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A 41-year-old member asked:

risks of removal of ruptured breast implants?

9 doctor answers13 doctors weighed in
Dr. Alex Lechtman
Plastic Surgery 30 years experience
Essentially none...: Other than the risks associated with any operation (infection, bleeding, scar problems, etc). Your breasts will be more droopy after removal unless you have a lift at the same time.
Dr. Gary Tuma
Plastic Surgery 25 years experience
Ruptured implants: If your implants are ruptured you should have them removed. The risks are the same as when you had them placed. The implant is not meant to remain in place once they are ruptured. See a board certified palstic surgeon for your options.
Dr. Azita Madjidi
Plastic Surgery 30 years experience
Flat breasts: Saline implants slide out easily even if ruptured. Old silicone implants will be harder to remove and the capsule will need to be removed as well. If you have enough of your own breast tissue, your breasts will be just flatter but if you do not, they will look like two empty sacs.
Dr. Tom Pousti
Specializes in Plastic Surgery
Several.: Risks include standard risks such as infection, bleeding, abnormal scarring etc. Risks unique to removal of breast implants include unsatisfactory skin retreating, inversion/depression of a nipple/areola complexes, patient dissatisfaction with breast size/shape and the potential need for further surgery ( such as breast lifting and/or breast re-augmentation) in the future. Best wishes.
Dr. Joseph Mele
Plastic Surgery 32 years experience
Small: There is a risk every time we get a cut. Surgical wounds have a low rate of infection, because they are made under the right circumstances. Removing a ruptured implant is very simple with saline breast implants and silicone implants when the gel is still in the capsule. For extravasated gel, the removal becomes more complex, so it is always better to have a ruptured silicone implant removed sooner.
Dr. Robert Whitfield
Specializes in Plastic Surgery
Breast implants: This depends on the length of time implants have been in place, whether or not they are silicone that have ruptured of saline that have deflated. Saline devices that deflate you can remove relatively simply. More difficult is the removal of ruptured gel devices from the 80's. The silicone implants today are much improved.
Dr. Gregory Buford
Plastic Surgery 27 years experience
Risk is very low: Risk associated with breast implant removal is actually very low and well tolerated by most patients. We generally remove the implant and then irritate the surrounding scar tissue enough that it encourages it to close down. A drain is placed on both sides which usually remains for a few days but that's about it. I hope that helps!
Dr. Subramaniam Arumugam
Plastic Surgery 56 years experience
Many: Apart from possible anesthesia complications, the surgical complications include, but not limited to, the following > infection, thick scars, collections of fluid and or blood, leftover pieces of the implant, need for repeat or corrective surgeries, deformities of the breast on rare occasions etc. Also, if the capsule is being removed > there can be left over pieces of the capsule.
Dr. Renee Burke
Dr. Renee Burke commented
Plastic Surgery 19 years experience
In addition to the complications listed already, it is important to remember that the breasts may appear deflated and/or asymmetric after removal.
Jan 29, 2014
Dr. Otto Placik
Plastic Surgery 34 years experience
Will range with size: The risks of implant removal range with the size of the implant as well as the material and the extent of rupture. Excessively large implants may leave the breast with a sagging or involuted appearance that may benefit from a simultaneous lift. Glandular resection and removals of effected nerves and muscle may be required in cases of extensive rupture. Otherwise, risks are comparable to any surge.

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