I had silicone implants put in at the age of 27 in 1978. I now feel very self conscious of having very hard and prominent breasts for a woman of 65 years. I am embarrassed to go to the doctors and lay on my back with hard unnatural looking breasts. I worry that they may have ruptured though I have no actual symptoms to say this has happened. I feel the time has come to have them removed. Your opinion would be greatly appreciated I'm sorry but I don't have any photos.
Answer: Most definitely need to be removed or changed out Breast implant removal should be performed with complete en bloc capsulectomy without lift. The capsule should not be left in place or the space will not heal. In patients that believe that their implants are causing them illness, leaving the capsule behind will not result in any improvement in their symptoms. Because the removal of the capsule and lift performed together can compromise the blood supply to the skin, breast and nipple to a potentially devastating degree, they should never be performed together. After the explantation with capsulectomy is healed, you can develop an plan for further surgery if it is warranted and is safe from a technical standpoint.
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Answer: Most definitely need to be removed or changed out Breast implant removal should be performed with complete en bloc capsulectomy without lift. The capsule should not be left in place or the space will not heal. In patients that believe that their implants are causing them illness, leaving the capsule behind will not result in any improvement in their symptoms. Because the removal of the capsule and lift performed together can compromise the blood supply to the skin, breast and nipple to a potentially devastating degree, they should never be performed together. After the explantation with capsulectomy is healed, you can develop an plan for further surgery if it is warranted and is safe from a technical standpoint.
Helpful 1 person found this helpful
Answer: Should I remove my implants? As you no longer want the implants and they are causing your breasts to feel hard, and are potentially ruptured it is a good idea to have them removed. Visit with a board certified plastic surgeon near you for a consultation. She/He will examine you to look for signs of concern including rupture. I've included a video I hope you find helpful.
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Answer: Should I remove my implants? As you no longer want the implants and they are causing your breasts to feel hard, and are potentially ruptured it is a good idea to have them removed. Visit with a board certified plastic surgeon near you for a consultation. She/He will examine you to look for signs of concern including rupture. I've included a video I hope you find helpful.
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August 23, 2023
Answer: If you are experiencing complications, it is best to have implants removed or exchanged Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction. Best, Dr. Karamanoukian Realself100 Surgeon
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August 23, 2023
Answer: If you are experiencing complications, it is best to have implants removed or exchanged Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction. Best, Dr. Karamanoukian Realself100 Surgeon
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April 4, 2016
Answer: Removal I do recommend having your old implants removed. The hardness is probably from scar tissue forming around the implant, and your implants have a high chance of being ruptured. I recommend meeting with a board certified plastic surgeon who can discuss all your options.
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April 4, 2016
Answer: Removal I do recommend having your old implants removed. The hardness is probably from scar tissue forming around the implant, and your implants have a high chance of being ruptured. I recommend meeting with a board certified plastic surgeon who can discuss all your options.
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April 2, 2016
Answer: 40 year old silicone implants. Thank you for your question. Unfortunately you have the first or second generation silicone implants that had weak shells. We know that these implants are probably ruptured and that's why you have developed such aggressive capsular contracture. The reason for removal is due to discomfort and it's a good idea to remove hard implants. These don't pose any health issues, however, given the nature of the issue, insurance companies can cover removal of the implant and capsule. I am sure mammograms are very difficult and this is another reason why they should be removed so you can start getting more comfortable annual screenings. Hope this helps and best of luck.
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April 2, 2016
Answer: 40 year old silicone implants. Thank you for your question. Unfortunately you have the first or second generation silicone implants that had weak shells. We know that these implants are probably ruptured and that's why you have developed such aggressive capsular contracture. The reason for removal is due to discomfort and it's a good idea to remove hard implants. These don't pose any health issues, however, given the nature of the issue, insurance companies can cover removal of the implant and capsule. I am sure mammograms are very difficult and this is another reason why they should be removed so you can start getting more comfortable annual screenings. Hope this helps and best of luck.
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