Breast Revision | Implant Removal

Breast implants are not designed to last a lifetime. While modern implants are durable and have a long lifespan, they are not guaranteed to remain problem-free indefinitely. On average, breast implants may last between 10 to 20 years. Over time, implants may require replacement due to rupture, deflation, or cosmetic concerns like capsular contracture or a change in breast shape.

Breast implant illness is a term used to describe a variety of symptoms that are believed to be associated with breast implants. The symptoms of breast implant illness can vary widely and may include chronic fatigue, cognitive dysfunction, muscle or joint pain, and autoimmune symptoms. Some individuals report rashes, anxiety, headaches, hair loss, and gastrointestinal problems as part of their experience. It's important to note that breast implant illness isn't universally recognized as a medical diagnosis; however, increasing reports from patients have spurred further investigation into these concerns.

Breast implants can cause pain years after the surgery for various reasons. Over time, scar tissue might develop around the implant, leading to capsular contracture, which can cause discomfort or pain. Additionally, the implants themselves can rupture or leak, resulting in pain, changes in breast shape, or other physical symptoms. Other potential factors contributing to late-onset pain include weight fluctuations, hormonal changes, or natural aging processes impacting breast tissue and skin elasticity.

Capsular contracture is a relatively common complication that can occur after breast implant surgery, where the scar tissue that naturally forms around the implant begins to tighten and thicken. This condition can lead to hardening of the breast, discomfort, and changes in the breast's appearance. The incidence rate of capsular contracture varies, but it is estimated to affect approximately 10-20% of individuals who undergo breast augmentation.

Detecting a leaking breast implant often involves observing specific physical symptoms and changes. If you have silicone breast implants, they may be more challenging to detect because the silicone gel tends to remain within the implant or surrounding tissue. However, signs of a leak can include changes in breast shape or size, pain, or swelling in the breast area, lumps, or firmness. In the case of saline implants, a leak might be more noticeable, as the body absorbs the saline solution, leading to a more apparent deflation or change in size of the affected breast. To accurately diagnose any issues with breast implants, imaging tests like an MRI or ultrasound can provide a clearer picture of their condition and detect any ruptures or leaks.

Removal of breast implants is generally considered safe when performed by a qualified and experienced surgeon. However, as with any surgical procedure, there are inherent risks and potential complications. These may include infection, changes in breast appearance, scarring, and anesthesia-related risks. It's important for individuals considering explant surgery to discuss their medical history, reasons for implant removal, and any concerns with their surgeon to better understand the procedure and manage expectations. Overall, many people successfully undergo breast implant removal and experience satisfactory outcomes.

If breast implants are not replaced, several potential long-term consequences can occur. Over time, implants may rupture or leak, which can lead to changes in breast shape and size or cause discomfort. Silicone implants that rupture might remain unnoticed as silicone can stay within the surrounding tissue, whereas saline implant ruptures are more immediately noticeable due to rapid deflation. Additionally, the natural aging process can affect the appearance of breast implants, often resulting in sagging or changes in symmetry.

Yes, breast implants can get infected years after the initial surgery, although it is relatively uncommon. Infections can occur due to several factors, including the body's reaction to the implant over time, surgical complications, trauma, or even bacterial contamination. It is important to recognize symptoms of infection early, which may include redness, swelling, pain, or changes in breast shape.

One of the early signs of capsular contracture is a noticeable hardening of the breast, which may feel firmer than usual. Some individuals might also experience mild pain or tenderness around the implant, accompanied by a slight deformity as the breast shape changes. In certain cases, there may be a feeling of tightness around the implant or the breast might begin to appear misshapen or asymmetrical.

We provide patients with a detailed quote during their consultation appointment at Sarasota Plastic Surgery. The cost of revision surgery varies, depending on the procedure’s complexity and whether you are having implants replaced.

The plastic surgeons at Sarasota Plastic Surgery offer many types of breast implant removal and revision, including en bloc capsulectomy, a specialized type of breast implant removal that removes the implant and capsule as a singular unit.

Breast implants stretch the breasts’ skin and tissues. Removing them can leave your breasts with an empty, deflated appearance. We typically perform a breast lift with breast implant removal to reshape the breast skin and tissues.

Our patients tell us that their breast revision recovery was like the healing process they experienced after their initial breast augmentation. Most patients require one to two weeks off from work and limited physical activity for four to six weeks.

Pregnancy and breastfeeding often result in breast changes that may include sagging. Breast implants do not stop sagging from occurring, and in some cases, make breast laxity more noticeable. Many women include breast revision surgery in their mommy makeover.

Breast implants are not on a set replacement schedule. If your breast implants have no flaws or defects and you’re happy with your breast appearance, you probably do not need breast revision. Regular follow-ups with your plastic surgeon can monitor your breast implants to determine when you need to have them replaced.