Doctor insights on:
Breast Implant Lump
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
Ruptured or not.: Removal of an uncomplicated saline or silicone implant can be simple and performed under a straight local anesthetic if a capsulectomy is not required. Severe capsular contractures, pocket transitions, delayed silicone ruptures, textured implants, etc can present with various clinical pictures that may be significantly more complicated and may require more extensive surgical procedures. ...Read more
Very safe: Removal of breast implants can be done very safely if performed by an qualified plastic surgeon with experience in breast enhancement. The procedure generally involves removal of the implant with/without adjustment of the surrounding scar capsule. A drain is placed and ultimately removed 1-3 days later. Over time, the tissue then shrinks down and usually assumes a very natural appearance. ...Read more
Implants vs Lift: Breast implants are placed to increase the size and volume of the breasts. Breast lift surgery is performed to lift the natural breast tissue to a higher, tighter, more youthful position. The procedures can be combined to get the effects of both procedures - increasing the size of the breasts and filling the upper pole of the breasts, while also lifting the position of the natural breast tissue. ...Read more
BreastImplantRemoval: Women may decide for various reasons that they are ready for removal of breast implants. Breast implant removal is a straightforward procedure, but the decision must be made whether a breast lift is also desired, as breast implants stretch the breast skin over time, and after implant removal, the remaining breast tissue can appear loose and saggy. Discuss options with your plastic surgeon. ...Read more
Simple: Breast implant removal is simple, and can often be performed under local anesthesia. It is technically easer than the initial placement. It becomes more complicated with ruptured silicone breast implants, or thick capsules. The procedure should be performed by an experienced plastic surgeon in the appropriate setting. The impact of removal, physical and psychological, should be discussed. ...Read more
It depends: Breast reconstruction commonly utilizes implants either immediately after the mastectomy or later. When you meet with your plastic surgeon prior to surgery, you will discuss all of your options, including implant size. Clearly the average implant size will be greater than for cosmetic augmentation as the volume requirement is greater after the the breast tissue has been removed. ...Read more
I've seen it last 40: No one can tell you exactly how long. About 50% have them exchanged for various reasons (not all rupture) by 10 years. However, if there is no problems and you are happy they can last much longer. I have seen patients have breast implants last 40 years without a problem. ...Read more
How long does breast implant removal take? How long should I plan to be in surgery for breast implant removal? .
Varies.: Uncomplicated removal of breast implants may take 15 to 20 min. However, if removal of the surrounding breast implant capsule is also performed, surgery may take 1 to 1.5 hours. If the surrounding breast implant capsule has thickened/calcified and/or is symptomatic, patients may benefit from this additional procedure (capsulectomy). ...Read more
Will breast implant removal relieve the pain from my implants? My implants cause me a lot of pain. If I have breast implant removal, will the pain go away? .
This will depend on what is causing your breast pain. If the pain is from a tight capsule or scar around the implant, called a capsular contracture, the answer is that there is a good chance it will help with discomfort. If your breasts are soft with the implants then we cannot be sure what is causing the pain and we be less likely to feel the pain would get better. I hope this helps.
Dr. Edwards. ...Read more
What are some common causes of breast implant removal? Before I consider breast implants, I would like to know what are the most common causes of breast implant removal? .
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.
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
Will I lose feeling in my breast after a breast implant removal? I must have a breast implant removal because they are causing bleeding that cannot be stopped. A friend told me that once the procedure is done, I will lose all sensation in my breast area.
A friend's "advice": Friends sometimes say things without any real knowledge, which is frustrating. If you have bleeding and your implant must be removed for that reason, then numbness should be the least of your worries. Why are you bleeding? How recent was your implant surgery? How long have you been bleeding? Numbness isn't a big concern with a simple implant removal. ...Read more
Are there any alternatives available after a breast implant removal? I am having a breast implant removal because it made my breast much larger than I wanted. I know I will not be happy with my original breast size either. What other solutions are there f
Will there be any sagging after I have a breast implant removal? I'm not happy with how my breast implants have appeared over time and I'm thinking about getting them removed. I'm concerned about how my breasts will look after a breast implant removal, ho
Probably: After removing breast implants many patients have significant sagging of the skin which has been stretched over time. You may likely need a mastopexy (breast lift) after removing the implants. ...Read more
If I'm having breast implant removal due to a reaction to the implants, does that mean I can't have different implants put in? I'm having a bad reaction to my implants and am scheduled for breast implant removal. Is it possible that I could have a differe
I have never encountered a true allergic reaction to breast implants.
If you are referring to capsular contracture of scar around your implants that can be dealt with by your surgeon.
Capsules surrounding any implant is a normal reaction in the body but occasionally women can develop contracture of that capsule making the breasts feel hard and distorting shape.
This is not an allergy to the implants.
This is not an autoimmune response to implants.
Current thought about capsular contracture is that because the breast has is own normal bacteria and the body can have changes in theses bacteria causing inflammation to occur.
Just like a change in normal bacteria can lead to a sire throat or diarrhea...
So complete removal of the capsule and new implants will need to happen to lower recurrence rates.
Placement of implants below the muscle also has been shown to lower these recurrence rates...
Some controversy regarding lower rates with textured implants exists.
Best of luck to 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
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
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