Breast Implant Management
Breast implants can provide aesthetic enhancement and reconstructive benefits following mastectomy or other breast surgeries. However, over time, implants may need to be removed or revised for various reasons. Understanding when and why this might be necessary, and what the process involves, can help you make informed decisions about your breast health and appearance.
When do breast implants need to be removed or revised?
Several situations may warrant the removal or revision of breast implants:
Capsular Contracture: This occurs when the scar tissue around the implant hardens, causing discomfort, pain, or distortion of the breast shape. Revision surgery can alleviate these symptoms and restore the breast's appearance.
Implant Rupture or Leakage: Saline implants will deflate if they rupture, making the issue immediately noticeable. Silicone implant ruptures might be less obvious but can still cause changes in breast shape or firmness. In both cases, surgery is required to remove or replace the damaged implant.
Aesthetic Concerns: Over time, changes in body weight, aging, or personal preferences may lead to dissatisfaction with the appearance of the implants. Revision surgery can address issues like asymmetry, size change, or repositioning.
Implant Lifespan: Implants are not lifetime devices. The average lifespan of breast implants is 10-15 years, after which removal or replacement might be necessary.
Health Concerns: Some patients might opt for removal due to health concerns related to implants. Please click on the link in the patient information section for up-to-date information.
What’s involved in implant removal or revision surgery?
Your surgeon will evaluate your current implants, discuss your concerns and goals, and develop a personalised surgical plan. Imaging tests like mammograms, ultrasound scans or MRIs might be used to assess the condition of the implants and surrounding tissue.
The operation
The procedure for implant removal or revision can vary based on the specific situation:
Anesthesia: The surgery is usually performed under general anesthesia, ensuring you are comfortable and pain-free throughout the procedure.
Incision: The surgeon will make incisions, often using the previous incision sites to minimize additional scarring. The type and location of incisions depend on the specifics of your case.
Removal or replacement: If the implants are being removed, the surgeon will carefully extract them, along with any scar tissue if necessary. If replacing, new implants will be inserted, and adjustments will be made to achieve the desired outcome.
Reconstruction: In some cases, especially if implants are not being replaced, additional procedures like a breast lift or fat grafting might be performed to improve the breast’s appearance.
After the operation
Recovery from implant removal or revision surgery is similar to most other surgeries, including:
Initial Recovery: You can expect some swelling, bruising, and discomfort immediately following surgery. Pain medication and antibiotics might be prescribed to manage pain and prevent infection.
Follow-Up Appointments: Regular follow-up appointments are essential to monitor healing and ensure no complications arise. Your surgeon will provide specific guidelines on wound care and activity restrictions.
Long-Term Care: It’s important to maintain regular check-ups and perform self-examinations to monitor your breast health. If new implants were placed, understanding their maintenance and potential future needs is crucial.
What’s next?
Managing breast implants through removal or revision is a common part of the journey for many women with implants. Whether due to complications, aesthetic preferences, or the natural lifespan of the implants, understanding the process and what to expect can help you navigate these decisions confidently. Consult with your oncoplastic breast surgeon to ensure you receive personalised, comprehensive care tailored to your needs.
