Breast Implant Removal and Replacement

Today’s generation of breast implants are much improved over previous devices and most should last a long time.  However, we cannot expect them to be lifetime devices.  At some point.  Implants may wear out require replacement.  This is normal and should be expected with every to consider breast augmentation surgery.  This doesn’t mean that you have to have breast surgery on a regular basis.  By enlarge, if everything looks and feels good and there is no evidence of rupture, you can keep her implants for many many years.  However, at some point, he will most likely need to replace her old breast implants with a new set.

Most of the time removal and replacement of breast implants is often desired for cosmetic reasons rather than implant ruptures or other medical complications.  In either event, if you aren’t happy with the outcome of a previous breast augmentation or you are experiencing problems with her current set of implants, there are several options available to you.  Dr. George Landis has extensive experience performing breast augmentation revision procedures and he can devise the best treatment plan to safely deliver exceptional results.

Is Breast Implant Removal and Replacement Right for Me?

There are several reasons for breast implant removal.  It is a personal decision that each woman makes according to her own-body goals.  As time passes you may wish to have the breast implants removed.  Removing breast implants as action more common many women believe.

Some common reasons for considering breast implant removal include:

  • Desired to increased physical activity. Larger breasts can limit an active lifestyle.  They can affect her arm motion when participating in golf or tennis.  The additional weight and her breast can make running more challenging and sometimes can result in back pain.
  • Dissatisfaction with appearance. After several years of implant some women want to return to their smaller figure.  Some women whenever truly satisfied with the results of the first breast augmentation and all women can be affected by age, pregnancy, and changes in your weight.  All of these factors change the appearance of her breasts.
  • Deflation or scar capsular contracture. A small percent of implants can rupture with the body conform a hard scar cavity around the implant leading to an abnormal appearance likely only be corrected with implant removal and replacement

The Common Cosmetic Reasons for Breast Implant Removal and Replacement

This is the most common, it mostly unnecessary reason for revision breast implant surgery.  It’s important to get the implant size right from the start to avoid a revision surgery in attempt to get your desired cup size.  Of course, is no way to guarantee a bra cup size after surgery as all bras fit differently and every implant size looks different from person to person depending on many individual physical traits.  However, the implant must fit with a nerve frame to prevent stretching deformities and other problems.  It is important remember that larger implants have a higher risk of complications including more tissue stretch, more tissue fitting, rippling, and increased sagging over time.

Some implant sizes just too large on small body frames.  Occasionally women will admit making a poor choice of size, not realizing just how big they would look, or feeling a day as she looks heavy with the larger breasts.  If wound does have good skin tone and no real sagging issues and conservative downsize may suit her.  We keep in mind that going much smaller can lead to skin redundancy and increased sagging.

From 1992-2006 the FDA band silicone implants and during this time.  Many women received seven implants and now are opting for surgery to switch the saline implant to the newer generation of soft and natural feeling silicone gel breast implants.  Also patients who have had the old leaking silicone devices may choose to have her implants replaced the newer and more durable generation of cohesive gel implants.

Breast implants and volume to the breast but they do not treat sagging and they do not lifted breast.  This added volume of weight from breast implants can aggravate the sagging over time especially in patients with poor skin tone and loose skin with many stretch marks.  Sometimes removal and replacement of implants requires a simultaneous breast lift to treat these sagging issues.  At the time of that surgery implant size B increased or decreased pending on the patient’s desires.

A few women have regrets about their initial decision to undergo breast augmentation in the first place.  Some women are just “over” having large breasts.  In the certain subset of women notice that her bra size increases as the age other patients just find himself less concerned about the breast size or appearance as age.  Explantation can be done with and without a breast lift but having a simultaneous breast lift oftentimes reshape suppressant to around her perkier and more youthful appearance.  Without a breast lift you can expect more mature looking and sagging breast.

One patients undergo breast augmentation by an experienced surgeon certified by the American Board of Plastic Surgery complications are rare.  However, there is still some wrist that complications might occur as is true with all surgical procedures.  When complications occur you may be able to correct poor outcome with a breast augmentation revision procedure.

Your body will form a thin capsule or scar tissue in normal response to any foreign material placed within the body most of the times of scar cannot be seen or felt.  This capsular contracture is a condition resulting in increased firmness of the breast implant itself.  However, everyone heals differently and some patients form thicker capsules and others for reasons we don’t understand.  When these moderate to severely thick capsule squeezing implant A can feel uncomfortably firm.  In severe cases A can change the shape of the breast and be painful.

Risk factors further development of capsular contracture include:

  • The way the surgery is performed.
  • The use of a periareolar or transaxillary incision.
  • Spillage of blood in the pocket during surgery
  • An infection that is undetected.
  • Some patients individual response to a foreign object placed within the interbody.

Examples include:

  • Displacement towards the armpits.
  • Bottoming out with the implant sits too low and the nipple points upward
  • An implant that sits too high.
  • Symmastia where the implants are too close to each other creating a “uniboob” appearance

Rippling often occurs in thin patients with larger implants.  The breast tissue surrounding the implants thins out, especially with larger implant sizes.  We all know that larger implants often result in more tissue stretch, rippling, thinning, and sagging issues over time.  These problems are very difficult to correct in the future and so you must choose your initial size wisely.  Bigger isn’t always better.

Breast Implant Rupture

A tear or hole in the implant shell is called a rupture.  Most implant shell failures are due to wear and tear and not to do trauma to the breast itself.  The opening can allow the saline to escape from the shell and he will often experienced a rapid decrease as his sterile saline is released and sometimes gradually absorb by her body.

The newer generation of silicone gel breast implants are cohesive or form stable which means that the silicone tends to stay  within the shell and you may have no symptoms of shell rupture.  This is called a “silent rupture”.  The FDA recommends that women received these newer generation cohesive silicone implants have MRIs from time to time to make sure that the shell is intact.  The shell itself will not degrade in her body.  In addition, the risk of implant rupture increases with the age of the implant.  Rupture rates increase 1% per year so the risk at 10 years is about 10%.

The FDA determined that there is no danger from internal exposure to silicone.  There is no relationship of silicone breast implants to autoimmune disease, cancer, connective tissue diseases, rheumatologic disease, or other illnesses.  Therefore, he may have your surgery performed at your convenience.

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