Removal of implants or replacing breast implants for a different size and breast shape is not uncommon. But an assessment with a Plastic Surgeon is helpful to help you ascertain your breast implant removal and replacement options, including:
- implant removal on its own
- implant removal followed by a breast lift
- implant removal followed by replacement of existing implants
- replacement of implants with different breast implant sizes, styles, shapes, textures or pocket positions
- replacement of implants with a newer style or more modern generation implant with or without additional augmentation or fat transfer
- replacement of the breast implant plus a breast lift
- other surgical or liposuction reshaping of the breasts and surrounding area
Remember, open communication is very important during a consultation with a Surgeon and at every stage of your cosmetic surgery journey and recovery.
- Also, every patient is unique.
- Surgery results can vary – and are highly impacted by- by what you’re starting with, which surgery you choose, and how well you recover and heal.
One of the best ways to avoid requesting a size change is to give very thoughtful contemplation to what size is going to be best suited to YOUR physique, skin strength, appearance goals and lifestyle.
Be sure you sign up for our monthly newsletters using the form below – because the next blog is about HOW TO TALK ABOUT YOUR SURGERY GOALS WITH YOUR SURGEON – to help you get the results you’re seeking from breast surgery.
5 top reasons people replace breast implants:
- Size change requests – are one of the most common reasons patients request breast implant removal and replacement; size change surgeries may impact 5% of primary breast augmentation surgery patients – sometimes higher. BUT this degree may depends on your Surgeon’s ability to assess what size and shape of breast prosthesis will suit your body best; as well as meet your personal preferences and surgery goals. Remember, NOT all sized breast implants will look great on all body shapes.
- Age of the breast prosthesis – breast implants don’t last forever, and the general lifespan of an implant is said to be 10 years according to manufacturer warranty information such as from MOTIVA or MENTOR manufacturers. Recommendations: Alert your Surgeon to any changes or concerns in your breast appearance; keep up with your annual checkups and make sure you get a more comprehensive assessment of your existing implants at Years 8, 9 and 10.
- Capsular contracture or suspected rupture – risks of capsular contracture are definitely higher in people who smoke versus those who don’t, and may also be higher when the implant was handled more (which is why some surgeons prefer the Keller Funnel insertion method); there are 14 suggested steps a surgeon may implement during breast augmentation to reduce surgery risks – ask your Surgeon for details. If you experience a capsular contracture, see your Surgeon for an assessment and re-operation evaluation in terms of options and removal and replacement of implants.
- Malposition – movement of some implants may occur in some women and depending on the placement techniques and type of implant.
- Other concerns or lifestyle changes – Deciding to have reduced breasts or to remove existing implants due to being older and/or having changed ideals over time about breast size preferences or lifestyle ideals; animation or bottoming out, saline implants deflation or other concerns such as having a rare intolerance or sensitivity to breast implants. Recommendations: choose a skilled Plastic Surgeon to help you choose the right size and shape of breast prosthesis for your body and your skin condition/dermal strength/skin thickness; understand the breast surgery recovery processes and risks, follow your post-op instructions, evaluate the pros and cons of saline vs silicone implants, and if you feel you may have an intolerance or sensitivity to breast implant prosthesis, discuss this in detail with your Surgeon. Understand that not all implants are alike, that some implants are tolerated for decades but ageing implants are more likely prone to concerns such as rupture or capsular contraction, and that more modern breast implants may have added benefits such as Motiva or Mentor and database systems to store your type/size in case you misplace your medical records from your primary surgery and cannot recollect which implant model/manufacturer you had put in over 10 or 20 years ago.
You can remove your implants OR replace them, with a majority of secondary surgery procedures being replacement with a different size and/or to treat a complication.
Remember, DO NOT SMOKE if you have breast implants as your risk of Capsular contracture may be greater than if you do not smoke.
Smoking has been linked to higher rates of capsular contracture although further research is required to assess the degree; in general, however, smoking causes poor wound healing and other health harms that are bound to impact any surgery results and/or health conditions after surgery.
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Other articles of interest/Research:
References accessed 24 October 2018:
Plast Reconstr Surg. 2000 Jul;106(1):139-47; discussion 148-9.
Reference: Tebbetts, J. B. Patient acceptance of adequately filled breast implants. Plast. Reconstr. Surg. 106(1): 139-147, 2000.
Tebbetts, J. B. Dual plan (DP) breast augmentation: Optimizing implant soft-tissue relationships in a wide range of breast types. Plast. Reconstr. Surg. 107: 1255, 2001.
Tebbetts, J. B. Achieving a predictable 24-hour return to normal activities after breast augmentation, part II: patient preparation, refined surgical techniques and instrumentation. Plast. Reconstr. Surg. 109: 293-305, 2002.
Tebbetts, J. B. Achieving a zero percent reoperation rate at 3 years in a 50 consecutive case augmentation mammaplasty PMA study. Plast. Reconstr. Surg. 108(6): 1453-1457, 2006.
Williams P Adams Jr; (2011) McGraw Hill Plastic Surgery Atlas – Breast Augmentation
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Reconstruction of the Breasts
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