Implant Removal - Removing Breast Implants
Removing silicone gel or physiological liquid implants is sometimes necessary when the corrections on the operated breasts are complex, when the periprosthetic shell presents itself very early (less than 6 months post-operatively) or when the patient wishes it (new personal requirements). Certain conditions of discontinuous swelling and water production (seroma) may require the removal of implants. Often this is due to poor tolerance to texturing (implant shell)
It should be considered that when implants are removed late, the breast does not have the same curve that it had before the implant was placed. Slight tissue atrophy is often present and the tissues are often sagging. A breast lift may be recommended in this type of situation.
In case of early shell or after multiple operations, the exploitation of the implant may be a preferable solution. Each case is treated in its particularity.
In case of breast implant removal, it is possible to reinject the patient's own fat into the breasts in order to regain sufficient volume for the patient's wishes. Several injection sessions under general anesthesia can restore sufficient volume for the patient's requirements.
A precise pre-operative assessment will be presented to the patient pre-operatively.
Removal of macro-textured implants :
Should macro-textured implants be removed before complications occur?
It is difficult to give recommendations at this stage of ongoing studies and given the particularly low risk of anaplastic large cell lymphoma.
Several things are to be considered:
- If the age of the implant approaches ten years
-If the implant is ruptured
-In case of significant swelling of the breast (seroma)
-When the patient no longer wishes to have implants
-When the breasts have significant asymmetry (frequent rotation)
-In case of significant anxiety on the part of the patient
-Is this an Allergan ® implant?
All these elements must be considered during the consultation in order to establish the best indication for the patients.
Case-by-case management is the best approach to this situation, which worries a large number of patients.
