Breast implants, whether saline or silicone, are popular options for breast augmentation surgery. However, a common question is: Do breast implants need to be replaced? Understanding the lifespan of breast implants and the reasons for implant replacement are essential for anyone considering or currently having breast implants.
When to Consider Breast Implant Replacement
Breast implants are not lifetime devices, and the longer you have breast implants, the more likely it is that they will need to be replaced. The American Society of Plastic Surgeons suggests that breast implants may need to be replaced every 10–15 years, though this can vary from person to person. Over time, factors like implant rupture, capsular contracture, and changes in breast tissue and shape can necessitate a breast implant replacement. For example, if you experience a change in breast shape or size or if your implants change position within the breast, it might be time to replace your implants.
The Process of Replacing Breast Implants
Breast implant replacement surgery, often referred to as revision surgery, involves removing or replacing the breast implants. This procedure can address issues such as implant rupture, capsular contracture, or dissatisfaction with the size or shape of the initial implants. Women who have had their implants for many years, especially those with older-generation silicone or saline implants, may consider replacing them with new implants that may offer improved appearance or feel. It’s important to consult with a board-certified plastic surgeon to decide the right time to replace your breast implants. During the consultation, you can discuss the desire to change the size of your implants, whether opting for larger or smaller implants, replacing saline implants with silicone gel implants or vice versa.
The Importance of Timely Replacement
Old implants that have been in place beyond their lifespan may not provide the same aesthetic or supportive benefits as new implants. For women undergoing breast augmentation surgery, it’s crucial to plan for the possibility that implants may need replacement in the future. This awareness helps in maintaining the health and appearance of the breasts over the long term, ensuring that the benefits of the initial breast augmentation are preserved.
How long do implants last?
Breast implants are not designed to last a lifetime. Most implants may need to be replaced after 10-15 years, but this can vary. Factors like implant type (silicone or saline), individual health, and changes in breast tissue can influence an implant’s lifespan.
Silicone vs. Saline Implants
Both silicone and saline breast implants have similar lifespans. However, the detection of a rupture differs; saline implant ruptures are immediately noticeable, whereas silicone implant ruptures may require an MRI for detection.
Reasons for Replacing Breast Implants
Implant Rupture
Rupture is a primary reason for replacing breast implants. A ruptured saline implant deflates, causing a noticeable change in breast size, while a silicone implant rupture might go undetected but can lead to silicone leakage.
Capsular Contracture
This condition occurs when scar tissue thickens and forms tightly around one or both implants, changing the breast shape and possibly causing pain and hardness. It often necessitates implant replacement and the removal of the scarred capsule tissue.
Change in Breast Shape or Size
Over time, changes in breast shape or size due to aging, weight fluctuations, or hormonal changes might lead to a desire to replace implants with new ones of a different size or type.
Other Complications
Other reasons for replacement include implant displacement and rippling.
Other Reasons
Changes in your perception of your own body can lead to implant removal or replacement surgery.
FAQs
How often should breast implants be replaced?
Breast implants should be replaced every 10–15 years, but individual circumstances vary.
What happens if you don’t replace breast implants?
If you don’t replace old implants, risks like rupture or capsular contracture may increase, potentially affecting breast health and aesthetics.
Is breast implant replacement surgery more complicated than the initial surgery?
Replacement surgery can be more complex, depending on factors like scar tissue and changes in breast tissue.
Can I change the size of my implants during replacement surgery?
Yes, many choose to replace their breast implants with larger or smaller ones or adjust the type (saline or silicone).
How can I tell if my silicone implant has ruptured?
A board-certified plastic surgeon‘s advice regarding routine checkups and MRIs is crucial for identifying a silent rupture in silicone implants.
Conclusion
Breast implants, saline or silicone, typically need replacement after a decade or more. It’s crucial for individuals with breast implants to maintain regular consultations with their plastic surgeon to monitor the integrity and health of their implants. Keep in mind that a variety of factors can affect the need to replace your breast implants, and that maintaining breast health means staying informed about changes to your implants and breast tissue.
