Is it necessary to change out silicone implants that have high risk for ALCL?

Question

I've had breast implant surgery (Allergen natrelle 410 mx). I have an ultrasound mammogram every year. I'm not sure if it's necessary to change the silicone type while my breasts are still normal. I plan to change to motiva ergonimix2. Thank you in advance for the answer

Camille Cash, MD · Answer

If you are not having ALCL symptoms or issues with your implants there is no current recommendation to have them removed.  As always, you can elect to have your implants removed or exchanged at any time if you wish.

Brian K. Reedy, MD · Answer

Thanks for your question! It would be the prudent thing to exchange your implants to get ahead of any problem that may present with the recalled implants. Best of luck!

George Bitar, MD · Answer

Good question.  Current FDA recommendations are to leave the textured implants alone if you are not having any symptoms.  That being said, each patient is different.  You may consider changing your implants for peace of mind.

Daniel Barrett, MD · Answer

Dear ErkErk,
I understand your concern. It is best that you consult your plastic surgeon regarding post operative care and management specific to your case. Your surgeon knows your condition well and has preferences on when and what to use for faster healing and recovery. It is best, however, that you follow your plastic surgeon's advice on post operative care management for a smooth and faster healing and recovery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Wess Cohen, MD · Answer

Thank you for your question. While it is not 100% necessary to change out your textured implants, you are at increased risk to develop ALCL. The risk may be as high as 1 out of 100 depending On how long your implants have been in for. Your surgeon should remove the capsule as well at the time of removing your implants. Good luck.

Is it necessary to change out silicone implants that have high risk for ALCL?

Answers (7)

Answer: Implant replacement

Answer: Implant replacement

Answer: ALCL

Answer: ALCL

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Is it necessary to change out silicone implants that have high risk for ALCL?

Answers (7)

Answer: Implant replacement

Answer: Implant replacement

Answer: ALCL

Answer: ALCL

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.