Introduction:
Replacing breast implants is a common procedure undertaken by women for various reasons, such as implant rupture, desire for size change, or addressing complications. This article aims to provide a comprehensive guide to replacing breast implants from both the perspective of the patient and the plastic surgeon.
1. Understanding Breast Implant Replacement:
When considering breast implant replacement, it is essential to consult with a qualified plastic surgeon who specializes in breast augmentation. They will assess the current condition of the implants, anatomical characteristics, and discuss the desired outcome.
2. Reasons for Implant Replacement:
a) Implant Rupture: Saline and silicone implants may rupture over time, leading to deflation or leakage. If the rupture occurs, implant replacement is necessary to restore the aesthetic appearance of the breasts.
b) Capsular Contracture: This occurs when scar tissue around the implants tightens, causing discomfort and distortion of breast shape. In such cases, the implants are replaced, and the capsule is surgically removed.
c) Size Change: Some women may desire a change in implant size due to personal preferences or lifestyle changes. Implant replacement provides an opportunity to achieve the desired breast size.
3. Preparing for Breast Implant Replacement:
Before the procedure, the plastic surgeon will conduct a thorough examination, review medical history, and discuss expectations. Pre-operative tests such as mammogram, ultrasound, or MRI might be required to evaluate breast health, detect any abnormalities, and ensure the suitability for surgery.
4. Implant Options:
a) Saline Implants: Saline-filled implants are inserted empty and then filled with a sterile saline solution. They offer adjustable volume and are generally less expensive.
b) Silicone Gel Implants: Silicone gel-filled implants provide a softer feel and more natural appearance. They are available in various sizes and profiles to cater to individual needs.
5. Surgical Technique:
The surgical technique for implant replacement is similar to the initial breast augmentation procedure. The surgeon will make an incision to access the implant, remove the old implant, address any issues with the surrounding tissue, and insert the new implant. The incision can be made in the inframammary fold, periareolar, or axillary region.
6. Implant Placement:
Implants can be placed either submuscularly, under the chest muscle, or subglandularly, above the muscle but behind the breast tissue. The decision depends on factors such as implant size, existing breast tissue, and individual preferences, which should be discussed with the surgeon.
7. Recovery and Post-Operative Care:
Following breast implant replacement surgery, patients may experience temporary discomfort, swelling, and bruising. The surgeon will provide specific post-operative instructions regarding pain management, activity restrictions, and the use of compression garments. Regular follow-up visits will be scheduled to monitor healing progress and address any concerns.
8. Financial Considerations:
The cost of breast implant replacement varies depending on several factors, including the surgeon's expertise, geographical location, implants chosen, and additional procedures required. In the United States, the cost typically ranges from $5,000 to $10,000, in the United Kingdom from £4,000 to £8,000, in Canada from CAD 8,000 to CAD 12,000, in Australia from AUD 8,000 to AUD 15,000, and in Brazil from BRL 15,000 to BRL 25,000.
Conclusion:
For women considering breast implant replacement, it is crucial to consult with a board-certified plastic surgeon who can assess individual needs and provide appropriate recommendations. Keeping in mind the reasons for replacement, implant options, surgical techniques, and post-operative care will ensure desired outcomes and a successful recovery.
References:
1. American Society of Plastic Surgeons. (2020). Breast Augmentation. Retrieved from https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation
2. British Association of Aesthetic Plastic Surgeons. (2021). Breast Augmentation. Retrieved from https://baaps.org.uk/procedures/breast-augmentation/
3. Royal Australian College of Surgeons. (2019). Breast Augmentation Surgery. Retrieved from https://www.surgeons.org/patients/surgical-procedures/breast-augmentation-surgery/
