Really old implants. Should I have them removed or replaced?

If you are getting routine mammogram/ultrasounds and they do not show an abnormality with the implants and you are generally happy with them, you do not need to change them. An MRI would be more sensitive in noticing ruptures but ultrasounds are also acceptable.

Hello @blackhorserider, thank you for your question. It is best for your health to remove the implants as soon as possible since you have had them for 53 years. My preference is to combine breast implant removal with immediate repositioning of the mammary tissue to address projection of the upper pole and medial areas using the BRALAN Technique (Breast Reconstruction Anatomical Lift Augmentation) since the results will be adequate and have a minimal scar in the shape of an L. Also, the prosthetics can be removed, but the key is that a complete capsulectomy is performed by the specialist. I link a video to shed more light.

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

Hello !

It's generally recommended that women with breast implants have regular check-ups with a doctor or a specialist in breast imaging to monitor the condition of their implants. This is especially important if the implants are more than 10-15 years old, as they may be more prone to rupture or leakage.

Given that your implants are 53 years old, they are likely made of silicone and may have a higher risk of rupture or leakage than newer implants. While a rupture may not always be immediately noticeable, it's important to have regular check-ups to catch any potential issues early.

It's also worth noting that breast implants are not designed to last a lifetime, and as the body changes with age, the implants may become more noticeable or uncomfortable over time. If you are experiencing any discomfort, pain, or changes in the appearance of your breasts, it may be worth consulting with a doctor or plastic surgeon to discuss your options, which may include removal or replacement of the implants.

Ultimately, the decision to remove or replace your breast implants should be made in consultation with a medical professional who can evaluate your specific situation and provide guidance on the best course of action.

I hope this helps,
best of luck !

Hello, thank you for your question. Given that your implants are quite old (53 years old), it is understandable that you are considering whether to have them removed or replaced, even if you are not experiencing any specific problems right now. Please see the attached video that discusses your question in detail. Given the length of time they've been in place and your concerns about possible rupture, it’s a good idea to consult a plastic surgeon to evaluate the condition of your implants. You can then make a decision based on whether you want to replace or remove them, keeping in mind your personal health, cosmetic goals, and risk tolerance.
Making an informed decision is the best step forward, and a healthcare professional can guide you through it.

Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Dear blackhorserider,
I recommend my patients to replace implants every 10 years in order to avoid 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

The decision to remove or replace old implants depends on several factors, including the type of implants, their condition, your overall health, and your personal preferences. Here are some considerations to help you make an informed decision:1.) Type of Implants: The type of implants you have can influence your decision. For example, if you have breast implants, they may have a recommended lifespan, typically around 10-15 years. Dental implants, on the other hand, can last much longer.2.) Condition of Implants: The condition of your existing implants is crucial. If they are causing problems, such as pain, infection, or complications, it may be necessary to have them removed. Implants that are leaking, ruptured, or damaged may also need replacement.3.) Health Concerns: Your overall health plays a significant role in the decision-making process. If you have underlying health issues that make surgery risky, you may need to carefully consider the potential benefits and risks of removing or replacing the implants.4.) Cosmetic Concerns: If you have cosmetic implants like breast implants and are unhappy with their appearance, you may consider replacing them with newer ones or removing them altogether. Be sure to discuss your aesthetic goals with a qualified plastic surgeon.5.) Consultation with a Specialist: It's essential to consult with a healthcare professional who specializes in the type of implants you have. They can evaluate your specific situation, discuss your options, and provide recommendations based on your needs.6.) Cost Considerations: The cost of removal or replacement can vary widely depending on the type of implant and the extent of the procedure. Consider your budget and whether your insurance may cover any of the costs.7.) Long-Term Goals: Consider your long-term goals and lifestyle. For example, if you plan to have more children and have breast implants, you may want to remove or replace them before pregnancy.8.) Emotional and Psychological Impact: Some people may experience emotional or psychological discomfort due to the presence of old implants. This can be a valid reason to consider removal or replacement.9.) Monitoring and Follow-up: If you decide not to remove or replace the implants, regular monitoring and follow-up with your healthcare provider are essential to ensure their continued safety and integrity.Ultimately, the decision to remove or replace old implants is a personal one that should be made in consultation with qualified medical professionals who can assess your specific circumstances. They can help you weigh the pros and cons and make an informed choice that aligns with your health and aesthetic goals.

While there is no consensus as to when one should replace gel implants, there is the understanding that gel implants do not last forever. Your implants are old and need to be removed or replaced. Which path to take depends on how you wish to look moving forward. Best to see a plastic surgeon to advise you.

Your old gel implants should be removed for they are probably both leaking, You could have new ones or just remove the old ones. Medicare might cover removal of old gel implants.

Unfortunately, there is no clear cut answer as to what you should do with your implants. I usually tell patients that implants are not meant to last forever and that they should be removed or replaced when they start to give you a problem, if your native breast tissue begins to droop and a lift is needed, or when the patient just wants to have them out or replaced. Now if there is a question about rupture, that changes things and I would recommend removing a ruptured implant ASAP. If there is any concern about a rupture you should seek medical attention or this. If your implants are saline, you will be able to see and notice a rupture but if they are silicone, the rupture can be silent and you may need a MRI for diagnosis. I hope this helps