Breast implants are not lifetime devices and will likely require replacement at some point. This can be due to their age, complications, or a desire for aesthetic changes. Understanding factors influencing implant longevity and recognizing signs for replacement is important for individuals with breast implants. This knowledge helps in making informed decisions about ongoing care and potential revision procedures.
Understanding Implant Lifespan
Breast implants do not have a fixed expiration date, but typically last 10 to 20 years. Saline implants generally have an average lifespan of about 10 to 15 years. Newer cohesive gel silicone implants often last longer, with an average of 10 to 20 years or more. Manufacturers frequently suggest considering replacement after 10 to 15 years as a proactive measure.
Several factors can influence how long breast implants remain viable. The implant’s material and design play a role; for instance, cohesive gel silicone implants may last longer due to their stable interaction with the shell. A patient’s individual body response, including natural aging, significant weight fluctuations, or pregnancies, can also impact implant appearance and position. Initial surgical technique and precise implant placement are important for maximizing longevity and minimizing complications.
Recognizing Signs for Replacement
Changes in breast appearance or physical sensations can signal that an implant may need replacement. Aesthetic indicators include shifts in breast shape or size, noticeable asymmetry, or rippling/wrinkling under the skin. An implant might also shift position, such as rotating or “bottoming out,” where it falls below the natural breast crease. These changes can impact the overall cosmetic outcome.
Physical symptoms often accompany implant issues, such as pain, tenderness, or persistent discomfort. The breast tissue may also feel abnormally firm or develop lumps. These signs can point to complications like implant rupture or capsular contracture, where scar tissue around the implant tightens and hardens. A ruptured saline implant typically deflates quickly, making the issue immediately noticeable. A silicone implant rupture might be “silent” with no obvious symptoms, as the gel can remain within the surrounding scar tissue.
The Replacement Procedure
Breast implant replacement, or revision surgery, involves removing existing implants and potentially inserting new ones. The procedure is typically performed under general anesthesia, often utilizing the same incision site from the original augmentation to minimize new scarring.
If complications like a rupture or capsular contracture are present, the surgeon may also remove the surrounding scar tissue, a procedure called a capsulectomy. Patients may choose to simply remove their implants, exchange them for new ones (possibly a different size or type), or combine the procedure with a breast lift (mastopexy) to address sagging. Recovery time generally spans four to six weeks, with most patients able to resume light activities within one to two weeks.
Ongoing Care and Considerations
Regular follow-up appointments with a plastic surgeon are important for monitoring breast implant health. For silicone implants, the U.S. Food and Drug Administration (FDA) recommends routine screening with MRI. This screening is typically advised three years after initial surgery, then every two years thereafter, or starting five to six years post-implantation and repeated every two to three years. MRI is the most effective way to detect silent ruptures in silicone implants that may not present with physical symptoms.
The financial aspect of replacement surgery is a consideration, as costs range from $5,000 to $10,000 or more, depending on complexity and additional procedures. Health insurance generally does not cover replacement unless medically necessary due to complications like rupture or severe capsular contracture. Beyond medical necessity, some individuals choose replacement for personal reasons, such as desiring a different breast size or shape, or for peace of mind as their implants age.