Replacing breast implants after 10 years?

Question

I've had my breast implants for 10 years now - 360cc Mentor silicon high-profile partials - and I've never been 100% happy with the scarring, but always been happy with the shape. However in the last few years I think they've changed shape, feel further apart, and I don't like the side profile. I also sometimes have some tightness in the left breast. So I think it's time to replace. I have excess fat on my abdomen, so I'm thinking of potentially removing the implants and doing fat transfer - is this possible? If not, is it possible to redo the implants and change the shape? I think teardrop and closer together would look better. See pics - larger red marks are just from my sports bra. But the scars can be seen.

Ellen Ozolins, MD · Answer

Thank you for your question. Fat transfer can replace your implants because you have excess fat on your abdomen, but it will provide subtle fullness and won’t give the same volume level as 360cc implants. If you want to maintain or enhance your current breast size while changing the shape and positioning, replacing your implants will be a good option. Since you mentioned liking the teardrop shape, this could be a great choice to achieve a more natural, anatomical look with more fullness at the bottom of the breast. Additionally, repositioning the implants closer together can help correct the spacing issue you've noticed. Also, during the procedure, your surgeon can address any capsular contracture or scar tissue contributing to the tightness in your left breast. Scar revision can also be done at the same time as your implant replacement to improve healing. However, a consultation with your surgeon will allow you to explore both options and determine the best way to achieve your goals while addressing the tightness and scarring concerns you’ve had.

Matthew S. Kilgo, MD · Answer

Hello,Breast implants do not need to be changed at the 10 year mark. However, if you are unhappy with the appearance of the implants , it would be a reasonable thing to consider. It is possible to perform fat grafting at the time of implant removal. However, the results are more subtle than what you would get with an implant exchange. If you decide not to replace the implants, you should get some type of implant imaging – either a breast ultrasound or an MRI. The FDA recommends implant imaging at 5 to 6 years after implant placement. I hope this helps.

Wayne I. Yamahata, MD · Answer

If you removed your implants, it is highly unlikely that you will be able to replace the 360cc volume with fat transfers. The scars can be revised. There are many potential reasons why your breasts shapes have changed. One, for example might be capsular contracture.  To truly diagnose the cause and possible treatment options would require a physical examination. Seek a consultation with a board-certified plastic surgeon.

Chet Mays, MD · Answer

Thank you for your inquiry! We would love to see you in person and discuss your options.  Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals!

Camille Cash, MD · Answer

If you are generally happy with the implant size and shape it is better to leave them alone.  You can consider scar revision to improve the scars if desired.  I would warn against fat transfers to the breasts as this can cause microcalcifications that may interfere with future mammography readings.

Replacing breast implants after 10 years?

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Everything you need to know about Breast Implant Revision

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Replacing breast implants after 10 years?

Answers (10)

Answer: Breast implants

Answer: Breast implants

Answer: Considering options

Answer: Considering options

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Recommended reading

Everything you need to know about Breast Implant Revision

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