Because breast implants are not life time devices, the longer you have your implants, the more likely it will be for you to have them removed for many of the following reasons
- Dissatisfaction with size
- Unacceptable cosmetic result
- Complication such as severe capsular contracture.
Having you implants removed and replaced will increase your chances of getting future complications. In Mentor’s Core study, 5% of patients who underwent primary augmentation (first time breast augmentation) had their implants removed in the first 3 years of surgery. The most common reasons cited for removal of implant were capsular contracture and patient’s decision. For patients who underwent revision augmentation surgery (revised breast surgery), implant removal rate is higher at 12% in the first 3 years after surgery.
Most women who have their implants removed have them replaced with new implants but some do not. If you do not choose to have your implant replaced, you may have cosmetically unacceptable results such as dimpling, wrinkling, puckering, and sagging of the breast.
After removal of implants, you may be in need of additional procedures such as a breast lift to minimize the undesirable effects of implant removal. For example, one of my patients had very large breast augmentation and periareolar mastopexy (or breast lifts around the nipple) when she was in her twenties. Later in her thirties, the patient presented to me desiring smaller breasts. On exam, the patient had enlarged ptotic breasts and nipple areolar complex due to the weight of the breasts implants. Given the patient’s good native breast tissues, I determined that the patient is a candidate for removal of implants and breast lift procedure to give her natural and yourthful breasts.
Therefore implant removal and additional procedures, in most cases, can restore a natural shape breast. It can restore a woman’s natural breasts. This is best discussed