Doctor insights on:
Breast Implant Feels Loose
Will i be left with loose skin after breast implant removal? I'm concerned that I will be left with a bunch of loose, stretched-out skin after breast implant removal. Is this a possibility?
Depends.: What breasts look like after explantation depends on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back), the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast surgery). ...Read more
How long will it take me to recover after my breast implant removal? I feel like i just got done going through the processof having breast implant done.
Depends: If there are no complications, I tell my patients that they should begin to feel like themselves again after a couple of months. Most patients can get back to regular activities in a few days or couple weeks, and full maturity of the scars takes up to 2 years. ...Read more
Limited duration: Breast implants do not last forever. The average duration of an implant is about 12 – 14 years. The outer shell becomes more brittle as they age, and eventually, a crack will form. This leads to deflation / leakage and the need for replacement. ...Read more
Scar tissue capsule: For reasons, we do not completely understand, the scar tissue around an implant may begin to shrink and contract making the implant feel hard. We call this a capsular contracture. The implant itself does not become hard. A silly analogy is to compare the feeling of the thighs when you put on a pair of blue jeans that have shrunken in the wash. It makes your thigh feel harder than it really is! ...Read more
Depends : It depends on what type of pain but the most common reason is capsular contracture (shrinking of the tissues surrounding the implant). This is much more common in individuals who have had radiation therapy. Treatment varies with implant removal with or withou replacement, capsulotomy, capsulectomy, pocket transition, soft tissue implants, rotation, transfer, grafting or transplantation of tissues. ...Read more
Consider a rupture: It's possible that your saline implant broke. I would recommend you see a plastic surgeon. Please bring any information regarding your implants to this surgeon, including any cards you may have or a copy of the operative report if they didn't do the operation. Should be an easy fix. It is also possible that you have simply developed rippling. You may need to switch to gels if this bothers you. ...Read more
Ibuprofen or surgery: An early capsular contracture around a breast implant can sometimes be treated with anti-inflammatory medications like ibuprofen. There are other medications that may be helpful. However, you should see a plastic surgeon for evaluation and management. Capsule contractures can often progress and the best treatment may require release of the capsule and replacement of the implant. ...Read more
Mentor or Allergan: Both are great!Get a more detailed answer ›
I have breast implant, one of them make caps and now being tissue, is there any way to fix it with outoperation?
Capsular contracture: Treatment depends on type of implant (silicone vs saline) under or over the muscle positioning, presence of rupture, and many other factors. For recurrent contracture, removals with/without fat grafting may be an option. If implants are desired, changing the content, surface texture or pocket with capsulotomy, capsulectomy, acellular dermal matrix implant or neopectoral pocket are a few of options. ...Read more
Yes, statistically: To the best of my knowledge 85% of implants fall in the range of 325-375 cc. Therefore, 600 cc falls outside the bell curve and well beyond two standard deviations. This may increase the potential for tissue atrophy and increase the risks of nerve injury and the potential for long term ptosis (sag). However, many patients choose this side knowing these risks. ...Read more
Why does my breast implant feel hard? I've had my breast implants in for 3 years now and I've noticed that the right breast it feels hardened on one side. Did it rupture? Is this something to worry about?
When any implant is inserted the body reacts by forming a lining of tissue around it called the capsule. In some cases the capsule begins to shrink, squeezing the implant that it surrounds. Though the exact causes of capsular contracture are largely unknown, there are factors that can contribute to this complication, including: Germ contamination during implantation
seroma (the development of extra fluid around implant)
hematoma (internal bleeding)
placement of implant above muscle (when placed bellow the muscle capsular contracture occurs with less frequency)
depending upon the severity the breast can feel firm or hard, become distorted, and begin to cause pain. To cure or treat capsular contracture there are both surgical and non-surgical options.
Non-surgical Prescribed antibiotics and vitamin e. While this is not always effective as a cure, many surgeons will suggest that patients take a regular dose of vitamin E for the first year after augmentation as it helps to keep tissue soft.
Closed capsulotomy. The breast is forcefully squeezed in the hopes that the capsule pops or tears. This is not often done because it could cause the implant to rupture and may void the manufacturer's warranty.
External ultrasound. May help reduce swelling and inflammation and does not involve any major risks.
Accolate. This anti-inflammatory used in the treatment of asthma has shown, in minor studies, to help regress capsular contracture. This is a relatively new and experimental treatment with no long-term statistical data.
Open capsulotomy. The capsule surrounding the implant is surgically cut open in order to release the implant. After this is done, however, there is a chance of contracture occurring again.
Open capsulectomy. This is generally the most successful, as well as the most intensive, form of treatment. The entire capsule is removed, allowing new tissue to form around the implant. In some cases, surgeons will change the implant placement: for example if the implant is placed above the muscle the surgeon may place it underneath the muscle during capsulectomy in the hopes of better results. ...Read more
Breast implant: Removal is surgical procedure that usually is performed under anesthesia. If the procedure is just to remove implants, the procedure is rather short. If however, it is due to a complication such as capsular contracture or implant rupture, the procedure may be more involved. If the implants are large, the skin may be stretched out and a breast lift may be needed to repair any droop that occurs. ...Read more
Patient request: Apart from implant related problems, occasionally women don't want to be subject to maintaining a medical device which has a finite "shelf life". Occasionally having implants doesn't fit their aesthetic sense, as menopause occasionally increases the volume of natural tissue and cup size enlarges. Infrequently implants are removed during breast cancer surgery. ...Read more
Plastic surgeon: You should find a board certified plastic surgeon to discuss this. Depending on your medical condition and history, the risks can vary. ...Read more
Complete wound seal: That is durable enough to be submerged in bacteria-filled water is what is needed, and this is "dicey" at one week. I recommend waiting 3 weeks (normal healing, longer if any healing issues) before bathtub, swimming pools, jacuzzis, hot tubs, oceans, lakes, streams (you get the idea). Showering is ok right away as I use an adherent tegaderm (clear bandage) so can see the properly-healing wound. ...Read more
There will be no change in your bodies reaction to medications if you do or do not have breast implants. There is no physiologic activity.
Arch miller ms, md, facs, faap. ...Read more
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. ...Read more
Not time dependent: Breast implants don't have to be replaced based on time. We know that the deflation rate for saline implants is about 2-4%/year, so if you have 2 implants (most people do!) your yearly chance of deflation is 4-8%. Theoretically, that means that an average patient will have a deflation every 12-25 years, but very few people are average. Implants only need replacement for problems. ...Read more
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