How many future operations can I expect after having a breast augmentation?
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Doctor Answers 12
Future Operations After Breast Augmentation?
Kenneth B. Hughes, MD
Board Certified Plastic Surgeon
Beverly Hills and Los Angeles locations
How many more procedures will you need following augmentation?
More surgeries after breast augmentation?
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Breast Augmentation Durability
A better question is 'how long until my next surgery?' Now we can break it down into early and late reoperation risk. National average for early (first three years) reoperation is a whopping 25%. This is not the case for every surgeon, and excellent surgeons have a reoperation rates one tenth that. Tissue based planning of implant size, electrocautery dissection, funnel implant delivery, and the use of inframammary incision contribute to this reduction in risk.
Late term reoperation typically involves rupture and/or deflation. Depending on the study, 85% to 95% of most implants will survive the 10 year mark. Longer term data is still lacking, but anecdotally I see patients with implants as old as 40 years, with some still intact.
I suspect given your age, and assuming there are no early complications, you will need possibly two subsequent operations in you lifetime.
Best of luck!
Longevity of breast implants.
First, there's the issue of healing after surgery. A small percentage of patients will develop scar tissue or capsule contracture that may need revision surgery. The incidence seems to be decreasing but the risk still remains.
Second, there is the issue of implant longevity. We haven't had the cohesive silicone implants long enough to know how much they will outlast the previous generation silicone gel implants. The previous generation seemed to weaken or leak between 20-25 years out in my experience. I am hopeful that the mechanics of the cohesive implants will allow the shells to outlast the previous version but no one can say for sure. I'd be happy if they do last 25-30 years. Since they're cohesive it's possible that even when the shell weakens there may be no need to change them since the cohesive gel can't really flow the way the old gel did. We just dont' know yet.
Finally, there's the other issue of changes in your breasts with aging and child bearing. Your implants may be fine but you may need an uplift or a size change allowing for replacement of the implants 10-20 years after they're inserted.
The bottom line for you and I tell my patients is that you must assume that they will need replacement and the frequency and incidence depends somewhat on luck and good fortune.
Jon A Perlman MD FACS
Certified, American Board of Plastic Surgery
Extreme Makeover Surgeon ABC TV
Best of Los Angeles Award 2015, 2016
Beverly Hills, Ca
How many operations required after breast augmentation
1) If there is scarring on the inside or encapsulation, surgery will be required to remove the scar, and place new implants.
2) Possibility of needing a lift. Years after the procedure, you may be happy with the size but may require tightening of the breast skin or raising the nipple to improve the shape of the breast.
3) Implant deflation or rupture. Saline implants are generally weaker than silicone implants but both types may need to be replaced due to normal wear and tear.
4) You may decide to have larger implants or smaller implants at a later date.
Therefore, it is difficult to answer your question because any one of the above scenarios may apply to you over your lifetime. It is also quite possible that you may never require another procedure. On average however, you can likely expect to have at least 1 other procedure in your lifetime.
Dr. Ravi Somayazula
Future procedures following breast augmentation
Future operations after Breast Augmentation
At least one
Obviously changes in body shape unrelated to breast implants may prompt you to have surgery.
Nana Mizuguchi, MD
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.