What is the usual length of time gummy bear implants last?

Gummy bear implants have become increasingly popular and many patients have questions surrounding these newer devices. In my experience, I have not found much value in using these devices for aesthetics and primarily have been using them in the reconstructive arena. They are more costly and recent studies have demonstrated that most cannot accurately determine whether a round or shaped device was used when evaluating post-operative photos.In answer to your questions:-The following FAQ was released by ASAPS (American Society of Aesthetic Plastic Surgeons) on the topic of BIA-ALCL:
The Food and Drug Administration (FDA) has recently updated the public information on its website about breast implant associated anaplastic large cell lymphoma (BIA-ALCL). We have known about this disease for quite some time and the FDA has been providing updates since 2011.

1. BIA-ALCL is a rare form of lymphoma that develops adjacent to breast implants
• Because it is rare it is difficult to be certain about the absolute risk.
• The current risk is estimated to be 1 in 30,000. However, to date there has never been a documented case in a patient with only a smooth implant.

2. BIA-ALCL is not breast cancer
• The risk of developing breast cancer is about 1 in 8 women

3. What are the symptoms of BIA-ALCL in women with breast implants?
• The most common symptom is a persistent swelling of the breast
• Can include other symptoms such as a lump in the breast or armpit
• These symptoms develop between 3 and 14 years following the insertion of breast implants and most commonly around eight years.
• The swelling of the breast is due to fluid accumulating around the implant

4. Are all implant types associated with BIA-ALCL?
• ALCL has not been identified in women who have only had smooth implants.
• The disease is associated with textured implants.

5. How is BIA-ALCL diagnosed?
• In patients with a fluid collection around the implants and ultrasound should be performed to exclude the diagnosis
• At the time of ultrasound examination and needle is inserted to drain some fluid which is then tested.

6. How is BIA-ALCL treated?
• Most women who are diagnosed with this disease are treated by the removal of both implants and the fibrous capsule around them and this is complete treatment. All known cases where there were no delays in diagnosis have resulted in 100% cure at this time.

7. Can breast implants be inserted again if I have BIA-ALCL?
• Yes. Smooth implant have been replace at a delayed interval in treated patients as well as immediately in some cases.

8. Where can I get more information?
FDA.gov, Surgery.org, plasticsurgery.org-Shaped implants are textured in order to counter the potential for malrotation. A shaped device must be placed in a particular orientation (otherwise the appearance is bizarre). The texture on the device acts as a sort of velcro holding it in place. Meticulous pocket dissection is a must as a roomy pocket will allow for movement in the early post operative period and the velcro will ensure that it stays that way. This is not a concern for round devices as they are round no matter the orientation. -Manufacturers are now offering round devices with the same form stable gel as offered in the shaped gels (without the concern for malrotation). These are only now becoming widely available.As always, discuss your concerns with a board certified plastic surgeon (ABPS).

No, the implants should not flip or do anything crazy.  The association with ALCL and textured implants is extremely rare.  Typical implant longevity is 10 years - in other words, the FDA recommends that you get your implants exchanged every 10 years.  This is a recommendation.  The newer implants tend to last longer and I think over time people will get them changes less often..  Gummy bear implants, which are typically smooth, are not associated with ALCL.