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Can Breast Implants be Reused During Revision Surgery?

Breast revision surgery in San Francisco

Many women ask if it is possible to reuse their breast implants during breast revision surgery. In some cases it may be possible, it depends on the reason for revision surgery and the condition of the breast implants. The primary concern is proper sterilization of the implants.

Breast Implants May Have Bacteria

If the reason for the revision is with the implants themselves, replacement is necessary. Implants that have ruptured or deflated must be replaced. If a revision is due to capsular contracture, implants should be replaced because it is possible a layer of bacteria has developed on the surface that may not be entirely removed, increasing the risk of capsular contracture forming again.

Age of the Breast Implants Makes a Difference

If the implants are less than 5 years old and there is no issue of contamination or rupture, there are some situations the implants can be used again such as; malposition, bottoming out and symmastia. If implants are over 5 years old, there is less usable life left, and they should be replaced.

In the hands of an expert breast revision surgeon such as Dr. Miguel Delgado, M.D. the pockets may be adjusted, sterility maintained, and the implants reinserted.

Implants do not need to be retreated for sterility as long as sterility is maintained during revision surgery.

Ask About Breast Implant Warranty

The manufacturers of breast implants give a lifetime warranty on their implants and will replace them at no charge if there is a deflation or a rupture. If a more expensive implant is chosen for replacement, the patient is only required to pay the difference. Manufacturers state that their implants are for a one time use only and reusing them will void the warranty.

 Breast Implant Deflation

Before and After Saline Breast Deflation

Dr. Delgado uses Mentor implants for his patients. When scheduling surgery ask about Mentor’s Enhanced Protection Plan that offers 10 years of financial assistance for surgical and operating room costs should revision surgery be necessary.

There are exclusions to Mentor’s replacement warranty, Dr. Delgado’s staff will be happy to give you details. Call today (415) 898-4161 for a breast revision consultation with Dr. Delgado.

Breast Revision Surgery, Choosing a New Implant

 

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

 

 

 

 

 

 

 

★★★★★  Ratings: 4.74 -118 Reviews

 

 

Reasons for Changing  Breast Implants

 

Dr. Delgado emphasizes to his San Francisco breast revision patients that they will most likely need breast revision surgery at least once in their lifetime and maybe more.

There can be several different reasons for the need of breast revision surgery, the main one being that women want to change the size or type of implants. Other reasons include; capsular contracture, deflation of saline implants, rupture of silicone implants, shifting of position of the implants and changes in the breasts due to aging or weight fluctuations.

Breast implants are always evolving and being improved. If breast revision surgery is to be scheduled, many women opt to change the type of implant to be used. Depending on the issue a woman is having, will help determine the choice for new implants. For example, if a woman with saline implants has wrinkling, she may want to change to silicone.

With so many choices available, a woman needs to have an evaluation with a Board Certified Plastic Surgeon, who specializes in breast surgery, to help guide her to make the right selection for her individual situation.

Silicone or Saline Breast Implants?

Saline implants have an advantage in that the size can be adjusted during surgery as they do not come pre filled as silicone implants do. Saline implants are less expensive and can be inserted through a smaller incision. The advantage of silicone implants is a more natural feel and appearance. Today, 80% of women choose silicone over saline.

Moderate, Moderate Plus or High Profile Breast Implants?

 

The difference between these implants is their diameter and projection. A woman’s chest size will determine which profile is best suited for her.

Smooth or Textured?

 

The majority of implants used today are smooth. The textured implants were designed to reduce the incidence of capsular contracture and appear to do so but only when the implant is placed above the muscle. The disadvantage of a textured implant is a thicker shell which may be more visible through the skin and more easily felt.

Round or Anatomical?

 

Most implants are round, but there is a teardrop shaped or anatomical. The anatomical are textured and therefore have the disadvantages of the textured implants.

With all the variables of breast implants, it is important to choose your surgeon carefully, be sure to ask to view before and after pictures of actual patients.

 

Saline to silicone

Saline to silicone

Dr. Delgado has been performing breast revision surgery since 1988, if you are in need of breast revision surgery, call today (415 898-4161) or email (info@dr-delgado.com) for  a consultation.

How Long will Breast Implants Last?

Implant deflation

San Francisco, CA – A 22 year old resident of Sacramento, CA presented to the Union Square San Francisco office for breast revision surgery. Her normal saline implant on the left side was a complete deflation. She had replacement of her normal saline implants with 420cc silicone implants under the muscle.  The lower pole of the breasts are stretched showing signs of bottoming out. She did not want correction of this deformity.

When contemplating breast augmentation surgery, many Marin County women ask Dr. Miguel Delgado how long breast implants will last. There is no way to know how long as it is different for everyone. There isn’t an expiration date on them. Implants are not biodegradable, they are designed to last forever, and technically they could. However, other factors such as the age of the woman and the condition of her skin and muscles and the ensuing sagging of the breast will determine when the implants may need to be exchanged. Some women may need a breast lift when they have breast revision surgery.

If you are not having a problem with your implants, they do not need to be replaced; however, you should be prepared to have breast revision surgery at least once in your life, and maybe more.

Basically, all breast implants have the same design. They are made up of a silicone envelope and filled with either saline or silicone gel. Breast implants can develop a tear or hole. Ruptures or deflations can happen if there is a severe blow to the chest. If implants are old, it is possible that they can rupture during a mammogram. Saline implants have a valve. If the valve is defective, or breaks, it will deflate, as pictured above.

Recent advancements for breast implants have made them safer and longer lasting than ever. Breast implant manufacturers stand behind their products and give them a lifetime replacement guarantee. They also extend a ten year warranty for reimbursement of some of the surgical costs, if breast revision surgery becomes necessary.

If you are having issues with your breast implants, you are encouraged to call (415 898-4161) or email (info@dr-delgado.com)for a consultation with Dr. Delgado.

Does Breast Revision Surgery Cost More or Less than the Original Surgery?

Saline to Silicone

A. 43-year-old mother of two resident of Santa Rosa, California who presents to the Marin County office for breast revision surgery. She underwent breast augmentation in 2001 using 300cc normal saline breast implants inflated up to 360cc. She developed a slow leak on her right side. She underwent removal of the saline implants and replacement with 500cc moderate-plus Mentor gel implants. Note the overall fullness and nice symmetry of her breasts. Her surgery was performed at Dr. Delgado’s private surgical facility, Marin Cosmetic Surgery Center in Novato, Marin County, California

This question comes up frequently on RealSelf.com, but there isn’t one definitive answer. There are many different reasons for breast revision surgery as you will notice under the procedure section of this website.

One of the main reasons a patient has a breast revision is because she is dissatisfied with the size of her breasts, Dr. Delgado does not have this happen very often as he reviews size with the patient very carefully and has her do the rice test.  If breast implant exchange is done in the first year, Miguel Delgado, M.D. does not charge a professional fee, but there will be fees for new implants, anesthesia and the surgery center.

Breast revision surgery can be quite complicated, if the breast implants are silicone and have ruptured, it is a very tedious and time consuming procedure to remove the silicone. This is less of a problem with the newer cohesive gel implants as the gel mostly will retract back into the implant envelope. If a deflation or rupture has occurred, it is possible that the manufacturer will replace the implants at no cost and may contribute to surgical costs if it has happened within 10 years of the original surgery.

Some women will want to have the location of the implants changed from over the muscle to under the muscle; they may want to change to silicone from saline or vice versa. For “bottoming out” problems, the internal pocket may need adjustment.  It is possible that a woman will need a breast lift at some point in the future.

It is important for women to be aware that breast augmentation surgery is rarely a one-time procedure. The breast revision cost will vary greatly depending on what corrective procedure is done. The bigger concern than the cost should be in the selection of the right surgeon. In addition to being a Board Certified Plastic Surgeon, the patient should be seeking out a surgeon that has much experience with breast surgeries. It is possible to get a lot of information on the internet about different surgeons, look at their website for before and after pictures, read reviews posted by other patients. Prepare ahead of time for your consultation with a list of questions. Do not hesitate to ask the doctor what procedure he/she recommends for you and how it would be performed.

email and phone iconDr. Miguel A. Delgado is an expert breast revision specialist having done hundreds of complicated cases. Call (415 898-4161) or email (info@dr-delgado.com) today to schedule a consultation for your breast revision concerns.