Does an Implant Always Have to Be Removed if There is Calcification?

The vast majority of
calcified capsular contractures are associated with silicone implant bleed or
ruptured silicone implants. Under these
circumstances, it’s probably reasonable to change implants and remove the
capsule with its calcifications.It’s important to realize that health problems have not
been associated with calcified capsules.For this reason, it’s not an absolute necessity that they be
removed.Unfortunately, they may obscure
the detection of breast cancer during mammography.In addition, they can adversely impact the
patient’s aesthetic result.Calcified
capsules are often associated with breast pain, breast distortion, and breast
hardening.Although calcified capsules don’t have to be removed, in
most cases it’s appropriate to perform an implant exchange with bilateral
capsulectomy procedures.Under these
circumstances, the clinical results are excellent and levels of patient
satisfaction are high.If you have calcified capsular contractures, it’s
important to consult a board certified plastic surgeon.This surgeon can evaluate your capsular
contractures and formulate a treatment plan that not only addresses your
anatomic findings but achieves your aesthetic goals as well.

Breast implants associated with calcification do not necessarily have to be removed.  Each patient's situation should be evaluated individually/specifically. For example, if a patient has a strong  family history of  breast cancer,  then removal of the breast implants/ calcifications may be indicated to avoid  radiographic confusion  and/or delay of diagnosis of breast cancer.

If patients with calcification choose to have the breast implants left in place however close radiologic  follow-up will be important.  For example, any change in the nature of the calcifications may require  further evaluation  and/or biopsy.

I hope this helps.