Breast implants are not considered lifetime devices and will eventually require replacement. These medical devices are subject to wear and tear over time, similar to other implanted prosthetics in the body. Understanding that implants have a finite lifespan is an important aspect of considering breast augmentation. Patients with implants will likely need one or more revision surgeries throughout their lives.
Implant Lifespan
There is no fixed expiration date for breast implants, as their longevity varies significantly among individuals. On average, breast implants, both saline and silicone, are often expected to last between 10 to 20 years. However, this timeframe is not a guarantee and depends on several contributing factors.
The type of implant plays a role in its lifespan; for instance, some studies suggest that silicone implants might have a slightly longer average duration than saline. The specific brand and model also influence durability. Individual patient factors, such as overall health, activity level, and the body’s response, further contribute to how long an implant remains functional. Regular monitoring allows for early detection of issues that might necessitate replacement sooner.
Reasons for Replacement
Implants may require replacement for various reasons, not just age. A common reason is implant rupture, which differs between saline and silicone implants. Saline rupture typically results in immediate, noticeable deflation as the solution is absorbed. Conversely, a silicone rupture, often called a “silent rupture,” is more subtle, as the thick gel remains largely contained within the breast tissue or scar capsule, making it less obvious.
Another reason for replacement is capsular contracture, a condition where the scar tissue capsule that naturally forms around the implant tightens and constricts. This tightening can lead to the breast feeling firm or hard, appear distorted, and in some cases, cause discomfort or pain. Capsular contracture is graded based on severity, with higher grades often necessitating surgical intervention and implant removal or replacement. Patients may also seek replacement due to changes in their aesthetic preferences, desiring a different size, shape, or position for their breasts over time.
Other issues include rippling or wrinkling, especially with saline implants or in individuals with very little natural breast tissue, where the implant edges become visible or palpable through the skin. Implant malposition, where an implant shifts from its intended position, can also lead to an asymmetrical appearance and discomfort. These complications highlight the importance of regular follow-ups and awareness of potential changes.
Recognizing the Need for Replacement
Identifying the need for breast implant replacement depends on the implant type and specific issue. For saline implants, a rupture is usually unmistakable; the breast visibly deflates within hours due to solution leakage. This sudden change in breast volume clearly indicates implant failure. However, recognizing a silicone implant rupture is more challenging because the cohesive gel may not cause a noticeable change in breast shape or size immediately.
A silicone rupture, often called a “silent rupture,” may not present with symptoms, making regular imaging crucial. When symptoms occur, they can include changes in breast shape or size, increased firmness, pain, tenderness, or a burning sensation. Regular self-examinations help individuals become aware of subtle changes. Professional check-ups, including physical examinations by a surgeon, are important. The Food and Drug Administration recommends MRI screenings every few years for silicone implants to detect silent ruptures, as other imaging methods like mammograms or ultrasounds may not always provide a definitive diagnosis.
The Replacement Process
When breast implant replacement is necessary, the process typically begins with a thorough consultation with a board-certified plastic surgeon. During this consultation, the surgeon assesses current implants, discusses patient concerns, and evaluates reasons for replacement. This discussion includes exploring various surgical options tailored to individual needs and desired outcomes.
Surgical options for implant replacement include explantation only (removal without new insertion) or explantation with new implant insertion. In many cases, a capsulectomy is performed, which involves removing the scar tissue capsule surrounding the implant, especially if capsular contracture is present. The surgical procedure is typically performed under general anesthesia and involves incisions often made in the same location as the original augmentation, such as the inframammary fold or around the areola. The duration of the surgery varies by complexity but generally takes a few hours. Patients can expect a recovery period involving discomfort, swelling, and bruising, with specific instructions for post-operative care.