Traditionally, breast implants used to be replaced every ten years. In the days where almost all breast implants were silicone-filled and plastic surgery lacked the technology to detect a “silent rupture” — which refers to when breast implants rupture, but remain intact — earlier intervention was necessary to ensure implants were in good condition. Thanks to the many strides made in the field of aesthetic plastic surgery, the longevity of breast implants is now much greater. Each patient is different, so it’s important to stay vigilant to potential changes in your breasts to determine if and when your implants need to be replaced. Here’s a breakdown of the common reasons why women generally replace their saline or silicone breast implants:
- Capsular contracture: Although some degree of scar formation after breast augmentation is normal and not usually a cause for concern, hardened scar tissue can cause the breasts to feel tight and painful. On top of creating discomfort, this phenomenon — known as capsular contracture — may also change the look or feel of the breasts.
- Preference for a different size or style of implant: In most cases, women simply desire a new type or size of implant as their tastes evolve over time. Common motivations may involve upgrading from saline to more natural-looking silicone implants, or exchanging larger implants for a more aesthetic and manageable breast size.
- Rupture, or a tear in the implant: Implant rupture may be rare, but can nonetheless be a reason for breast implant replacement. Saline implants cause a noticeable change in the breast contours in the event of rupture, while silicone implants may rupture “silently,” or without any visible indications.
- Sagging: If you’re bothered by a sagging or pendulous aesthetic, new implants and/or breast lift surgery can reshape the breasts and provide a “perkier,” more projected look. In general, breast implants that are smaller or not as heavy can be less likely to sag in the future.
- Poor position and asymmetry: Improving the outcome of your original breast augmentation can also be a motivation for breast revision or implant replacement. Dr. Bottger can give you an idea of the best techniques to address asymmetry, implant malposition, and other aesthetic concerns.
Our board-certified plastic surgeon in Philadelphia, Dr. David A. Bottger, has experience performing both primary and revision breast augmentation and can help if you would like to touch up or improve the appearance of your breast implants. To schedule a revision breast augmentation consultation, please contact Dr. David Bottger today.
The original version of this blog was published on August 23, 2012.