How to Avoid Breast Implant Extrusion? What are the factors that contribute?

I didn't even know this was a possibility and now I'm soo scared!! What are the factors that contribute? How can it be avoided?

Doctor Answers (14)

Preventing Breast Implant Extrusion

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Breast implants extrude when the surrounding tissues fail to hold the implant in place causing it to become exposed. This is fairly uncommon, but when it occurs, it is usually along a breast lift incision or at the inframammary fold from breast augmentation.  Breast implant extrusion is often related to wound healing problems created by infection, lack of blood supply, or trauma.  Additional factors such as injections to the scar site, thin breast tissue, smoking, and diabetes can all lead to weakness of the incision. If extrusion occurs, the implant must be removed and replaced with a brand new one. This would otherwise lead to capsular contraction and distortion of the implant. A nice result can still be obtained through proper preventative and post-surgical care. All the best –Dr. Cohen

 


Baltimore Plastic Surgeon
5.0 out of 5 stars 27 reviews

Avoidance of Breast Implant Extrusion during Breast Augmentation Surgery?

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Although breast implant extrusion is a risk of breast augmentation surgery, it is extremely rare;  much  less of a concern than other potential problems associated with breast implants. Risk factors include very little soft tissue coverage, use of a breast implant that “overwhelms” the overlying soft tissue coverage, infection  etc.

 Generally, careful selection of plastic surgeon is your best bet;  careful attention to detail when it comes to dissection, closure, choice of implant, avoidance of infection etc. all play a role.

 I hope this, and the attached link, helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 781 reviews

How to Avoid Breast Implant Extrusion

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Breast Implants extrude when the tissues that are meant to hold them fail to hold them. It is not a very common complication but can occur in the following scenarios.

If the implant is so large that it over powers the tissues

If you have an infection your risk is higher and if you have an underlying condition that affects the strenght of  your healing.

If you chose a Plastic Surgeon who is good and go with the size that is right you can avoid extrusion.

All the best

Naveen Somia, MBBS, PhD, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 29 reviews

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How to Avoid Breast Implant Extrusion?

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This is quite a rare problem. It is most likely in the setting of infection, and your surgeon will undoubtedly be taking measures to decrease that risk. 

It can also occur when the limitations of the skin are stretched by overly large implants. 

Overexertion beyond the surgeons advice is a third factor. 

All these risks are manageable. All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.5 out of 5 stars 32 reviews

Breast implant extrusion is extremely rare.

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You really have nothing to worry about. Only an infection will create a situation where the implant would spontaneously extrude. This is extremely rare.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 10 reviews

Avoiding Breast Implant Extrusion

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This is not a very common occurrence. However, the two factors that could contribute to this problem are technical and after surgery care. Closure of the wound should be done in several layers to protect the implant. In addition, strenuous activity, especially overhead movements should be limited for several weeks after surgery. Every surgeon has his or her own technique of closure and after care instructions which, in general, make this an uncommon problem.

Gus Galante, MD
Schererville Plastic Surgeon
5.0 out of 5 stars 31 reviews

Breast implant extrusion

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Dear Tina,

Breast implant extrusion is an extremely rare phenomenon, I have not witnessed it in any cosmetic patient. If you are newly post op, avoiding extraneous activity counseled by your surgeon is best, otherwise unless there in an infection component, incisions reach 80% strength at 2 months. 

Kevin Tehrani, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 48 reviews

Breast implant extrusion

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Breast implant extrusion is not very common and is more likely to occur with infection or in very thin patients with very little soft tissue coverage. It is pretty rare. 

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Implant expsure and extrusion

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Wound healing problems are associated with exposure of the implant.  Over activity in the early post operative period and undo stress on the incision.  The suture line is at its weakest at two weeks.  Exposure without associated implant infection is unusual.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 10 reviews

Too large an implant may cause extrustion

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The last time one of my implants extruded was in 1985. That patient was doing heavy house cleaning a few days after the implants were inserted. However, I have seen a few patients with extruded implants put in by other surgeons. Several factors contribute to implant extrusion. One is incision location. The incision in the crease below the breast is most likely to result in implant extrusion. The incision in the arm pit is lease likely to result in extrusion.

 

Next, is the size of the implant. The larger the implant size, the greater the risk of extrusion.

 

Next, is avoiding physical movements that increase the risk of the sutures tearing through the tissues and resulting in exposure or the implant.

 

Extrusion can occur in the immediate post op period or can occur years later. The best way to avoid extrusion is to use moderation in the size of the implants and to limit your activities during the healing process.

 

 

 

John J. Bandeian, MD
Bristol Plastic Surgeon
5.0 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.