
Breast Augmentation
Volume and shape are enhanced using implants or fat transfer to achieve natural, proportionate results.
Update or replace breast implants to restore comfort and aesthetic goals.
A surgical procedure to remove and exchange existing implants.
Breast implant removal and replacement surgery involves removing existing implants and placing new ones to achieve updated size, shape, or improved comfort. The procedure may also address implant aging, complications, or changes in aesthetic preferences.
Refresh results while maintaining breast contour.
Implant exchange surgery can improve breast shape, correct implant issues, and update implant size or type. It allows patients to refine their appearance while maintaining natural breast contours. Many patients also experience improved comfort.
“The doctor was thorough, took his time and was very professional. I will be using him for my replacement breast augmentation. The office and staff were equally awesome as well.”Verified Patient
We begin by listening to your goals and the story behind them. Together with your plastic surgeon, you’ll explore options and define an approach aligned with your proportions, lifestyle, and vision.
Your surgical plan is thoughtfully designed around your anatomy, desired outcome, and our philosophy of natural, balanced refinement. Nothing is rushed. Nothing is one-size-fits-all.
From arrival to recovery, every detail is intentional. Our team creates a calm, reassuring environment so you feel informed, supported, and fully cared for.
Healing is guided by close communication, attentive follow-ups, and steady support. We’re with you at every step, ensuring your recovery feels smooth and predictable.
As healing progresses, balance and confidence come into focus. Our goal is for your results to feel unmistakably yours — refreshed, aligned, and effortlessly natural.

Common reasons include changing size, implant aging, or improving breast shape.
Yes, it can address issues such as capsular contracture or implant rupture.
Recovery is often similar but may be shorter depending on the procedure complexity.
Modern implants are long-lasting but may eventually require replacement.
This is not cosmetic surgery for a different you.
This is clarity — revealed through balance, intention, and deeply human listening.
“After multiple consultations about a breast implant removal, I chose Dr. Layliev. He understood my concerns with my current implants and did not pressure me for a new set. He was positive that I would not need a lift or the additional scarring. He truly had my best interest in mind. He truly created perfection - his work speaks for itself.”RealSelf Member
“Amazing! I'm very happy with my results. Tummy Tuck - Mastopexy - Liposuction. I feel like a new woman. Thank you Dr. James Romanelli. 5 stars.”A.O.
Whether you’re exploring treatment options or simply gathering information, your journey should feel informed, intentional, and fully supported. At North Shore, our focus is on results that feel natural, balanced, and true to you — guided by experience, artistry, and an unwavering commitment to patient care.
A consultation is a conversation, not a commitment. Let’s talk through your goals and determine the path that makes the most sense for you.

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