Hi. I got my first set of implants above the muscle when I was 26. Then lost weight and could see ripples. In 2013 had them replaced beneath the muscle, textured. Had lots of trouble with hematomas Seroma’s. Had another set put in 2014. This past September had a mammogram and showed fluid around the capsule along with a keyhole leak current something after mammo as Rt breast doubled in Sz and is by my armpit. I have lupus RA already. Surg scheduled April. Should I push for quicker time?
Answer: Timing of implant removal You have two separate problems: fluid around the implant and implant rupture. These problems may or may not be related. A large collection of fluid around a textured implant is concerning because it may represent breast implant associated anaplastic large cell lymphoma (BIA-ALCL). I recommend ultra sound guided aspiration of the fluid around your implant and sending the fluid for evaluation to rule out BIA-ALCL. Knowing this detail is critical to planning and timing surgery. To be clear, the likelihood of having BIA-ALCL is very low, but I would want to confirm that as soon as possible. Knowing exactly which textured implant you have can tell me roughly how high the risk of BIA-ALCL is. In my practice, I remove ruptured silicone implants as soon as possible simply because cleaning a small amount of leakage is much easier than cleaning a large leak.
Helpful 1 person found this helpful
Answer: Timing of implant removal You have two separate problems: fluid around the implant and implant rupture. These problems may or may not be related. A large collection of fluid around a textured implant is concerning because it may represent breast implant associated anaplastic large cell lymphoma (BIA-ALCL). I recommend ultra sound guided aspiration of the fluid around your implant and sending the fluid for evaluation to rule out BIA-ALCL. Knowing this detail is critical to planning and timing surgery. To be clear, the likelihood of having BIA-ALCL is very low, but I would want to confirm that as soon as possible. Knowing exactly which textured implant you have can tell me roughly how high the risk of BIA-ALCL is. In my practice, I remove ruptured silicone implants as soon as possible simply because cleaning a small amount of leakage is much easier than cleaning a large leak.
Helpful 1 person found this helpful
Answer: It is recommended to get implant removed as soon as possible to avoid any complications 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
Helpful
Answer: It is recommended to get implant removed as soon as possible to avoid any complications 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
Helpful
September 3, 2024
Answer: Leaking silicone breast implant I suggest to all of my patients to have the implants removed sooner than later. Silicone toxicity is a serious issue.
Helpful
September 3, 2024
Answer: Leaking silicone breast implant I suggest to all of my patients to have the implants removed sooner than later. Silicone toxicity is a serious issue.
Helpful
January 16, 2023
Answer: Leaking implant I'm sorry to hear about the issues you are having. Though your situation is not an "emergency" it is best to have the implants removed as soon as it is comfortably feasible, especially given your contributing diagnosis. I encourage you to speak with your surgeon about your concerns as she/he has had the opportunity to examine you and review your complete medical history.
Helpful 1 person found this helpful
January 16, 2023
Answer: Leaking implant I'm sorry to hear about the issues you are having. Though your situation is not an "emergency" it is best to have the implants removed as soon as it is comfortably feasible, especially given your contributing diagnosis. I encourage you to speak with your surgeon about your concerns as she/he has had the opportunity to examine you and review your complete medical history.
Helpful 1 person found this helpful
January 11, 2023
Answer: Leaking silicone breast implant, how fast does it need to come out? Hello @Aernst321, thank you for your question. As fast as you can, if you feel like you can push for earlier, do it. This will help to relieve your symptoms and regulate the body sooner. However, not only the implants need to be removed, but also the capsules surrounding the prosthesis. It would be necessary to carry out a preventive biopsy on each capsule. There is a video about ruptured implants that sheds some light on the subject. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. 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)
Helpful 1 person found this helpful
January 11, 2023
Answer: Leaking silicone breast implant, how fast does it need to come out? Hello @Aernst321, thank you for your question. As fast as you can, if you feel like you can push for earlier, do it. This will help to relieve your symptoms and regulate the body sooner. However, not only the implants need to be removed, but also the capsules surrounding the prosthesis. It would be necessary to carry out a preventive biopsy on each capsule. There is a video about ruptured implants that sheds some light on the subject. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. 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)
Helpful 1 person found this helpful