What are the risks or complications associated with waiting? How long can I wait? I have a completely ruptured saline implant.
Risks with Waiting to Replace a Ruptured Implant?
Doctor Answers (10)
Replace Ruptured Saline Implant Timely
Replace Ruptured Saline Implants Promptly. I would recommend that you replace the ruptured saline implant within the near future. Although there is little risk to wait it becomes a bigger procedure and potentially cost more. By waiting the pocket shrinks down and then has to be reopened. On the other hand if you replace them on a timely basis all your surgeon has to do is to simply replace it.
Risks with Waiting to Replace a Ruptured Implant?
Risks with Waiting to Replace a Ruptured Implant? The primary risks are contraction of the pocket and need for expansion at a later date. .
Ruptured saline implant
There is no reason to worry about the safety of waiting to manage a saline implant. There would be no adverse health consequences of waiting even years to do anything about it...
On the other hand, the longer the time period between the rupture and implant replacement, the more the soft tissues in the area will contract (shrink), making it a bit more of a challenge to make the breast look just like the other breast (which did not experience a deflation).
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Saline ruptured implants
Ruptured saline implants should be removed and replaced. As to the timing, it really is up to you. However, the sooner you do it, the easier it will be to make it look like the previous one performed unless you were not happy with them to begin with. The pocket will close down and a capsulotomy or capsulectomy will need to be performed.
Deflated saline breast implants
I would agree with most of the responses that there are no risks associated with a failed saline breast implant regardless of how long it is in. As far as the body is concerned there is no difference. I feel the term "failed" or "deflated" implant is more appropriate than "ruptured" and such deflations can be total or partial but I have found that it is unpredictable whether and how much the capsule will contract down around the now smaller implant. Regardless, at the time of replacement, the space for the implant must be reestablished to properly fit the replacement implant.
Related issues include the myth that all saline breast implants must be replaced at ten years and that if one side fails the other side is more likely to fail and should also be replaced.
If you want to think positively about it, the saline implant has the advantage that it tells you when it needs to be replaced and there's no worries with what it was filled with. If it's a gel-filled breast implant, there's no evidence that your health is threatened by the failed implant but the failed gel implant will not necessarily look or feel any different and currently there is no simple test to verify the integrity of gel implants.
Risks with waiting to replace a ruptured implant
I would wait only a month at most because the shell of the implant is very stiff and can cause erosion through the skin causing a worse issue.
From MIAMI Dr. B
There is NO Rush to replace a deflated Saline Breast Implant
A deflated saline breast Implant is NOT a surgical emergency. As the saline leaks out it will be absorbed by your body. In turn the breast pocket around the implant will gradually get smaller and the breast will flatten. In fact, the body will not react differently with a breast implant - full or empty and if you wanted you could leave it there without replacing it.
The ONLY advantage of replacing a leaking breast implant promptly is that the pocket around the implant is still the same and has not yet shrunken. If the replacement procedure is delayed, the surgeon would have to re-develop the pocket to accommodate the new breast implant.
Risk from ruptured saline breast implant
The only risk is that the scar around the implant (the capsule) may contract and shrink making replacement a little harder. You could, in fact, live the rest of your life with the ruptured implant with no problem other than the difference in the size of your breasts. This difference could cause some discomfort in the shoulder and neck due to the difference in weight of the breasts. This latter problem is, in fact, the main reason a number of women have delayed breast reconstruction after mastectomy for cancer when they did not have reconstruction initially.
Timing of Replacing Ruptured Implant
There is no increase in risks when waiting to replace a ruptured saline implant. However, it is much easier and accompanied by less pain if performed shortly after the rupture, since the pocket is present in its original size. If a long period transpires, it is possible that the pocket will contract and require more dissection to re-create it.
Advice on waiting for deflated saline implant replacement
There is no harm to your body in waiting to replace a deflated saline implant, but there are some practical considerations. When the implant deflates, the pocket (capsule) around the implant begins to collapse, so the longer you wait the more surgery will be required to re-expand the pocket. Also, although the implants have a lifetime replacement policy from U.S. manufacturers, there is a financial benefit to cover the costs of the surgery which has a time limit so be sure to look into that.