As the old breast implants are removed, new implants are inserted to replace them.
Generally about the treatment
Breast implants can last for many years, but they won't last forever. Due to this, it's necessary for those who wish to preserve their size to have their implants replaced after 10-15 years.
In some cases the replacement of the implants is performed prematurely, because the patient is unhappy with the result of their original breast enlargement. The patient may wish to have them replaced with larger or smaller implants.
In other cases, a patient can wish to have their implants replaced due to capsular contracture. This condition occurs when excess scar tissue is formed around the implants, which then results in a hard and ball-shaped implant - often with a deformed appearance.
Suitability
Fit and healthy men and women over the age of 18, who have previously had breast implants inserted, and who wish to have them replaced.
Persons who have been diagnosed with cancer or early stages of this, who have an active infection in the body, who are pregnant or breastfeeding, or who suffer from autoimmune illnesses, such as lupus or scleroderma are not suited for this treatment.
The procedure
The surgeon will make an incision either around areola (the dark area around the nipple), underneath the fold of the breast, or under the armpit.
If the implant is made from silicone, the surgeon will check if the implant has burst, prior to removal. If the implant is made from salt water, the implant will be drained, thereby making it easier to remove.
The surgeon will then remove the implants and the surrounding scar tissue, and will then insert the new implants.
Anaesthesia
Replacement of breast implants is usually done on an outpatient basis, but it can also be performed under general anaesthesia and with a brief stay at the hospital.
Side-effects
Temporary soreness, swelling, bruising, as well as changes in the sensitivity of the nipples. A permanent scar will incur.
Risk of complications
There is a risk of damaging the nerve supply to the nipple area, which can lead to an altered sensation in the area.
There is a risk of tissue reaction around the implants, as well as tissue death. The implant may burst. This only happens very rarely though, but it could mean that further surgery will be necessary.
There is a risk of side effects from the anaesthetic used, along with bleeding, poor wound healing, a poor cosmetic result, and blood accumulation.
No form of surgery is risk free, although severe complications are very rare.
Healing and recovery
Work can be resumed after a few days. As a general rule, the patient should refrain from heavy lifting, strenuous exercise, sports, and sex for about 3 weeks.
Physical contact with the breasts: after 3-4 weeks. The scar will slowly fade over time, but be aware that it will never disappear completely.
Duration of the result
The implants will usually last for 10-15 years, whereafter they will need to be replaced again.