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It depends on what you mean by the sac. I have seen many patients who have left the silicone shell of the implant in for a number of years after the saline has leaked. It can fold and dig in a bit. If you are talking about the tissue capsule the body has created then it may or may not need to be removed. I usually just leave it unless it is thickened or calcified like an egg shell.
No. The breast forms a capsule around any implant. If this capsule gets thickened, hardened, or calcified, it should be removed (capsulectomy) and the implant changed. But that is NOT the same as a saline implant merely leaking into a normal, soft capsule. The saline fluid that was placed was sterile, and unless there is a concern that it was contaminated, there is no reason why the capsule should be removed. Removing the capsule is not without risk, particularly in a thin, small breasted woman. Dissecting the capsule away from the breast can cause contour irregularities, and increase risk of postoperative hematoma or seroma.
Generally speaking, I think it is in patients' best interests to have their breast implant shells removed once there has been a leakage. Best wishes.
Thank you for your question. The deflated the shell of the saline implant should be removed after deflation. However if the capsule around the saline implant is thin and not tightened it need not be removed. A thick constricted calcified capsule should be removed however.
The shell or sac of a saline breast implant is made of soft rubber that was sterile at the time it was placed. It seems no more dangerous to leave an empty implant than a filled implant. That being said, the empty device is flat and has "sharper" edges and/or folds that can be irritating to patients over time. In addition, one deflated implant tends to look odd and asymmetric. The surgery to replace a deflated implant is usually much less extensive than the original surgery, as long as there are not other factors present, like capsular contracture.
If the implant is larger than the available skin envelope then the skin will raise early after augmentation. Symmastia occurs if the pocket tears or shifts allowing the implants to run together in the middle. Pressure over the breast bone with additional padding in your bra might help as the...
One of the most common problems is breast capsular #contracture or the development of thickening, and contracture of the capsule that exists around the breast implants. Severe capsule contracture probably occurs in less than 15% of augmentation patients. Every woman has a breast capsule around...
Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. See the below link on some suggestions on finding the most qualified Plastic Surgeon for a...
