I have textured Sientra tear drop implants. Should I be concerned due to the recent recall? Do I need to take them out?

Question

What is my likelihood of contracting ALCL?

Ronald J. Edelson, MD · Answer

No one is calling for removal of all textured implants and I don’t think they will.  At the same time it is important for you to feel confident and safe.  If that means taking out the implants that is perfectly reasonable.  But then there  is the question of what else to do such as replace or don’t replace the implants and what kind.  Talk it over with your surgeon and consider the options.  Overall your risk with the implants is extremely low but you will be better able to make a decision by collecting as much information as you can.

Ryan Rebowe, MD · Answer

In general, the risk of ALCL is exceedingly low, and almost all presentations occur with a noticeable change in the breast (most commonly a delayed fluid collection). Currently, the recommendation for textured implants is not to remove the implants unless you are currently having issues with them. You should perform yearly follow ups with your board certified plastic surgeon to ensure that you are not having any issues with your implants or other breast issues that can be a sign of ALCL. Make sure you are following up with a board certified plastic surgeon to ensure that you are receiving care from a properly trained and educated provider.

Kenneth Sumida, MD · Answer

Most of the cases  of ALCL cases came from ALLERGAN textured silicone implants  ( style 410).  They use a salting process to create the texturing that may have been the issue.   Most American surgeons knew the issues since 2000 and avoided using them.   Most of the cases were found in Canada, Austria and New Zealand and  have recently banned them in those countries.

Daniel Barrett, MD · Answer

Dear peretta555,
If you have textured Sientra implants, then you should consider replacing them in order to reduce the chance of ALCL. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Paul J. Leahy, MD · Answer

Thanks for your question. As long as you are happy with your results, the implants are feeling soft & comfortable, and you monitor them every couple of years with breast imaging (mammogram, ultrasound, or MRI) to be sure there is no rupture (because you will not feel it otherwise), you do not need to have them removed. Only the Allergan Style 410 implants were placed on a recall -- and even those implants do not necessarily need to be removed if there are no problems (require more monitoring). I hope that helps!

I have textured Sientra tear drop implants. Should I be concerned due to the recent recall? Do I need to take them out?

Answers (6)

Answer: Implant removal

Answer: Implant removal

Answer: Textured breast implants

Answer: Textured breast implants

Recommended reading

Everything you need to know about Sientra Breast Implants

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

I have textured Sientra tear drop implants. Should I be concerned due to the recent recall? Do I need to take them out?

Answers (6)

Answer: Implant removal

Answer: Implant removal

Answer: Textured breast implants

Answer: Textured breast implants

Browse related questions

Recommended reading

Everything you need to know about Sientra Breast Implants

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