Breast Implant Removal of 20 Year Old Polyurethane Implants

Your old polyurethane breast implants should be removed. Any twenty year old implants have a high liklihood of having rupture, and therefore should be removed and possibly replaced. Since the polyurethane coating has been reported to be incorporated into the surrounding breast capsule, removal of the implants should be performed in conjunction with a total peri-prosthetic capsulectomy, if possible. This is a bit more complicated than a straightforeward exchange of implants.

Good day! Generally after explantation, the shape and size of the breast will be unpredictable. Result varies between patients and it will largely depend upon their age, duration and size of the implant, or previous state of their breasts like existing anatomy, deformity, previous surgeries, underlying personal and family medical conditions, nicotine use, pregnancy and other factors. There are options available such as a lift or a fat transfer for a more natural approach, if you are worried about the explantation result and doesn't want new implants. Do not hesitate to contact your surgeon about options designed for your needs and discuss realistic goals and expectations. Best of luck! #RealSelf100

In my opinion, I would first obtain imaging to confirm implant integrity of lack of it. In the former, the implant can be extracted alone if the capsule is thin. However, in the case of intra/extracapsular rupture, I would perform a capulectomy as well.