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When Should Breast Implants Be Reassessed? Key Considerations for Long-Term Implant Management

Dr Hanikeri offers a range of surgical procedures for the breasts, body and face.

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Breast Implants Be Reassessed?

Breast implants have become a common choice for those looking to alter the size, shape, or symmetry of their breasts. While modern implants are designed to be durable and long-lasting, they are not lifetime devices. Over time, changes in the body, the natural ageing process, and implant-specific factors may necessitate a breast implant reassessment.

Knowing when to check breast implants is crucial for maintaining both health and aesthetic outcomes. This blog will explore the key considerations for long-term breast implant care, discuss factors affecting breast implants over time, and identify signs that breast implants may need revision.

Learn More: Symmastia to Symmetry Correcting Implant Malposition with Revision Surgery

Understanding Breast Implant Longevity

While some breast implants can last 10 to 20 years or more, their longevity varies based on the type of implant, lifestyle factors, and individual health considerations. It is important to note that implants are not designed to be permanent, and proactive breast implant reassessment can help identify any issues early on.

Why Reassessment is Important

Regular breast implant reassessment can:

  • Detects potential complications such as capsular contracture, rupture, or implant displacement.
  • Ensure the surrounding breast tissue remains healthy.
  • Evaluate whether the aesthetic goals of the patient are still being met.

When to Check Breast Implants: Key Milestones

Knowing when to check breast implants can help maintain optimal outcomes and avoid potential complications. Here are some recommended milestones for long-term breast implant care:

1. Imaging Tests:

For those with silicone implants, it is often recommended to undergo an ultrasound annually starting eight years after the initial surgery, to monitor the integrity of the implants. Unlike saline implants, silicone ruptures can go unnoticed without imaging.

2. After Significant Body Changes

Events such as pregnancy, significant weight fluctuations, or menopause can alter the appearance of the breasts and potentially affect the positioning of the implants. A breast implant reassessment during or after these changes can help determine if any adjustments are needed.

3. When Noticing Changes in the Breasts

If you observe any changes in the shape, size, or feel of your breasts, it is important to seek professional advice. Common signs that breast implants may need revision include:

  • Changes in breast shape or symmetry.
  • Persistent pain or discomfort.
  • The development of hard or firm areas around the implant.
  • Changes in skin sensation.

Factors Affecting Breast Implants Over Time

Several factors affect breast implants over time, influencing when and whether revision surgery might be necessary:

1. Natural Ageing Process

As the body ages, skin loses elasticity, and breast tissue may change. These natural processes can affect how the implants sit within the breast, potentially leading to discomfort or changes in appearance.

2. Implant Type and Material

Saline and silicone implants age differently. Saline implants typically deflate when ruptured, making detection straightforward. Silicone implants, however, may experience a ‘silent rupture’, which can only be detected through imaging.

3. Lifestyle and Health Changes

Significant weight changes, pregnancy, and hormonal fluctuations can impact the appearance of breast implants. Additionally, lifestyle factors such as smoking can affect skin quality and healing.

4. Complications with the Implant

Conditions such as capsular contracture (where scar tissue hardens around the implant), rupture, or implant displacement may require a breast implant reassessment and potentially breast implant replacement considerations.

Signs That Breast Implants May Need Revision

While some implant issues are detected during routine assessments, others may present with physical symptoms. It is important to be aware of signs that breast implants may need revision, including:

1. Changes in Shape or Symmetry

If one breast appears noticeably different from the other, this could indicate an implant shift or a rupture.

2. Persistent Pain or Discomfort

Discomfort or pain around the implant area is not typical and may signify an issue, such as capsular contracture or implant displacement.

3. Visible Rippling or Wrinkling

Rippling can occur if the implant moves or if there is a change in the surrounding tissue. This is more common with saline implants but can also occur with silicone implants.

4. Hardening of the Breast

Hardness or tightness around the breast could be a sign of capsular contracture, where the scar tissue surrounding the implant tightens.

5. Changes in Skin Sensation

Numbness, tingling, or a loss of sensation around the breast area may indicate an issue with the implant or surrounding tissue.

Breast Implant Replacement Considerations

When a breast implant reassessment identifies a need for revision, several breast implant replacement considerations come into play:

  • Type of Replacement: Some individuals may choose to replace their implants with a different size, shape, or type.
  • Removal vs Replacement: In some cases, implant removal without replacement may be recommended, depending on the individual’s circumstances.
  • Addressing Complications: If complications such as capsular contracture or rupture are present, additional procedures may be necessary to ensure optimal results.

For more detailed information on revision surgery, you can visit our page on breast revision Perth.

What to Expect During a Breast Implant Reassessment

A typical breast implant reassessment involves:

  • Physical Examination: Your surgeon will assess the implants and surrounding breast tissue for any signs of changes or complications.
  • Imaging Tests: Depending on the type of implant, imaging tests such as an MRI, ultrasound, or mammogram may be recommended.
  • Discussion of Options: If any issues are identified, your surgeon will discuss potential treatment options, which may include revision surgery or implant replacement.

Maintaining Long-Term Breast Implant Health

To support the longevity of your breast implants and reduce the need for frequent revisions, consider the following:

  • Regular Follow-Ups: Keep up with scheduled visits to your plastic surgeon.
  • Healthy Lifestyle Choices: Maintain a stable weight and avoid habits that may negatively impact skin health, such as smoking.
  • Self-Monitoring: Be aware of any changes in your breasts and seek medical advice if needed.

Final Thoughts

Regular breast implant reassessment is an essential aspect of long-term breast implant care. Whether you are considering when to check breast implants or are experiencing signs that breast implants may need revision, consulting with a qualified specialist plastic surgeon can help ensure both safety and comfort with your breast implants.

If you have concerns about your breast implants or are considering revision surgery, our experienced team is here to guide you. Visit our breast revision surgery page to learn more about the options available and to schedule a consultation.

By staying proactive with breast implant reassessment, you can address any issues early, maintain optimal results, and continue to feel comfortable with your breast implant choice over the long term.

Schedule a consultation with our specialist plastic surgeon today.