Do breast implants need to be replaced?

• Women with implants should have frequent check-ups to ensure that the implants are still in good shape and have not ruptured or caused issues.
• In some circumstances, complications may require implant replacement; however, this is not always the case. 
• Replacing implants should be decided on an individual basis and with a trained medical specialist.

Breast implant replacement is a procedure typically recommended when there are complications with the existing implants or when the patient desires aesthetic changes. Over time, breast implants may require replacement due to various reasons, and each reason may present different symptoms. Below are the most common reasons for breast implant replacement:

1. Implant rupture

Implants, particularly saline and silicone, can rupture or leak due to trauma, aging, or manufacturing defects.

Symptoms:

• Saline implants: The breast deflates noticeably as the body absorbs the saline, leading to an immediate change in breast size or shape.
• Silicone implants: These may not be immediately noticeable (silent rupture), but symptoms can include pain, tenderness, or a change in breast shape over time.

2. Capsular contracture

Capsular contracture occurs when the scar tissue (capsule) around the implant tightens, distorting the shape and causing discomfort.

Symptoms:

• Hardening of the breast tissue.
• Tightness in the breast.
• Distorted breast appearance.
• Pain or discomfort, especially while moving.

3. Implant malposition or shifting

Implants may shift from their position due to changes in the surrounding tissue, improper placement, or trauma.

Symptoms:

• Visible shifting of the implant toward the armpit or centre of the chest.
• Obvious asymmetry in the breast.
• Irritation due to unnatural positioning.

4. Implant rippling or wrinkling

Implant rippling can happen when the implant surface is visible under the skin, often caused by thinning breast tissue or an improperly sized implant.

Symptoms:

• Noticeable rippling or wrinkling on the surface of the breast.
• Palpable ridges or folds, especially in thin-skinned areas.
• Changes in breast texture and shape.

5. Desire for size or aesthetic change

Patients may opt for a replacement to change the size or appearance of their breasts as personal preferences evolve.

Symptoms:

• No obvious symptoms, but dissatisfaction with the current breast size, shape, or appearance.
• The desire for larger or smaller implants or a new implant type (e.g., switching from saline to silicone).

6. Aging implants

Implants are not lifetime devices and may require replacement after a period due to wear and tear.

Symptoms:

• Sagging or drooping breasts due to aging skin and tissue.
• Loss of volume or firmness.
• Changes in breast shape or symmetry over time.

7. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)

A rare type of cancer linked to textured breast implants.

Symptoms:

• Persistent swelling or fluid build-up around the implant.
• Lump formation near the implant.
• Breast pain or discomfort.
• Changes in breast appearance due to fluid accumulation.

Also Read: How much time does breast implant removal surgery take?

Replacing breast implants is straightforward, but it requires careful planning. Before surgery, you’ll have an initial consultation with your surgeon to discuss your goals and expectations. Anaesthesia will be administered for comfort on the day of the surgery. To minimise visibility, the surgeon makes incisions around the existing scars or in new locations.

Once accessed, the old implants are carefully removed. Whether you choose saline or silicone, replacements can depend on personal preference and desired results. After placing the new implants, incisions are closed with sutures that may dissolve over time. 

Also Read: How much time does breast implant removal surgery take?

Breast implant replacement recovery usually involves swelling, bruising, and discomfort, which improves within a few weeks. Most patients can resume light activities in 1-2 weeks and return to full activity in about 4-6 weeks. Follow your surgeon’s instructions for optimal healing, and attend all follow-up appointments to monitor progress.

Breast implants can be a transformative choice, but their maintenance is crucial. Dr Adnan Tahir is an experienced professional offering expert care throughout. 

Understanding when and why to consider breast implant replacement is key to ensuring your health and satisfaction. Regular check-ups play an essential role in monitoring the condition of your implants.

If you notice any signs indicating a potential issue or are simply due for an evaluation, it’s important to seek professional advice. 

Consult Dr Adnan Tahir today.