Breast Implants: Q&A
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I Really Want Memory Gel Implants, but Don't Want the Cost of the MRI's, Options?
I understand that they need to be checked, but is there a less expensive way to check for leaks or rupture. I also am aware that I may need additional surgeries in the future. I am a mom of 3, 130lbs, 5'5" and have a small frame and bone structure. Thanks.
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10 Doctor Answers |
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Confused5
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I Really Want Memory Gel Implants, but Don't Want the Cost of the MRI's, Options? Answer:
It does seem like the FDA is going to relax on its standards for MRI. And my patients have kind of fallen into 3 categories themselves, regardless of the recommendation. I had one group that will do whatever the FDA recommends (they can usually afford it!), and another group that will do it every 8-10 years and a last group that says, “if I feel fine, and not having a problem, I don’t need an expensive test to tell me I love my breasts!!” So I think you can enjoy silicone...
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MRI is not necessary for patients who choose silicone implants!
The present generation of silicone gel implants (by both manufacturers) is cohesive, and cannot leak. If the implant shell, which is an extremely tough cross-linked silicone elastomer, is cut or damaged in any way, or if there were some manufacturer-related shell defect, the cohesive gel inside is entirely unlike the liquid, oily, sticky or more fluid silicone polymers used in previous generations of implants. The present cohesive silicone gel basically "sticks together" much more...
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Memory gel and mri
A number of individuals have written re the need and timing of MRI after the newer cohesive gel implants. I do not have anything substantial to add on that front. I practice in Chicago and if I send patients to the University Hospital where I work the costs for an MRI are to say the least high. There are two private MRI companies nearby that will perform the tests for under $500. Depending on your location I would suggest you see what the options are for pricing for an MRI of the...
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Memory Gel implants and need for routine MRI scheduling
The FDA recent eliminated their recommendation for routine MRI screening for all patients with silicone implants.
Monthly self exam and yearly breast exam by a physician in addition to routine mammograms is sufficient unless you have a very strong family history of breast cancer.
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Gel implants and MRI monitoring recommendations are changing!
Mentor Memory Gel and Allergan Natrelle Cohesive Gel Implants are currently the breast implants that are most popular. When these devices were re-introduced to the US market it was recommended that every patient have screening MRI exams every 2-3 years to try and identify a sub-clinical or so-called "silent rupture" of these implants as soon as possible. In Canada, we have had these implants and other more highly cohesive silicone gel implants available for a longer interval...
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MRI after silicone gel breast augmentation
The FDA only "recommends" that an MRI be performed every 2-3 years - it's not mandatory. This is the only way to know if the silicone gel implant has a rupture. Unfortunately, a rupture or leak cannot be determined by physical examination. Some patients choose not to get the MRI unless they see or feel something "different".
If you really want Silicone Gel Breast Implants, I would suggest meeting with a board certified plastic surgeon and...
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Do you need MRI's after cohesive gel implants?
When the FDA allowed silicone gel implants for cosmetic breast augmentation in 2006, the FDA recommended that women with silicone gel implants get periodic ( 2-3 years ) MRI's to look for "silent" ruptures. A "silent " rupture is an implant rupture that cannot be diagnosed by the appearance or feel of the breast.
The older silicone implants which are not used today were much more fluid and liquid- like. When they ruptured they could flow beyond the implant shell...
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MRI's after siliconre gel implants
The FDA reccomends MRI's in women who get silicone implants. They indicate that the MRI studies are more likely to show a rupture in women who are having problems, and less likely to show a rupture in women who are asymtomatic. The MRI's are only a recommendation and not a requirement. As one of the other doctors responded, there are incidences of both false negative and false positive reports, reducing the efficacy of the study.Mammograms are less...
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I want gel implants, but...
Relax. Latest news from the FDA is that the recommendation for MRI's every 2 to 3 years is going to be dropped. There have been too many false positive results, e.g. Women with an MRI suggesting rupture who at surgery to remove the implant were found NOT to be ruptured. My recommendation: If you want them, get the implants, and enjoy your new body. Have an MRI only if there are changes over time and you suspect a problem. Continue healthy breast care, e.g. monthly self exam and...
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MRI's and gel implants
The old style gel implants which could leak into your body could often be seen to have ruptured on a mammogram or an ultrasound. The new memory gel implants won't be detected this way anymore so MRI's are recommended as the gold standard foe rupture detection. While the FDA has recommended that you get these checked every 2-3 years, nobody is going to force you to do that. In my understanding, it will remain your choice to do these or not.
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