Is 66 considered too old for explantation? (Photo)

Question

66 yr old fair skin, red head. Is this age considered too old for explanation. I have thin skin and scar easily. Have 8 yr old silicone mentor implants that have ruined my posture and are making me feel sick

Chet Mays, MD · Answer

Thank you for your inquiry! You're a great candidate for an explanation as age does not determine surgery eligibility. I recommend consulting with a board certified plastic surgeon to create a surgical plan targeted towards your specific goals.

Jose Telich, MD · Answer

Dear Nice 319219 thank you for asking such an important question.

Age alone is not typically a determining factor for explantation surgery. However, your overall health and medical history are more critical considerations. As long as you are in good health and cleared for surgery by your physician, explantation can be safely performed at 66 years old. It's essential to consult with a board-certified plastic surgeon who can assess your individual situation and discuss the potential risks and benefits of the procedure based on your specific needs and concerns.

Shaher W. Khan, MD · Answer

Age is never an issue for an explant. The biggst factor would be your health. I have treated many women in the older age group. It is very common to see women in th age group of 65-80 in my practice.

David Rankin, MD · Answer

I am truly sorry to hear about your situation. I have many patients your age and older who undergo breast explant surgery. Medical clearance would be necessary, as with any of my patients. Wishing you luck on your journey to a health.

Daniel Barrett, MD · Answer

Dear Nice319219,
as long as you are healthy, 66 is not too old for surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Mario Arturo Moran Romero, MD · Answer

Age is an important consideration when a patient undergoes plastic surgery. However, by itself, it is not a contraindication. Individual risk of complication is assessed for every patient before surgery. It is more critical to control metabolic and cardiovascular diseases. I had patients in their 40s who weren't fit for plastic surgery and patients above 65 years old who were suitable for surgery and experienced a remarkable recovery. It is essential to determine your health status before surgery. Every patient undergoes a preoperative evaluation performed by the internal medicine doctor, lab work, and an EKG is done. If something is wrong, we work with the patient to improve or control the health condition.

John L. Burns Jr., MD · Answer

No, as long as your primary care doctor is OK with you having surgery an explant should be fine.  Based on your photos I'd recommend an explant with a breast lift.  This would give you small and perky breasts which would help with your posture as well.

Alan Gonzalez, MD, FACS · Answer

Hello @Nice319219, Thanks for your question! It is understandable that you are feeling worried about having your breast implants removed. Fortunately, there is no need for alarm: in the hands of an expert plastic surgeon, the risks associated with this procedure and your age are incredibly low.

The most important thing to consider when undergoing any medical procedure is due diligence in selecting your specialist - it's prudent to research potential plastic surgeons who specialize in breast implant removal, read patient reviews and make sure they have experience performing this kind of operation. Especially with such a delicate operation like implant removal, you want someone experienced and willing to take the time necessary to ensure that everything goes according to plan.

The recovery and healing process depends on a series of factors, among them the surgical technique of the specialist who performs the surgery. The important thing in breast implant removal surgery is that the entire capsule is removed and a preventive biopsy is performed on each capsule. My preference is to combine breast implant removal with immediate repositioning of the breast tissue to address the projection of the upper pole and medial areas using the BRALAN (Breast Reconstruction Anatomical Lift Augmentation) Technique as the results will be adequate and have minimal L-shaped scarring. If you are considering breast lipoplasty, consultation with a plastic surgeon experienced in this procedure is essential to ensure optimal results.

Best of luck! Alan Gonzalez, MD, FACS. Member of the American Society of Plastic Surgery (ASPS), Member of the International Federation of Adipose Therapeutics and Science (IFATS), Member of the Colombian Society of Plastic Surgery (SCCP).

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph. Assuming you are otherwise healthy there should not be any issue with pursuing an explantation and likely revision lift.  Hope this helps.

Ashley Thorburn, MD · Answer

Age alone is not the sole determining factor when considering explantation (removal) of breast implants. Age can determine candidacy in some outpatient surgical centers though. The decision to undergo explantation is multifaceted and depends on various factors, including an individual's overall health, medical history, and the specific reasons for wanting the implants removed.Here are some considerations:1. Overall Health: If a person is in good health and can tolerate surgery well, age may be less of a concern. However, the overall health status of the individual is crucial in determining their ability to undergo any surgical procedure.2. Reasons for Removal: People choose to have breast implants removed for various reasons, such as concerns about implant integrity, changes in personal preferences, health issues, or complications. The specific reasons for explantation play a significant role in the decision-making process.3. Medical Assessment: Before any surgery, a thorough medical assessment is necessary. Your healthcare team will evaluate your general health, assess the condition of the implants, and discuss your expectations and concerns.4. Recovery Considerations: The recovery process after explantation can vary among individuals. Your ability to recover and return to normal activities will depend on your overall health and how well you tolerate the procedure.It's important to consult with a plastic surgeon and potentially involve your primary care physician or other relevant specialists in the decision-making process. They can provide recommendations based on your individual health status, addressing any concerns related to your age and overall well-being.Ultimately, age alone is not a strict contraindication for explantation but can be a factor when looking to have your surgery in an outpatient surgery center. The decision should be made collaboratively with your healthcare team, taking into account your overall health, the reasons for wanting explantation, and the potential benefits and risks associated with the procedure.

Is 66 considered too old for explantation? (Photo)

Answers (15)

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