Today I had the pleasure of ridding a lovely patient of 40 year old silicone implants. With older, ruptured implants like this it is so helpful to remove them En Bloc (implant and capsule in one piece) to prevent the silicone from getting everywhere. Check out the white calcification inside the capsule. They form from the chronic inflammation caused from the broken implant. This is why we recommend exchanging your implants on a schedule to prevent this!
This is a great question, until the patient is no longer healthy enough to tolerate the operation and the risk is not worth it. People can safely have surgery into their 70’s and 80’s! Each generation of implants are sturdier and last longer. Hopefully in the future we will have implants that last 30+ years.
That is the official recommendation from the FDA. I think it’s reasonable to stretch it out to 15 in the right patient.
That is a great option!
If they are silicone it’s time to start thinking about it. Not an emergency but a good idea for the next few years.
No harm leaving saline in if you are happy with them! Risk of rupture will still be there, but saline are less problematic if they rupture in you. Also, you will know because your breast will shrink!
These are the older implants and were very old. The current generation managed properly are safe and a great option!
If they are silicone yes, we still recommend changing them out to prevent rupture and it’s related complications. Also, if you are a reconstruction patient they typically do pay for it!
Chronic inflammation around the implant. The internal silicone gel is irritating to the body. Chronic inflammation of all sorts can lead to calcium deposits like this regardless of where it is in the body.
It can be implant malposition or contracture, but also can be just how that particular patient is made.