11 years post op - should I consider replacing my implants now that I'm having a lift done?

Question

I have breast implants I got done around 2013. I’m having a lift done. Should I replace my implants during the lift or leave them since there is no issues at the moment?

Jake Thayer, MD · Answer

I think both answers to this question are reasonable. One one hand, implants improved significantly over the recent years in their strength, cohesivity (firmness) and overall feel. One argument would be to replace the implants while you are having surgery to increase the longevity of the result and give you the most modern implant available. Additionally, implants do carry a rupture risk of 1% per each additional year that passes and such, you can "restart the clock." On the other hand, if you are happy with your current implants then it is also reasonable to leave them as adjusting / exchanging implants can always carry a very small risk of complications (implant malposition, capsular contracture, infection, etc..). Hope this helps.

Ted Eisenberg, DO, FACOS, FAACS · Answer

If silicone, silent ruptures are fairly common.  An MRI is the definitive test to see if there is a rupture, and this test is recommended several years after a surgery. I would recommend  replacement if a rupture were the case. If the implants are saline then I would not recommend replacement while there are no issues. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided photographs or told us your bra size. However, it may be better if you undergo explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ramin Behmand, MD, FACS · Answer

Thank you for bringing up this question, as it's a common concern. Typically, if you weren't undergoing breast surgery, there wouldn't be a need to replace implants that aren't causing any issues. However, given that you're having breast surgery, it's prudent to replace implants that are over 10 years old.

An additional advantage is that your lift can be performed with precision while the old implants are in place, and then the implants can be swapped out for new ones before closing the incisions. You might also want to consider a slight adjustment in the size of the implants, as a lift can result in slightly smaller breasts.

Dr. B.

Ronald J. Edelson, MD · Answer

Since it’s been over 10 years it would be a good idea to replace the implants. Also a different size may be indicated now that you are having a lift done

Daniel Barrett, MD · Answer

Dear newgirl14,
I recommend my patients to replace implants every 10 years in order to reduce the chance of complications. 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

Connie Hiers, MD, FACS · Answer

Yes, the implants will need to be exchanged. Your old implants must be removed to properly do the lift and could be damaged. Plus, the warranty may be nulled, depending upon the company, once they leave your body.

Jared Gopman, MD · Answer

Implants are not meant to be "life-long" devices, but I often tell patients that as long as you like how your breasts look and feel you do not need to undergo the risks of surgery in order to exchange them. However if you are already planning on undergoing breast surgery, you should consider switching out your implants for new ones as the incisions used to lift the breast can also be used to access the implant pockets and switch them out.

Camille Cash, MD · Answer

Now is a great time to replace your implants.  You may want to change styles or size to better fit with your current lifestyle.  Though there is no specific time recommended to change an implant they are not meant to be lifetime devices.

Mats Hagstrom, MD (license on probation) · Answer

There is no right or wrong, yes or no answer to your question.
Implant failure increases with number of years after implantation.
Generally, I would consider replacing implants at the 10 year mark, which is where you’re at if you’re going to have breast surgery anyway.
If you have desire of changing shape or size or type of implant, then this would sway more towards changing the implants.
If patients are 15 years out, I would definitely recommend replacing the implants.
At five years, I would probably leave good enough alone.
Swapping implants is a pretty quick and easy procedure if you’re already having a breast lift.
You can probably negotiate the surgical fee for this.
Ask your provider for guidance.
Best,
Mats Hagstrom MD

11 years post op - should I consider replacing my implants now that I'm having a lift done?

Answers (10)

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