Can you get BIA -ALCL at a later date after explant?

There have been some cases reported of BIA-ALCL occurring several years after textured implants and capsules were removed. However, in these women, they had kept their textured implants for many years. With less than a year in place, your capsule was not even completely formed. I suspect your risk is much lower than the other women, but I have heard no statistics about someone like you. You could get a yearly ultrasound and breast exam to check for this tumor.

Hello, thank you for your question. I have attached a detailed video that specifically answers your question. BIA-ALCL is a rate form of cancer that is associated with breast implants, particularly textured implants. It primarily affects the immune system and can develop in the tissue around the implant. The risk of developing BIA-ALCL decreases significantly once the implants are removed, particularly if no cancer cells are present at the time of explant. If you have textured implants, the risk is higher, but if the implants have been in place for less than a year, the likelihood of developing BIA-ALCL is lower. Regular monitoring and awareness of any unusual changes are important in the years following explant surgery, and annual check-ups with your healthcare provider will help detect any potential issues early on. If you notice any abnormal symptoms, you should seek medical attention promptly for evaluation.

Dear BAquestions23 thank you for a very interesting question.

The management of BIA-ALCL remains a subject of ongoing research. BIA-ALCL has occurred in women who have undergone explantation without a capsulectomy, while a simple capsulectomy at the time of implant removal is not known to change the risk of developing BIA-ALCL. Therefore, current recommendations involve removing the implant and complete capsule, along with any associated mass and a rim or margin of surrounding healthy tissue, known as an en-bloc capsulectomy.

It's crucial to discuss any concerns with your surgeon and undergo evaluation if you observe changes in breast volume or the development of a seroma (fluid collection). Seeking timely medical attention can aid in early detection and appropriate management of potential complications associated with breast implants.