most common in those with little tissue, large implants, or when the implant is in front of the muscle. Bottoming out means that the implant sinks below the breast crease over time, causing the nipple to be too high. Both are related to the choice of implant and its placement in relation to your tissue, which is why we measure before we choose.

There are several ways an implant can go wrong. Symmastia means that the implants meet in the middle so that the breasts flow together, which can happen if the pocket is made too wide. Double bubble is a double contour at the breast crease, when the implant is lower than the original crease. Implants behind the muscle can also move when you tense the pectoral muscle, which most people don't mind but should be aware of. All three are related to how the pocket is made and where the implant is placed, and all three can be corrected.

BIA-ALCL and breast cancer

BIA-ALCL is a very rare form of lymphoma that can arise in the capsule around an implant. It has been almost exclusively linked to coarsely structured implants, especially Allergan's, which were withdrawn from the market in 2019. In Sweden, eight cases had been confirmed by 2020, and in Europe 434. The most common sign is a late seroma: the breast swells up in a few days, more than a year after the operation, without signs of infection. The fluid is then drained and analyzed, and if detected in time, the disease is almost always curable by removing the capsule and implant. The Swedish overview of BIA-ALCL in Läkartidningen is written by two of our surgeons, Per Hedén and Birgit Stark. The FDA has also reported a few cases of squamous cell carcinoma in the capsule, BIA-SCC, which is even rarer. Research has not shown that breast implants increase the risk of regular breast cancer, but you should always tell your doctor that you have implants when mammography so that the survey is adapted.

Breast implant disease

Some women with implants describe fatigue, joint pain, brain fog, headaches, sleep problems, skin problems or stomach problems that they link to the implants. It is often called breast implant illness, and since 2021 the FDA requires that the risk of such symptoms be stated in manufacturers' patient information. It is not an established diagnosis, and research has not yet been able to show a definite connection. At the same time, many say that they feel better after the implants are removed. We take the issue seriously. If you have such problems, we will go through them during a consultation, and removal of the implants is always an option.

"No matter how good a plastic surgeon you are, sometimes you have complications. No surgeon in the world has patients who are just happy and cheerful. It could be bleeding after an operation, it could be an infection. And then you need help from someone who doesn't just hide, but deals with complications."

Jonas Röjdmark in The Faculty Podcast

Safety guarantee for breast surgery

Complications We will fix it free of charge in 12 months

This applies to medical complications related to your breast augmentation: capsular contracture, abnormal scarring, bleeding, infection, rotation, rupture and bottoming out. Return visits to the surgeon and nurse are included for the same period, and in the first few days after the operation you can reach the surgeons 24/7. The guarantee does not apply if you have not followed the advice you have received, and normal scarring is not considered a complication. If you want longer coverage, it can be extended by twelve months for SEK 6,000. You are also covered by patient insurance.

Controls and follow-up

Return visit with nurse. Included in the price.: After approx. 1 week
Final check-up and photography at the surgeon's. Included in the price.: After approx. 6 months
When something feels different, or you want to know that the implants are intact.: If necessary Ultrasound

After the surgery, we monitor the healing process at follow-up visits. If you feel anything different later on, or if you want to know that the implants are intact, we examine them with ultrasound, which is the easiest way to detect a rupture which is not marked. You will receive the information about your implants on the implant card from the manufacturer and in a written summary, with manufacturer, size and serial number, so that they remain if you ever need them, for example when changing to another clinic. We also report to the national Breast Implant Registry, BRIMP, which our surgeon Birgit Stark co-founded.

Since 2021, aesthetic surgical procedures in Sweden may only be performed by licensed doctors with specialist expertise, and you always have a seven-day cooling-off period between consultation and surgery. We operate with specialists in plastic surgery, and the clinic is supervised by the Swedish Health and Care Inspectorate.

A woman in a black sports top is showing her neck and shoulders for skin rejuvenation.

To live with implants: breastfeeding, mammography, pregnancy and exercise

Breast-feeding

Most people can breastfeed with breast implants, but there are no guarantees. In one review of studies, women with implants were less likely to breastfeed fully than women without, and the key is how the surgery is done. We usually place the incision in the breast crease and the implant behind the muscle or partially behind it, leaving the milk ducts, glands and nerves as untouched as possible. Incisions around the areola carry a higher risk. The milk itself is not affected: in the study that measured the matter, there was no more silicon in the milk of women with implants than others. Tell us at the consultation if you are planning to have children, and we will weigh this in the choice of incision and placement.

Mammography

You can participate in mammography screening as usual. Tell them that you have implants, and the radiologist will use the so-called Eklund technique: the implant is gently moved back towards the chest while the breast tissue is pulled forward, and eight images are often taken instead of four. The risk of the implant being damaged by the examination is very small. Implants that are behind the muscle obscure less of the tissue than implants in front. If something needs to be examined more closely, an ultrasound or MRI is added.

Pregnancy

Pregnancy and breastfeeding change the breasts, not the implants. The tissue grows and retracts, the skin stretches, and some people experience that their breasts sag more or that the implants are positioned differently afterwards. The implants themselves are not affected and do not need to be replaced if you become pregnant. If you are planning a child within the next year, it may be wise to wait with the surgery until after breastfeeding, so that the results last. This is a decision you and your surgeon will make together.

Training

Walking is fine in the first week. After three to four weeks, you can start power walking, cycling and strength training for the lower body, and after ten to twelve weeks, running, swimming, push-ups and strength training for the upper body, so that the implants do not move while the capsule formed. For the first three weeks you sleep in a sports bra, then you wear it during the day for another three weeks, and you wait three months with an underwire bra. The sensation in the skin may be reduced for a while after the operation and usually returns within six months.

Alternative to implants

If you want more volume without foreign material, you can breast augmentation with fat transfer be an alternative, with a more moderate volume increase than implants provide. The hybrid method combines a smaller implant with your own fat on top, for smoother transitions when the tissue is thin.

Next step

Book a consultation and we will measure and review which implants are right for you.

You meet the surgeon directly, and if more visits are needed before you decide, they are included. The consultation costs from 700 SEK, see price list. Do you want to hear the surgeons themselves discuss implant selection, measurement and when they say no? The entire conversation is available in The Faculty Podcast, breast surgery episode.

Book a consultation

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Breast implants

How much does a breast implant cost?

The implant is included in the surgery price. A breast augmentation with round Mentor implants costs from SEK 44,000, with Motiva from SEK 50,900 and with Polytech from SEK 52,900. Anesthesia, follow-up visits and ultrasound in connection with the surgery are included. You will receive the exact price in writing after the consultation. All prices.

How long do breast implants last?

Modern implants last for many years and have no expiration date. The most common reason for replacement is that the body has changed, not that the implant has broken. Many people replace after 10 to 15 years, others keep theirs longer. An ultrasound shows whether the implants are intact, and we do this when something feels different or when you want to know.

Do you have to replace breast implants after ten years?

No. There is no rule about replacement after a certain number of years. As long as the implants are intact, the breasts are soft and you are satisfied, nothing needs to be done. Replacement becomes necessary in the event of rupture, capsular contracture or when you want to change the size or shape.

What are the risks of breast implants?

In addition to the general risks of surgery, such as bleeding, infection and temporary loss of sensation that usually returns within six months, capsular contracture is the most common implant-specific complication. Rupture, rippling and implant displacement occur but are less common. The lymphoma form BIA-ALCL is very rare and is linked to coarsely structured implants that are no longer sold.

How common is capsular contracture?

Capsular contracture requiring surgery, Baker grade III and IV, affects fewer than 2 percent within seven years according to the Swedish Breast Implant Registry and 4 to 12 percent within ten years in manufacturers' long-term studies, with the lowest figures for anatomical implants with a structured surface. Mild capsular contracture is significantly more common and does not need to be treated.

How do you notice capsule formation?

The breast feels harder than before, may look rounder or sit higher, and sometimes it hurts. Mild capsular contracture is common and does not need to be treated. If the breast becomes hard or changes shape, you should contact us and we will examine it.

What does a ruptured breast implant feel like?

Often nothing at all. Today's gel is dimensionally stable and stays in the capsule, so a rupture is usually only detected during ultrasound, a so-called silent rupture. Sometimes a change in shape is noticed, the breast becomes softer or harder, tenderness or a lump. If you suspect that something has happened, book a check-up, and we will examine it with ultrasound and, if necessary, MRI.

Round or teardrop-shaped implants, what suits me?

Round implants provide more volume at the top and cannot be misplaced if they rotate. Teardrop-shaped, or anatomical, provide more volume at the bottom and are often suitable for those who have little tissue of their own and want a smooth transition at the top. Which one is right for you depends on your chest, your tissue and the shape you want, and we will see this during the consultation. More about round and anatomical implants.

Are teardrop-shaped implants still available?

Yes. The coarsely structured implants from Allergan were withdrawn in 2019, but anatomical implants with a finely structured surface remain, with us Mentor CPG, Polytech Replicon and Opticon and Silimed's anatomical models. Motiva does not make anatomical implants. Their Ergonomix is round when you lie down and forms like a drop when you stand. More about round and anatomical implants.

Mentor or Motiva, which is best?

None of them are best for everyone. Mentor has the longest follow-up and comes in both round and anatomical. Motiva has a softer gel that follows the body, a tracking chip, and a smooth casing. Which one is right for you depends on your tissue, your chest, and what feeling you want, and we'll see when we measure.

What is ripple?

Ripples are visible folds or waves in the skin that come from the edge of the implant. They are more common with little native tissue, large implants, and placement in front of the muscle. The right size, the right placement, and sometimes native fat on top of the implant reduce the risk.

What do you do about rippling?

It depends on the cause. A little own tissue over the implant is the most common, and then a placement behind the muscle, an implant with a firmer gel or own fat on top of the implant helps. Sometimes the solution is a smaller or narrower implant. Ripples that are only felt but not visible do not need to be addressed.

Can you breastfeed with breast implants?

Yes, most people can, but the percentage who breastfeed exclusively is slightly lower than for women without implants. An incision in the breast crease and placement behind the muscle spares the milk ducts and nerves, and the milk is not affected by the implants. Let us know if you are planning to have children, and we will take that into account.

Is it possible to have a mammogram if you have breast implants?

Yes. Tell the radiologist that you have implants before the exam, and they will use a special technique where the implant is moved back and the breast tissue is moved forward, often with more images than usual.

Can breast implants cause cancer?

Breast implants do not increase the risk of breast cancer. There is a very rare form of lymphoma, BIA-ALCL, that can occur in the capsule around certain coarsely textured implants, which are no longer sold. Signs to watch out for include sudden swelling, fluid around the implant, or a lump, and you should seek medical attention.

Can you get a grant from the region for breast augmentation?

No, not for breast augmentation for aesthetic reasons. All cosmetic breast surgery in Sweden is done privately and paid for by yourself. However, the region can pay for reconstruction after breast cancer and in some cases surgery for pronounced asymmetry or when the breasts have not developed, but then via referral in public healthcare. If you want to split the payment, we can arrange this with you. All prices.

What happens if I have a complication?

You contact us, and in the first days after the operation you can reach the surgeons 24/7. Medical complications related to the operation, such as capsular contracture, infection, bleeding, rotation or rupture, are addressed free of charge for twelve months through our security guarantee, and the manufacturer will replace the implant in the event of rupture. More about risks and the security guarantee.

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