Body rejection of implants.

Question

Is it very common for bodies to reject the inplant. And how does it reject it? What happens? What are the signs? How long after surgery can the rejection start?

Terrence Scamp, MBBS, FRACS · Answer

Hello there Rejection doesn't really happen .Silicone is very inert .Most cases that are called rejection are actually infections .Otherwise people may be referring to hardening  [capsular contracture ]But rejection as such doesn't really exist .CheersTS

Bryson G. Richards, MD · Answer

Thank you for your question.The body does not typically "reject" implants. There are known risks of breast augmentation surgery related to the implants.1. Implants can get infected. In the process of the body fighting the infection, the implant can become exposed, requiring it to be removed.2. Capsular contracture - every patient that undergoes breast augmentation forms a capsular around their implants. The capsule is usually thin, pliable, and moved with the implant. Sometimes, the capsule can become thick, palpable, calcified, and even painful. The capsule can become tight around the implant, distorting the implant. This can occur in anywhere between 3 to 5% of breast augmentation patients. This typically happens within the first 2 years after sugery, but can happy anytime after the augmentation.I hope this helps.- Dr. Bryson Richards

Robert Drielsma, MBBS, BSc, FRACS · Answer

Typically, the body does not 'reject' breast implants.  A rare event soon after surgery can be infection in which case the implants may need to be removed.  This is however extremely rare and I have only needed to do this in 2 patients in over 20 years of breast augmentation practice.   If you have an infection you will typically experience a fever, redness and tenderness of the breast which usually occurs soon after surgery.Many years down the track, a condition known as capsular contraction, or hardening of implants, may occur.    Capsular contracture occurs when the capsular that forms around the implant becomes thick, tight and often painful.  This only occurs in around 3 to 5% of breast augmentation procedures at the 5 to 10 year mark.  If this occurs, you will often feel discomfort and the breast itself may change in appearance as the tissue tightens around the implant.  Capsular contracture may lead you to seek replacement of your implants.

David Mathes, MD · Answer

The body does not actually reject the implant but there are two reaction that can be seen after the placement of implants. The major issues (that might be seen as rejection) are either infection or
capsular contracture. I assume you are talking about capsular contracture. This
usually presents with implant rising up in position as the capsule tightens
about the implant. The rate of contracture appears to be related to the type of
implant, position (under or over the muscle) and the incision made to put the
implant in place (around the areola/nipple somewhat higher for risk of capsular
contracture. The treatment is excision of the capsule and placement of a new
implant. Despite this the contracture can occur again.

Body rejection of implants.

Answers (4)

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