Breast Surgery & Procedures
Removal of Old Implants With or Without Replacement:
Whether implants were originally placed for cosmetic or reconstructive reasons, they will most likely need to be replaced at some point during a patient’s lifetime. This can be due to deflation, rupture, malposition or infection. Natural aging of the breast over the implant may also be a reason for replacement. Alternatively, implants can be removed entirely and the native breast tissue reshaped to restore natural contour. Often patients choose to replace older saline implants for the cohesive silicone gel implants.
Procedure Length:
1.5 to 2.5 hours.
Anesthesia:
General anesthesia usually outpatient surgery.
Side Effects:
Temporary soreness, swelling, change in nipple sensation, bruising. Breast sensitive to stimulation for a few weeks.
Risk:
Infection. Asymmetry. Tightening & hardening of scar tissue around the implant (capsular contracture), or rupture of implant; either may require surgery to release the scar tissue, to remove or replace the implant. Decrease in sensitivity of nipples or breast skin, occasionally permanent. Accurate mammogram requires special technique.
Recovery:
Tasks of daily living may be resumed immediately. Back to non-strenuous work (no lifting greater than 10 lbs) in 5 to 7 days. No strong pushing, pulling or repetitive upper body movements for 3 weeks.
Exercise:
Resume 1/3 intensity at 3 weeks. Low impact activities at 1/3 duration of exercise, repetitions, amount of weight and pulse rate. 2/3 intensity at 6 weeks. Full intensity including high impact (running, horse back riding, high impact aerobics) at 8 weeks.
Fading & Scar Improvement:
6 to 12 months.
Swelling:
Moderate/Significant 4 weeks, Subtle/Mild 2 to 3 months, all of which are dependent upon extent of procedure(s).
Duration of Results:
Variable. Implants may require removal or replacement at some time in the future. This time frame is usually years or decades.
Office Visits:
1st 5 to 7 days / 2nd Visit 10 to 14 days. 4 to 5 the first 3 months then yearly.
Garment Worn:
Support as needed for 6 weeks.
Pain Meds:
Ibuprofen or Narcotics as needed.
Post-Operative Care
Tasks of daily living may be resumed immediately. Back to non-strenuous work (no lifting greater than 10 lbs) in 5 to 7 days. No strong pushing, pulling or repetitive upper body movements for 3 weeks.
Estimated Costs
$6,800 to $9,200. Includes surgeon, operating room & anesthesia. Removal may be covered by insurance.
Testimonials
“What can I say? You’re awesome! Thanks to you and your staff for taking good care of me and for always being so welcoming.” – CM