A small number of augmentation patients do not experience problems with capsules or normal breast texture but may consider simple implant exchange due to dissatisfaction with palpable implants (such as the edge and wrinkles of saline implants) or breast size, concerns about implant leakage or rupture with the approaching lifespan of implants, or actual implant rupture. Technically, this is a relatively simple procedure. Depending on whether one wants to increase or decrease implant size, change saline to silicone implants, or fix already ruptured or leaked implants, implant exchange can be performed through the original incision as long as patients have healthy and soft breasts. The surgery would only take approximately 1 h to complete. Because it does not require the dissection or cutting of capsules, no postoperative massage is needed in most cases. One can almost immediately return to normal life and work. This is also a breast maintenance surgery when implants reach the end of their lifespan.