Dr John Flynn is seeing an increasing number of patients seeking to undergo breast revision surgery.
Breast implant revision or breast implant removal is becoming an increasing popular procedure. The increasing number of women who are choosing to go overseas to get a ‘cheaper’ breast augmentation contributes to this, along with women not being completely happy with the result of their initial breast surgery. This can result in complications with the breast implant where removal can be required or desired.
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Frequently Asked Questions
Breast implants do not cause Breast Cancer. This has been studied extensively. However, there is a newly described condition called
BIA- ALCL ( Breast Implant Associated Anaplastic Large Cell Lymphoma). This is a type of cancer of the lymph system but not breast cancer. This rare condition is an important issue to know about since it does have an impact on whether you might choose to go ahead with breast implants. You can read pertinent information from TGA and the Australasian College of Cosmetic Surgery here.
Not really. Rarely a patient might need an early repositioning or an adjustment and that can mean using the same implants. But generally if a patient needed revision surgery new implants will be used.
This is the ‘piece of string’ argument isn’t it? It is known that a proportion of implants will in time develop a leak of the silicone content or they will properly rupture. When that might occur is impossible to predict but as a broad consideration, we would say that about 10% of implants would do this over a 10 year time frame. The main reason implants need to be revised is that capsular contracture (hardening) has occurred and this has caused discomfort or changed the profile of the breast. The other main reasons are simply that the patient chooses to have a different size implant, or the breasts develop sagging and corrective surgery is required. It used to be said that breast implants would not last and should be replaced every 10 years. This is not a normal requirement. They only ‘need’ to be replaced if there is a problem.
Most commonly there are no symptoms relating to silicone implant rupture and the issue is detected when having an investigation for something else, like an ultrasound for a breast lump, or after a mammogram. Capsular contracture is often associated with implant rupture or leakage and sometimes a patient might find a breast lump or a gland in the armpit which is due to silicone from a ruptured implant. With saline implants, they will deflate immediately if they rupture. If there is a slow leak then the implant with slowly deflate.