Implants replacement, one of patients’ major concerns
Most woman receiving breast implants are very concerned about the need of a second and even a third surgery after the first implants in order to replace the prosthetic material. Such concern comes from the fact that some years ago, the life period of a mammary implant was near 10 years and afterwards it was necessary to perform a breast revision surgery, the technical name for a breast implant replacement.
After several years with such needs, many assume that breast revision is mandatory in all cases, however due to new, enhanced materials the life period of a mammary implant is much longer, exceeding in some cases 20 years. Thus, if there’s no medical indication, replacement surgery is not necessary unless the patient wishes to change her implants size or shape.
Among the most common medical situations requiring breast revision we found are implant ruptures (this could be due to a direct trauma or material failure), tightening of the scar tissue surrounding the implant, known as capsular contracture and changes on the mammary gland fat and skin, leading to a condition known as mammary ptosis where breast tissue falls below the implant level leading to a double curvature, the one produced by the implant and the second due to the mammary tissue. This last condition is seen usually with small, low profile implants or when a patient suffers from dramatic weight gain or lose after implants surgery.
With the aforementioned in mind it remains clear that breast revision is not a routine procedure anymore and that a patient may not need an implant replacement after the first surgery unless a personal choice for a change or the presence of a medical condition requiring mandatory revision. In many cases, concerns about second and third surgeries are put to rest with the modern advancement in this type of procedure.
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