Deciding between breast implant removal and replacement involves several factors, and it is a question that can arise at different times after implants have been placed. Which option is suitable depends on things such as the condition of the implants, the state of the surrounding tissue, and what changes you would like going forward. A consultation is the usual starting point for going through these details and discussing which options may be appropriate for your situation.
Are Breast Implants Designed to Last a Lifetime?
Breast implants are not considered lifetime devices. Implant manufacturers and regulatory guidance generally acknowledge that implants may need to be removed or replaced at some point, and patients are advised to monitor their implants over time and attend regular check-ups with their doctor.
The lifespan of an implant varies and is not fixed. Some implants remain in good condition for many years, while others develop complications sooner. Age of the implant alone is not always the deciding factor, and a clinical assessment is needed to determine the current state of the implant and surrounding tissue.
Patients who had implants placed many years ago and have not had them checked are generally advised to speak with a doctor or specialist about monitoring and whether any action is needed.
What Are the Signs That Implants May Need to Be Removed or Replaced?
There are a number of signs that may indicate it is time to have implants assessed. Changes in the shape or feel of the breast, such as increased firmness, visible distortion, or asymmetry between the two sides, can point to a complication that warrants review. Pain or discomfort in the chest area that was not previously present is also worth investigating.
Capsular contracture, where the scar tissue that forms around the implant hardens and tightens, is one of the more common reasons patients seek revision surgery. It can cause the breast to feel hard and change in shape, and in some cases, cause discomfort. The degree to which it affects the breast varies between patients.
Implant rupture is another reason patients consider removal or replacement. In silicone implants, a rupture may not be immediately obvious without imaging, as the gel can remain contained within the capsule. Saline implants typically deflate more noticeably when they rupture. If rupture is suspected, imaging such as an MRI or ultrasound is usually recommended to assess the implant.
What Is the Difference Between Removal and Replacement?
Explant surgery involves taking out the implants without placing new ones. Some patients also choose to have the capsule of scar tissue removed at the same time, depending on their circumstances and the advice given at the consultation. Removal alone results in a change to the breast’s appearance, as the tissue that was supported by the implant will no longer have that volume.
Replacement involves removing the existing implants and placing new ones in the same procedure. Patients may choose replacement to address a complication such as rupture or capsular contracture, or because they want to change the size or type of implant. In some cases, a breast lift (mastopexy) is also performed at the same time to address changes in breast position or skin.
The decision between removal and replacement depends on the clinical findings, the condition of the existing implants and tissue, and the patient’s goals. These are discussed in detail at the consultation, and a recommendation is made based on each patient’s individual circumstances.
Does the Reason for Having Implants Removed Affect the Options Available?
The reason for removal does play a role in what options may be appropriate. Where rupture is present, removal is generally recommended, and the decision about whether to replace depends on the patient’s preferences and the condition of the surrounding tissue at the time of surgery.
Patients who want removal due to personal preference rather than a complication usually have more time to think about their options and make a decision without the same time pressure. In these cases, the timing of surgery and the choice between removal alone or replacement can be discussed at a pace that suits the patient.
Health-related concerns, such as symptoms a patient links to their implants, are also discussed at the consultation. Research into some implant-related conditions is still ongoing, but these concerns are taken seriously, and the options for each patient are explained in detail.
What Happens at a Consultation for Breast Surgery?
During a consultation, Dr Philip Richardson goes through your medical history, including any previous breast surgery, the type and age of your implants, and any symptoms or changes you have noticed. A physical examination of the breasts is done to check the implants and the surrounding tissue.
Imaging, such as an ultrasound or MRI, may be requested if there is a need to assess the implant more closely before surgery. This helps to identify whether rupture or other internal changes are present that may not be seen on physical examination alone.
After the assessment, the options are discussed with the patient, including the surgical approach, what to expect from the procedure, and the likely changes to the breast’s appearance. The risks involved are also covered, and patients are given time to ask questions before any decisions are made.
Why Choose Dr Philip Richardson for Breast Implant Removal and Replacement Procedures in Brisbane
Dr Philip Richardson is a member of the Australian Society of Plastic Surgeons (ASPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Royal Australasian College of Surgeons (RACS), the American Society of Plastic Surgeons, and the International Society of Aesthetic Plastic Surgery (ISAPS). With over 22 years of experience as a fully qualified Specialist Plastic Surgeon and more than 9,000 breast procedures performed, Dr Richardson has extensive experience in this area.
Breast implant removal and replacement, especially when capsulectomy or revision surgery is needed, can be complex and require careful planning and an understanding of how breast tissue changes over time with implants. During consultations, Dr Richardson assesses each patient’s breast anatomy, medical history and goals before making any recommendations, and his approach follows evidence-based principles.
At Brisbane Plastic & Cosmetic Surgery, post-operative care is considered an important part of the overall process. Dr Richardson and his team monitor healing through scheduled follow-up appointments and are available to patients who have questions or concerns during their recovery. Each patient’s post-operative plan is based on the specifics of their procedure and individual recovery progress.
