Reasons Patients Consider Breast Implant Removal
There is no single reason patients choose to remove their breast implants. Some reasons are clinical in nature, while others relate to changes in personal preference over time.
Reaching the typical implant replacement timeframe: Breast implants are not designed to be permanent, lifetime devices. According to the Therapeutic Goods Administration (TGA), the Australian regulator responsible for medical devices, breast implants are typically replaced or removed approximately every 10 to 15 years. Some patients choose to have their implants removed at this point without replacement, while others opt to have them replaced with new implants.
Capsular contracture: The body forms a natural capsule of scar tissue around any breast implant. In some patients, this capsule tightens and hardens around the implant, a condition known as capsular contracture. This can cause discomfort, distortion of breast shape, or firmness, and is a common reason for implant removal.
Implant rupture or deflation: Over time, an implant shell can develop a tear or leak, which generally requires removal. Modern silicone implants are designed to minimise the spread of silicone in the event of rupture, but the implant should still be removed when this occurs.
Breast Implant Illness (BII) symptoms: Some patients report a range of systemic symptoms they suspect may be associated with their implants, sometimes referred to as Breast Implant Illness. This is an area of ongoing clinical investigation, and patients experiencing such symptoms may consider implant removal as part of their care plan.
BIA-ALCL concerns: Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) is a rare cancer associated with certain types of breast implants, particularly textured implants. The TGA publishes ongoing guidance on BIA-ALCL, and patients with concerns about their implant type may consider removal in consultation with a qualified Specialist Plastic Surgeon.
Change in personal preference: Many patients reach a point where they no longer wish to have implants, regardless of any clinical concern. This may relate to changes in lifestyle, body image, or how they feel about their bodies more generally. There is no requirement to provide a specific reason for considering implant removal beyond personal preference.
A Breast Implant Removal Consultation
Before any breast implant removal surgery, patients will attend a consultation with Dr Terrence Scamp. The consultation is an opportunity to discuss the reasons for considering removal, examine the existing implants and breast tissue, and determine the most appropriate surgical approach.
Patients are encouraged to bring any documentation relating to their existing implants, including the implant type, size, manufacturer, and date of placement. This information helps inform the surgical plan and may be relevant if the implant type has been the subject of TGA advisories or recalls.
Dr Scamp typically conducts a two-stage consultation process prior to breast implant removal surgery. This allows time to discuss the surgical plan, review options, and consider any additional procedures (such as a breast lift or fat grafting) that may be appropriate, before a final decision is made about proceeding.
The risks and recovery associated with breast implant removal will be explained in full so patients can make an informed decision before proceeding.
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