Do You Use the Same Breast Implant for Revisions?

When it comes to revision of breast implants, there are few situations in which you may reuse the original implants. However, here is a list of reasons why you may want new implants:

1) Current implant is ruptured

2) Current Implant is rippled

3) Current Implant is the wrong size

4) There exists a grade 3 or 4 capsular contracture around the implant

5) There is any suspicion of implant contamination.

IF the revision is being performed for a capsular contracture than I would likely use a new implant to minimize the potential for capsular contracture formation secondary to biofilm. 

First a disclaimer: The FDA categorizes breast implants as "single-use" devices, which technically means that they are not to be placed back in even when removed to get access for a revision. Having said that, it is common practice if the implants are in good condition. Most plastic surgeons would recommend a new implant if there is a capsular contracture.

If the implants are in good condition and less that five years or so old, I will recommend reusing them to save $, and because there is no clear indication to replace.  If the indication for revision is implants too large, implants too small, implants ruptured, infection, or if the implants are injured during the revision procedure or found to be in some way defective or abnormal, they should be replaced.  In any case, the surgeon should have a back up implant(s) available in the operating room at the time of your revision procedure should they be needed.

Whether or not you use the same implant for the revision will depend on several factors. If you have rippling or capsular contracture you will need new implants. If the implant is just in the wrong position then it can be reused.