Change of implants

Most breast implants have a long life and to this day, patients operated even 20 years ago have no problems if followed regularly.

All my patients have lifelong follow-ups included

Generally, a silicone prosthesis lasts for many years, but it must be checked over time by the local plastic surgeon and possibly carrying out magnetic resonance imaging.

However, there are situations in which even after a short time it is necessary to intervene to correct a problem. Over the years, I have specialized in correcting breast augmentation procedures that have developed complications.

The most frequent are capillary contracture, rippling, asymmetries, bottoming out, asymmetries of the sulci, broken prostheses

Change of implants

Most breast implants have a long life and to this day, patients operated even 20 years ago have no problems if followed regularly.

All my patients have lifelong follow-ups included

Generally, a silicone prosthesis lasts for many years, but it must be checked over time by the local plastic surgeon and possibly carrying out magnetic resonance imaging.

However, there are situations in which even after a short time it is necessary to intervene to correct a problem. Over the years, I have specialized in correcting breast augmentation procedures that have developed complications.

The most frequent are capillary contracture, rippling, asymmetries, bottoming out, asymmetries of the sulci, broken prostheses

Capsular contracture is an ‘excessive’ reaction to the silicone prosthesis, normally a capsule is formed which contains the prosthesis but this pocket can thicken causing the breast to become deformed and cause pain. The first sign is a hardening that lasts for more than three months. When this thickening becomes more severe then it is necessary to intervene by removing the entire capsule and replacing a prosthesis. In recurrent cases it is advisable to insert a polyurethane prosthesis.

Rippling: occurs when the prosthesis is visible far beneath the skin, the typical sign of ‘waves’ on the skin. It can be corrected with fat injections (Lipofilling associated with regenerative cells) and/or by reinserting the prosthesis under the muscle

Bottoming out: occurs when the prosthesis is displaced under the breast beyond the fold. It can happen immediately after the operation (pocket too large or prosthesis too large) or over the years. It is a very annoying aesthetic complication. It is corrected by changing the prosthesis (generally smaller) and carrying out a caspuloraffia, closing the lower pole internally with reconstructive techniques with well-placed sutures.

Prosthesis rupture: it is a very rare event that generally does not cause harm to patients but it is a good idea to intervene early to avoid complications such as capillary contracture or the formation of lymph nodes. All my patients are checked periodically by me over the years. The prosthesis is changed trying to remove as much silicone as possible. They are generally associated with poor quality prostheses used in the past

Request a consultation

Social

FAQ

Doubts or questions? It’s only natural to have any! Below I try to answer the most frequent ones. For further clarification you can write to me at any time, I will answer as soon as possible.

The first appointment

It is the basis of my aesthetic renewal process, in which I like to establish a direct relationship with my patient.

The surgery

I operate with my patient's wishes and achievable results in mind to ensure an excellent result and a swift post-operative course.

After the surgery

I will see every patient personally in their follow ups, monitoring the patient until his complete recovery. Every one of my patient will have contact with 24 hrs for any advice and I give a life time care.

The best choices for patient well-being

Dr Massimiliano Marcellino MD FRCS
Excellent
5.0
Based on 97 reviews
review us on
I had a breast augmentation with Dr Marcellino and my experience was outstanding. I had seen a few surgeons already by the time I met Dr Max and as soon as I had my consultation, I knew I had found the right surgeon. He has a very relaxed demeanour which immediately puts you at ease and he takes a lot of time to go through all the questions you might have. I'd done my research on his track record so knew I was in good hands. The operation went smoothly and I can't believe it has been 5 months already - I'm delighted with the results and only wish I had done it sooner!
I had a breast augmentation with Dr Max Marcellino and I am so happy with the results. I had been wanting a breast enlargement for years + I did a lot of research into the procedure and different surgeons in London and I wasn’t happy with any surgeon until I came across Dr Marcellino, who was recommended to me by a relative. Probably the best decision I ever made, having this surgery done by him as he is simply amazing! From the first appointment to my surgery and now in my recovery he and his team have been beyond excellent. I was very nervous about my surgery, I wasn’t too sure what to expect but the anaesthesiologists were amazing with keeping me calm as well as my Nurse ‘Esther’. Really made me feel comfortable and reassured me that everything will be okay and it did. Nearly a month into my recovery and I couldn’t be happier with my results, I am so glad that I chose Dr Marcellino because realistically I wouldn’t of had the surgery done if I didn’t find him.Thank you so much for making my confidence boost and making me feel beautiful :) I really recommend Dr Marcellino, and all the staff at The London Welbeck Hospital :)
I got a blepharoplasty done and I could not be more Happy with the results and healing process.
Dr Marcellino is very talented, patient and dedicated to his profession. You can be reassured you are in safe hands.His advice is always measured, truthful and in your best interest.His after care is second to none.Would highly recommend!
I would 100 recommend dr Marcellino and his plastic surgery staff. I had a breast reduction and breast lift and I am over the moon with the results that exceed my expectations. Thanks Massimiliano !
The most loveliest team! So much reassurance. I was SO nervous on the morning of my surgery, but they calmed me down to the point of me being asleep, then as soon as I came rounds they were SO lovely! They’re always on hand to help 24/7 with questions etc. Dr Marcellino’s work cannot get any better! So much of a confidence boost. So glad I chose him, and his team and I got it done! 🤍
I had an arm liposuction and breast augmentation with Dr. Marcellino exactly 20 days ago. From the first visit I was followed by him and on the day of the surgery we chose the size of the prosthesis that was best suited with my body. I was advised by Dr. Marcellino and I could not have made a better choice! The result of the breasts is wonderful, not to mention the finally thinner arms.The doctor is always available despite the distance that I live in Milan, he is always there for me.I can't wait to be able to wear low-cut dresses and bathing suit!
Cannot thank Dr Marcellino enough!! So SO happy with my results from my breast augmentation! Best decision I’ve ever made and you have all been amazing - from start to finish. The BEST!! Thank you xx
Mettere 5 stelle è riduttivo,se avessi potuto ne avrei messe di più, che dire oggi a distanza di un anno e mezzo sono felicissima di aver scelto il dott. Marcellino per la sua grandissima professionalità ed esperienza mi ha fatto un seno splendido, naturalissimo, lo risceglierei altre 100 volte!!!! Ne ho sentiti tanti e ho stolkerato tantissimi profili di altri medici prima di scegliere lui, e ho fatto bene!!!! Il TOPPPPP
js_loader

Request a consultation

Dr.Marcellino