Saline breast implants are a common option for individuals undergoing breast augmentation or reconstruction. These implants consist of a silicone shell filled with a sterile saline, or saltwater, solution. Saline implants are not permanent medical devices. They will likely require replacement at some point.
Typical Lifespan
Saline breast implants generally have an expected lifespan ranging from 10 to 20 years. Some sources suggest a range of 8 to 15 years. They are not lifetime devices and will require replacement. Approximately 20% of individuals may have their implants removed or replaced within 8 to 10 years, sometimes due to personal preference or medical reasons.
The U.S. Food and Drug Administration (FDA) recommends routine monitoring for silicone implants, typically starting 5 to 6 years after initial surgery with follow-ups every 2 to 3 years thereafter. However, the FDA does not currently have specific screening recommendations for saline implants. This is because a saline implant rupture is usually clinically obvious due to the rapid deflation that occurs.
Factors Affecting Longevity
Several elements can influence how long a saline implant remains functional within the body. The quality of the implant itself, including its manufacturing and the integrity of its shell, contributes to its overall durability. Over time, the outer shell can experience wear and tear, potentially leading to a leak or rupture.
The surgical technique employed during the initial implantation procedure also plays a role in long-term stability. A skilled surgeon’s precise placement can help minimize future complications and contribute to maximizing implant lifespan. Patient-specific factors, such as significant weight fluctuations or the natural aging process, can impact breast tissue and implant position over time.
Certain complications can also shorten an implant’s functional life. These include implant rupture, where the shell tears and the saline solution leaks out, or the development of capsular contracture. Capsular contracture involves the tightening of scar tissue around the implant, which can alter its shape and feel. These complications can necessitate earlier replacement.
Signs of Issues and When to Consider Replacement
Recognizing changes in breast implants is important. A common sign of an issue is rupture or deflation, occurring when the implant shell tears. This leads to a noticeable decrease in size and a change in breast shape as the saline is harmlessly absorbed. The breast may appear visibly deflated, lopsided, or otherwise asymmetrical.
Another reason for considering replacement is capsular contracture. Symptoms can include the breast feeling abnormally firm or hard, a distorted or misshapen appearance, and potential pain or discomfort. The contracting scar tissue might also cause the implant to shift or appear higher on the chest.
Changes in aesthetic preference, such as a desire for a different size or shape, or the natural effects of aging on breast tissue, can also lead individuals to consider replacement. Regular check-ups with a surgeon are recommended to monitor implant health and discuss any changes. If any significant alterations in breast size, shape, texture, or the onset of pain or discomfort occur, consulting a surgeon promptly is advised.
The Replacement Process
When saline implants need replacement, the process typically begins with a consultation with a plastic surgeon. The surgeon will assess current implants, discuss reasons for replacement, and review available options. Options include replacing with new implants, choosing a different type (such as silicone), or explantation (removal without replacement).
The replacement procedure removes old implants and, if necessary, any scar tissue. New implants are inserted, often through the original incision points. Surgeons may also reshape the implant pocket for proper fit and positioning.
Recovery from implant replacement surgery generally follows a similar course to the initial augmentation. Patients can typically return to work within one to two weeks, though strenuous activities should be avoided for up to six weeks. Pain, swelling, and bruising are common during the initial recovery period but gradually subside. Following the surgeon’s post-operative instructions carefully is important for optimal healing.