Breast implants longevity
Breast Implant Longevity
Difficult to answer this one Pamela, because one really needs to know if you have silicone or saline implants in place. The easy question to answer would concern issues related to longevity of the devices.
Saline and Silicone implants have similar deflation/rupture rates when saline implants are appropriately filled. They must be filled minimally to the implant size, but most plastic surgeons would recommend overfill (approximately 10%) to lower the risk of deflation.
For instance, a 300cc saline implant should be filled to approximately 330cc. If they are underfilled, there is a greater propensity to fail and deflate.
The reason that knowing whether these are silicone or saline implants is that skin irregularities are not likely to be associated with saline implants.
One could feel the implant shell, whether intact or deflated, but this would not be worrisome. Patients with ruptured silicone implants can have skin manifestations with redness and often a firmness in the affected area.
This could be related to leaking silicone get outside the capsule, would not normally be descibed as “air pockets” however.
Your best bet here is to be evaluated by a qualified plastic surgeon, who can take a complete history, perform a physical exam, and get to the bottom of your concerns. (Ronald A. Lohner, MD, Philadelphia Plastic Surgeon)
Longevity of breast implants
There is no expiration date for breast implants. However, it is common for my patients to say to me that they have heard they need to be replaced after 10 years.
That is simply not true. The implants will be replaced at no charge by the manufacturers for a person’s lifetime in the event of a leak.
In addition, for the first 10 years, they will reimburse operating room expenses up to a certain amount (more for silicone than for saline), again in the event of a leak. If there is no leak and a person undergoes surgery just to have them replaced, there will be no money coming from the company that made the implants. That person will be on the hook for all the bills. So “if it isn’t broken, don’t fix it.” (Paul W. Loewenstein, MD, Milwaukee Plastic Surgeon)
How Long Do Breast Implants Last
You have to replace them only if you have a problem. Although the 10 year change was a reasonable concept with the old implants. With the newer generation implants that tend not to have problems, the 10 year change is not necessary. From what you describe looks like you need to consult with a Plastic Surgeon to see if the implant is the cause of the symptoms. (Naveen Somia, MBBS, PhD, FRACS, Sydney Plastic Surgeon)
Breast implants only need to be replaced if there is a problem
Breast implants only have to be replaced if there is a problem – whether that be you are unhappy with the size, or the shape or feel have deteriorated over the years – or whether it be a complication such as infection, migration of the implant into a bad position or hard capsule formation. (Damian Marucci, MBBS, FRACS, Sydney Plastic Surgeon)
Longevity of Breast Implants
In my view, breast implants do not need to be changed or removed unless there is a problem with them. With the current generation implants I use – that being form stable, textured, cohesive silicone gel – the probability of leak and rupture are exceptionally low.
Although all mechanical devices have a failure rate, I tell my patients that the risk is so low with the current top quality implants that probability is on the patient’s side that if you require a later procedure, it is usually by your own choosing – whether you wish for a different shape or size or your body has changed with natural ageing, having children or breastfeeding.
The choice usually lies with the patient. (Kevin Ho, MBBS, FRACS, Sydney Plastic Surgeon)