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Breast Implants
Length of Time Breast Implants Last?
With many of the original formulations of the implant shells (which are silicone regardless of whether you have silicone implants or saline implants) the quoted amount of time was an average of 10-15 years. This number was based on reoperation rates and it is important to remember that these re-operation rates included all reasons. Indications for reoperation for patients with breast implants include: 1. capsular contracture or scar tissue forming around the breast 2. undesireable appearance of the breast implants - patient wishes to be larger, smaller or does not want implants anymore 3. implant rupture or leak 4. implant infection Implant rupture is only one of several reasons that people have revision surgery. The new implant shell formulations probably last longer than older shells but many of the other reasons that people have surgery still contribute to that average of patients having revision surgery every 10-15 years.
Clinical Context
How long implants last varies from person to person. Factors like capsular contracture, changes in breast tissue from weight change or pregnancy, and natural settling can all affect when revision surgery becomes necessary. Two patients with the same implant type and placement date may need surgery at very different times because their bodies respond differently. Routine imaging, such as ultrasound or MRI, helps detect implant rupture or other changes early, even before symptoms appear, which is why periodic follow-up is recommended.
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