Breast implant exchange surgery is never as simple as just swapping one size breast implant for another. Depending on your anatomy and goals, you may also need a breast lift, fat grafting to the breast or the addition of a surgical mesh for added support. The cost, therefore, of a breast implant exchange procedure is going to depend on what, exactly, we decide to do. If we are exchanging a smaller implant for a larger one, and your breast tissue has enough strength and elasticity to support the new implant, the procedure will cost between $7,000 and $9,000. However, if you want to remove your implants all together and/or go from a larger implant to a much smaller one, I will need to perform a breast lift. This will cost between $16,000 and $18,000.