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, 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.

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).

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

Considering the age of your implants it's a good idea to have your breasts examined yearly by a board certified plastic surgeon. Usually during a mammogram the integrity of the implants typically are checked. An MRI can be ordered if necessary.