Breast Implant Materials: Safety and Follow-Up Care - Plastic Surgery

Share to:

Breast prosthesis materials


Hello Dr.
Zhou, I underwent a left breast mastectomy and unilateral breast reconstruction surgery with a textured silicone implant in early July last year.
I recently learned that textured implants have been banned.
I would like to know if there is an immediate need for surgery to replace the implant material, given that I have not experienced any discomfort since the surgery.
I have been following up with regular ultrasounds after the surgery, and I just had a mammogram recently, which did not reveal any other issues.
Besides the annual breast monitoring, do I need to visit a plastic surgeon for additional follow-ups or specific examinations? If a follow-up with the plastic surgeon is necessary, how often would be appropriate? Thank you for your response, Doctor.

Niming, 40~49 year old female. Ask Date: 2020/06/12

Dr. Zhou Hongzhang reply Plastic Surgery


1.
For patients who have undergone breast reconstruction with implants, in addition to the annual breast surveillance, they can also visit a plastic surgeon for follow-up (self-paid MRI), approximately once every 1-2 years.

2.
For textured implants, an initial assessment can be made, and if necessary, a revision surgery to change the material can be performed.

3.
Thank you.

Reply Date: 2020/06/12

More Info


Hello! Thank you for your question regarding breast implant materials and follow-up care after your breast reconstruction surgery. It's great to hear that you have been proactive about your health and have been keeping up with regular check-ups, including ultrasounds and mammograms.

To address your concern about the use of textured silicone implants, it's true that some textured implants have been associated with a rare type of lymphoma known as Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). However, if you are currently asymptomatic and have not experienced any complications, there may not be an immediate need to replace your implants. The decision to undergo surgery to replace your implants should be made in consultation with your plastic surgeon, who can assess your individual situation and provide personalized recommendations.

In terms of follow-up care, it is essential to continue with your annual mammograms and any other imaging studies recommended by your healthcare provider. While routine imaging is crucial for monitoring breast health, it is also advisable to have regular follow-ups with your plastic surgeon. The frequency of these visits can vary based on individual circumstances, but a common recommendation is to see your plastic surgeon at least once a year after your initial surgery. During these visits, your surgeon can evaluate the condition of your implants, assess for any signs of complications, and discuss any concerns you may have.

If you experience any new symptoms, such as changes in breast shape or size, persistent pain, swelling, or any unusual lumps, you should contact your surgeon immediately, regardless of your scheduled follow-up. These could be signs of complications that need to be addressed promptly.

In addition to regular check-ups, it is also important to maintain a healthy lifestyle, which includes a balanced diet, regular exercise, and avoiding smoking, as these factors can influence your overall health and recovery. Staying informed about the latest developments in breast implant safety and any potential risks associated with your specific type of implant is also beneficial.

Lastly, if you have concerns about the materials used in your implants or the potential need for replacement, don't hesitate to discuss these with your plastic surgeon. They can provide you with the most current information regarding implant safety and the options available to you.

In summary, while there may not be an immediate need to replace your textured silicone implants if you are asymptomatic, it is essential to continue with regular monitoring and follow-ups with both your plastic surgeon and your primary care provider. Regular check-ups will help ensure that any potential issues are identified early, allowing for timely intervention if necessary. Thank you for prioritizing your health, and I wish you continued well-being!

Similar Q&A

Post-Dental Implant Care: Exercise, Diet, and Material Quality

Hello Doctor, I would like to ask if I should avoid exercising, such as running, after getting dental implants. Should I pay special attention to eating, rinsing my mouth, and brushing my teeth? Are there different qualities of materials used for implants, and are those from the ...


Dr. Wu Jinjun reply Dentistry
Hello: On the day of dental implant surgery, it is best to avoid vigorous exercise, especially water activities such as swimming. Dietary recommendations include avoiding hot soups and spicy foods, and it is advisable to use mouthwash to assist with oral hygiene. The material for...

[Read More] Post-Dental Implant Care: Exercise, Diet, and Material Quality


Breast Augmentation Concerns: Risks, Maintenance, and Lifestyle Impact

Hello, I am a 21-year-old woman with a flat chest, approximately a size 32A. I have lacked confidence due to my flat chest and would like to ask the following questions regarding breast augmentation: 1. My grandmother passed away from breast cancer. Does this mean I cannot under...


Dr. Luo Qihua reply Plastic Surgery
1. If you have a direct relative with breast cancer, it is important to pay close attention to your own breast health and perform regular breast self-examinations. If you notice any lumps, you should promptly consult a doctor for further evaluation. However, this situation does n...

[Read More] Breast Augmentation Concerns: Risks, Maintenance, and Lifestyle Impact


Silicone vs. Saline Implants: Understanding Breast Augmentation Options and Risks

What are the differences between silicone and saline implants for breast augmentation? What methods are currently used domestically, and what are the associated risks?


Dr. Luo Qihua reply Plastic Surgery
The shapes of the implants are the same, but the contents differ, and there is no difference in the surgical technique. Postoperatively, silicone implants generally feel slightly better, but silicone leakage can potentially lead to autoimmune diseases such as lupus erythematosus....

[Read More] Silicone vs. Saline Implants: Understanding Breast Augmentation Options and Risks


Understanding Fibroadenomas: Post-Surgery Care and Recovery Tips

Hello, doctor. At the end of May, I had a biopsy on both sides of my breasts which revealed a fibroadenoma and a fibrocystic change. I have since undergone surgery to remove them, and my wounds are still covered with silicone gel. However, the areas around my nipples are healing,...


Dr. Chen Bingze reply Surgery
As long as the surgical area is confirmed to be free of postoperative hematoma, it is normal for there to be an inflammatory response after surgery, which may cause hardness in the area. If the silicone tape has been in place for more than three weeks, it can actually be removed,...

[Read More] Understanding Fibroadenomas: Post-Surgery Care and Recovery Tips


Related FAQ

Breast Augmentation

(Plastic Surgery)

Breast Examination

(Plastic Surgery)

Face

(Plastic Surgery)

Chest

(Plastic Surgery)

Cheekbone

(Plastic Surgery)

Orbital Fracture

(Plastic Surgery)

Breast Fibroma

(Surgery)

Wound

(Plastic Surgery)

Accessory Breast

(Surgery)

Rhinoplasty

(Plastic Surgery)