Is it risky getting breast implants after explant (425cc silicone implants)?

Question

I had a breast augmentation surgery in May of 2015, 425 cc silicone implants. When I got them done, I thought I was done having kids. I decided to explant at the end of 2018 because I wanted to have another baby and I was concerned about breastfeeding while having big implants. Now that I am done breastfeeding and having kids (tubes tied) I want to get implants placed again. Will surgery be more risky/difficult now due to possible scar tissue from having had implants in the past?

Nelson Castillo, MD · Answer

Thank you for sharing your question. I would expect the procedure to be about the same as with the previous surgery, but there isn't a significant amount of increased work required.

Finny George, MD · Answer

Hi, thank you for sharing your question. You may have some scar tissue but this should not prevent you from getting your implants. A neo-pocket may be needed. I hope this helps.

Brian K. Reedy, MD · Answer

Thanks for your question! I don't think there will be any concern getting your implants back into place. At this point, it will be like a new breast augmentation and you should be just fine. Good luck!

Daniel Barrett, MD · Answer

Dear bmg87,
generally speaking, you should be able to get surgery. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

The risk is really not much higher having a second surgery. However, you do have some scar tissue from the first procedure and may have a little more risk of loosing some sensation.

Camille Cash, MD · Answer

As it has been four years since you had the implants removed you should be able to have the procedure without increased concern.  Make sure to visit with a board certified plastic surgeon near you for a consultation.  An exam and review of your goals will help your surgeon provide a personalized recommendation.

Garrett A. Wirth, MD, MS, FACS · Answer

Surgery can be more difficult due to scar tissues, and disrupted anatomy planes.  I recommend you work with a Board Certified Plastic Surgeon.  You should be able to achieve your goals even though things might be a bit more difficult than the original operation.

Derek Fletcher, MD - Account Suspended · Answer

In general, it is safe to replace breast implants years after they have been removed under the conditions you have described. The level of complexity is influenced by a number of additional factors including original implant position, subglandular versus submuscular. Secondary submuscular breast augmentation can be more complicated if the muscle was not well managed during the placement and/or removal procedures. Repeat subglandular breast augmentation tends to be less complex. Thanks for your question and best of luck!

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
Re-augmentation of the breasts following previous explantation is not uncommon. Since you had no scarring difficulties following your previous augmentation, the procedure should be no more difficult than the previous surgery.
Best wishes...

Gokhan Temiz, MD - Account Suspended · Answer

Hello and thanks for your question. Breast Implant operation is one the most demanding procedure in my private clinic. I have performed it many times during my career and I haven't faced any kind problems such as healing, scar tissue problems and etc. During the breast implant revision, usualy the surgery is performed from the previous incision to prevent to have an extra scar. I strongly advise you to have a consultation with board certified surgeon who has experience in breast surgeries.

Is it risky getting breast implants after explant (425cc silicone implants)?

Answers (10)

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