Why and when is removal and replacement of implants performed?
Breast implants have a life expectancy of 10 – 15 years although this can be longer. If there are no issues with the implants then they will not need to be routinely replaced. However, in some cases following breast augmentation surgery, one or both of the implants may need to be removed and replaced. This can be due to rupturing of the implant or sometimes capsule formation which is caused by collagen fibres within the body creating a capsule around the implant. This can tighten and squeeze the implant which could result in pain, discomfort and affect the aesthetic appearance of the implant.
What does the operation involve?
Following a diagnosis that one or more implants need to be replaced, surgery similar to a breast augmentation is required to remove the affected implant and replace with a new one. This is a more involved procedure than a breast augmentation especially if there is capsular constriction. Surgery is performed under general anaesthetic, usually takes to two to two and a half hours, and can be either a day case or require a one night’s stay in hospital.
When not to have this procedure?
Patients who are actively smoking or on blood thinning medication such as aspirin or warfarin have a higher risk for postoperative complications such as a bleeding, wound infections and delayed wound healing. It is advisable not to consume nicotine in any form for at least two weeks before this procedure and at least two to three weeks after. Medication such as aspirin or warfarin may need to be stopped if they are not absolutely essential at the appropriate time before surgery. This should be discussed with your Consultant or GP.
What are the complications for this procedure?
Removal and replacement of implants presents the same health risks common to any surgery, such as adverse reactions to anaesthesia, haematoma (post-operative bleeding), DVT and infection. Specific complications to implant surgery continue to be rupture of the implant and capsule formation.
FACTS AT A GLANCE
| Surgery time | 2.5 hours |
| Hospital stay | Day case or 1 night |
| Anaesthetic assessment | No |
| Pre admission tests | Yes |
| Sleeping Position | Sleeping on back recommended for 4 weeks. |
| Reasonably mobile | 1 Day |
| Washing | Shower after 1 day. Bath only after 2 weeks.. |
| Driving | 3 Weeks |
| Exercise including gym | 8 weeks |
| Full recovery | 6-8 weeks |
| Time off work | 2 Weeks |
| Bras and garments | Fitted bra worn for 1 week. Sports bra worn for further 2 weeks. Wired bra only after 2 months |
| Long term issues | Risk of capsulation. |