I've had saline breast implants since 1998. They are not behind muscle wall. One is hard, not changed in size, the other soft, has decreased in size. They are both rippled under neath. I have been told it costs more money for a re-augmentation. Why? and do I have to be careful they way they are now? Thank you for your time. Roberta (and I have bad credit)
Old saline breast implants?
Doctor Answers 5
Redo of breast implants likely to be more costly with new physician
Saline implants placed under the gland and above the muscle have the highest likelihood of causing problems with shape, leakage, and capsular contracture, especially after fifteen years. You may be experiencing a firm capsule on one side and a leaking implant on the other. Proper treatment would be to remove both implants and replace them with new silicone implants under the muscle. As to the price, if you stay with the same doctor, the price will likely be lessened in accordance with his desire to please you.
Chosing another doctor is advisable if you feel the original doctor did not use the best judgement or have the highest skill. In that setting, the cost is likely to be more because of the need to explant two implants with capsulectomy, dissect new submuscular pockets, and reinsert new implants beneath the muscle, and then determine if additional lift is necessary with mastopexy.
Re Augmentation of Saline Implants
Thank you for your question. The reason the implants cost more in your case may be three-fold. First, you likely have a capsular contracture on one side (the side that is hard). The capsule has to be removed or at least release. Second implants are costlier today than in 1998. Third if you have rippling, and the implants are over the muscle, you will likely need to have the implant placed under the muscle and may require a breast lift. The answers to you questions lie in a proper exam. I encourage you to have a consultation with a board certified plastic surgeon to truly get you questions answered.
Raj S. Ambay, MD
Board Certified Plastic Surgeon
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It sounds like you may have a capsular contracture on one side. You need to be examined in person to determine this. If you do have a CC, the surgery is more involved and thus more expensive. Be sure to see a board certified PS in your area.