Home >  Blog >  When would I need to have my breast implants exchanged?

When would I need to have my breast implants exchanged?

Posted by Dr Lily Vrtik on 30 August 2018

The short answer is if it is not broken, don't fix it. Or put simply - if there is nothing wrong with them and if you are still comfortable with them, there is no need to have them removed or replaced.


Many things can happen to Breast Implants during your lifetime whether you had them placed for cosmetic or reconstructive reasons. The latest statistics showed that around 35-45% of patients with breast implants in place require some form of revision procedure within 10-15 years of their initial implant surgery.


The most common reason for revisions is actually patients' desire to change implant size. This can be due to a simple change of mind in regards to the patients' self-image or suitability for their lifestyle; or it can also be due to changes in the natural breast size, secondary to weight fluctuations, pregnancies, and other hormonal changes.


Other reasons for implant revisions include movement of the implant, such as migration upwards or outwards resulting in asymmetry between the two sides. Sometimes it is the natural breast tissue that has shifted, resulting in the implant sitting relatively higher compared to progressively 'sagging' breast tissue (most commonly occurs after breast feeding or menopause). This can give your breasts an odd shape which can be difficult to hide without a supportive bra. In the latter scenario, the implants may not need to be revised, but rather, a beast lift may be required to reposition the breast tissue over the implant.


Implant revision for implant rupture is not as common nowadays. If you had implants put in during the 1980's and 90's then you may need a revision as the rupture rate of those implants are around 20% at 5 years, which means, by now, there is greater than 80% chance that your implants are ruptured. Some ruptures are not detectable unless an ultrasound or mammogram has been performed. Even then, true intracapsular rupture (rupture contained in the capsule) can only be definitively diagnosed by an MRI. Implants from 2000 onwards are made of cohesive silicone and have a rupture rate of 0.4-0.8% per year. Thus, revision for rupture for these implants are uncommon and usually contained as the silicone within the implant is not liquid.


Finally, implant revisions may also be necessary for capsular contracture a condition where the body forms a hard calcified capsule around the implant. This may or may not be associated with an underlying rupture. Capsular contracture is not as common when the implant is under the muscle. Capsular contracture is diagnosed by clinical examination, where the implant can be felt as a hard shrunken lump behind the breast tissue, similar to that of a cricket ball, and can be associated with significant discomfort.


Our next blog will look at signs and symptoms associated with breast implant problems.


To read more about Breast Implants, click here

 

Dr Lily VrtikAuthor: Dr Lily Vrtik
About: Dr Lily Vrtik is a fully-qualified and accredited aesthetic, plastic & reconstructive surgeon practising in Brisbane, Queensland (QLD), Australia.
Tags: plastic surgery Breast implants Breast

Latest Blog

Read More

What is Capsular Contracture?

Posted on 30 November 2019
What is Capsular Contracture?
  1. What is Capsular Contracture? Capsular Contracture is a tightening of the scar tissue that forms...
Posted in: plastic surgery Breast implants Breast  

What is an SCC (Squamous Cell Carcinoma)?

Posted on 1 October 2019
What is an SCC (Squamous Cell Carcinoma)?
  Squamous cell carcinoma (SCC), is the second most common form of skin cancer. This cancer is an uncontr...
Posted in: plastic surgery Skin Cancers Skin  

Breast Implants, Breast Cancer and Screening

Posted by Dr Lily Vrtik on 1 August 2019
Breast Implants, Breast Cancer and Screening
  There are controversial and contradictory information about breast implants, breast cancer and breast c...
Posted in: plastic surgery Breast implants Breast  

TGA Suspension of Textured Implants

Posted by Dr Lily Vrtik on 11 July 2019
Today (11th July), TGA (Therapeutic Goods Administration) has proposed regulatory actions to susped or cancel text...
Posted in: Breast implants Breast  
< Previous | 1 | 2 | 3 | 4 | 5 | Next >
View CartBookmark SiteTell a FriendPrintContact UsHome