Hi, I have breast implants which are about 22 years old. My left breast has been hurting on and off for about a year, recently I’ve noticed it’s harder and bigger than the right breast. It seems to sit higher that the other breast. My doctor is sending me for a mammogram. Should I be worried?
Answer: Likely capsular contracture. Your descriptions of a hardening of your breast, a shifting of your breast superiorly and some discomfort, are very common with development of capsular contracture. Your doctor is being prudent having you get a mammogram to evaluate your breast tissue. If your mammogram is normal, you should have a discussion with your plastic surgeon about your options to correct your concern.
Helpful 1 person found this helpful
Answer: Likely capsular contracture. Your descriptions of a hardening of your breast, a shifting of your breast superiorly and some discomfort, are very common with development of capsular contracture. Your doctor is being prudent having you get a mammogram to evaluate your breast tissue. If your mammogram is normal, you should have a discussion with your plastic surgeon about your options to correct your concern.
Helpful 1 person found this helpful
Answer: Breasts You probably have a capsule, but a mammogram is good to make sure there is not extra fluid or something unusual. Since your implants are 22 years old, you will need to exchange them if surgery is done.
Helpful
Answer: Breasts You probably have a capsule, but a mammogram is good to make sure there is not extra fluid or something unusual. Since your implants are 22 years old, you will need to exchange them if surgery is done.
Helpful
October 1, 2024
Answer: Capsular contracture Hi, thanks for your question. The symptoms that you describe are most likely secondary to capsular contracture, but other causes need to be ruled out. You should undergo assessment in a breast clinic (typically called a one-stop clinic in the UK) where you will have a physical examination, imaging, and biopsies if they are required. You should have some imaging that will specifically assess the integrity of the implant, for example an ultrasound scan or MRI. It is most likely that this is related to your implant and is not likely to impact your overall health - once other problems have been ruled out then you should consider consulting a plastic surgeon with an interest in aesthetic breast surgery.
Helpful
October 1, 2024
Answer: Capsular contracture Hi, thanks for your question. The symptoms that you describe are most likely secondary to capsular contracture, but other causes need to be ruled out. You should undergo assessment in a breast clinic (typically called a one-stop clinic in the UK) where you will have a physical examination, imaging, and biopsies if they are required. You should have some imaging that will specifically assess the integrity of the implant, for example an ultrasound scan or MRI. It is most likely that this is related to your implant and is not likely to impact your overall health - once other problems have been ruled out then you should consider consulting a plastic surgeon with an interest in aesthetic breast surgery.
Helpful
September 29, 2024
Answer: Breast implants 22 yrs ago - should i be worried? Hi thanks for your enquiry, Your body makes a membrane around the implants called a capsule and this thickens and tightens with time passing. It is often the case that this process does not happen at the same rate in each breast ie one may seem absolutely fine whilst other changes shape and texture and it can also give some pain. This is not a dangerous situation as such, but unfortunately it will not resolve without surgery to remove the old implants. When the implants are removed often part or all of the capsules are removed as well and new implants can be put straight back in. It is usually the advice that patients 40 years old and more should have a mammogram if they are contemplating cosmetic breast surgery of any kind and often also when you go to the breast clinic they will do a ultrasound scan which can spot whether the implant is broken inside (again this is not necessarily a problem but its helpful to know because it makes a stronger case for removing the implants and i think that the NHS will remove implants for you under these circumstances - but they won't put new ones back in). I wish toy success for ongoing treatment. oliver harley plastic surgeon
Helpful
September 29, 2024
Answer: Breast implants 22 yrs ago - should i be worried? Hi thanks for your enquiry, Your body makes a membrane around the implants called a capsule and this thickens and tightens with time passing. It is often the case that this process does not happen at the same rate in each breast ie one may seem absolutely fine whilst other changes shape and texture and it can also give some pain. This is not a dangerous situation as such, but unfortunately it will not resolve without surgery to remove the old implants. When the implants are removed often part or all of the capsules are removed as well and new implants can be put straight back in. It is usually the advice that patients 40 years old and more should have a mammogram if they are contemplating cosmetic breast surgery of any kind and often also when you go to the breast clinic they will do a ultrasound scan which can spot whether the implant is broken inside (again this is not necessarily a problem but its helpful to know because it makes a stronger case for removing the implants and i think that the NHS will remove implants for you under these circumstances - but they won't put new ones back in). I wish toy success for ongoing treatment. oliver harley plastic surgeon
Helpful
September 26, 2024
Answer: Thank you for your question! The body naturally forms a capsule around any foreign object, including implants, it can lead to excessive tightening. While capsular contracture is not fully understood, the solution is to change the implant in order to relive the pain and discomfort, although it doesn’t guarantee this happen again, it will give you the alleviation you need. Hopefully this helps!
Helpful 1 person found this helpful
September 26, 2024
Answer: Thank you for your question! The body naturally forms a capsule around any foreign object, including implants, it can lead to excessive tightening. While capsular contracture is not fully understood, the solution is to change the implant in order to relive the pain and discomfort, although it doesn’t guarantee this happen again, it will give you the alleviation you need. Hopefully this helps!
Helpful 1 person found this helpful