Should breast implants be removed or changed over time?

A common question among patients is how long breast implants last, and that invariably leads to the next question of whether implants will need to be changed over time. While some patients may desire lifelong results, it is important to understand breast implants are not designed to last forever. Dr. Tepper believes in providing his patients with accurate information, so let’s explore the topic further.

Plastic surgeons in other countries advise their patients to change implants about every ten years to avoid the potential complications that can arise with implant failure. This approach is followed by many surgeons here in the U.S. as well, including Dr. Tepper.

Implant manufacturers, in general, offer warranties for a limited time only, emphasizing the fact that breast implants are not meant to last indefinitely. Replacing breast implants every ten years helps preserve those pleasing aspects of breast aesthetics, and lessens the likelihood of any problems that can arise when implants exceed their life expectancy.

If a saline implant deflates, there is usually a noticeable change in size, creating an imbalance from one breast to the other. Although the saline does not pose a danger, the implant pocket, or space in which the implant was placed, can shrink in size. This makes implant replacement surgery more involved, with potentially longer recovery times, extended surgery time, or added expenses.On the other hand, if a silicone gel implant ruptures or leaks, there may be potential health implications. There have been instances where the gel has leaked out and traveled to lymphnodes. Also, gel leakages can result in worsening of the breast capsule, something often referred to as capsular contracture. If silicone gel implants have leaked, removal is typically recommended, along with the capsule.

If you are considering implant replacement or new implants, please schedule your consultation. As an experienced plastic surgeon, Dr. Tepper is here to address your concerns, discuss your options, and help you make an informed decision that aligns with your goals.