Breast implants, the medical devices used in breast augmentation, have become more and more popular, offering a way to change the size and shape of your breasts. When you’re thinking about getting breast implants, it’s important to consider how long they’ll last. This isn’t just a short-term change; it’s a decision that will be part of your life for many years to come.
In this blog, Melbourne Plastic Surgeon Dr Carmen Munteanu will give you a clear picture of what you can expect from your breast implants over time. She will cover the typical lifespan of implants, factors that can affect their durability, and when you might need to think about replacing them.
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The Expected Lifespan of Breast Implants
When you get breast implants, it’s reasonable to ask how long you can expect them to last. The general agreement among experts is that breast implants typically hold their shape and integrity for between 10 to 20 years. This isn’t a hard and fast rule, though, as some may find their implants remain in top condition for longer, while others might need attention a bit sooner.
It’s key to understand that breast implants are not designed to last a lifetime. The Theraputic Goods Administration (TGA), which oversees medical devices in the Australia and whose guidelines are respected globally, is clear on this point. While your implants don’t come with a use-by date, they’re also not something you can set and forget. Just like any significant investment in your health and appearance, they require monitoring and occasional maintenance.
So, as you consider breast augmentation, remember that while the changes to your body will be significant, they won’t last forever. It’s a long-term commitment, and being aware of the expected lifespan of your implants is an important part of that journey.
Types of Breast Implants and Their Durability
When you’re looking into breast implants, you’ll come across two main types: silicone and saline. Each has its own set of benefits and a track record for durability.
Silicone implants are filled with a silicone gel that feels quite similar to natural breast tissue. The latest in silicone implant technology is the “gummy bear” implant, so named because of its cohesive gel that, much like the candy, holds its shape even when cut. These implants are less likely to wrinkle or fold, and they’re known for their ability to maintain shape and firmness over time.
Saline implants, on the other hand, are filled with a sterile saltwater solution. They are inserted empty and filled once in place, which can mean a smaller incision is needed. A key point with saline implants is that if they leak, the body can absorb the saline safely. However, the implant will noticeably deflate, and you’ll need to have it replaced.
Advancements in implant technology have significantly improved both the safety and the lifespan of these devices. The shells are now made of more robust materials, and the fillings are designed to stay intact for longer. Plus, the manufacturing process is more refined, ensuring higher quality and consistency.
Prolonging the Life of Your Breast Implants
To keep your breast implants in top condition for as long as possible, there are several steps you can take. By following these tips, you can help extend the life of your implants and enjoy your results for longer.
Follow Post-Operative Care Instructions: After your surgery, Dr Carmen will give you a set of guidelines to help with your recovery. It’s important to follow these to the letter. This includes caring for your incisions, managing swelling, and avoiding certain activities that could strain your chest
Wear the Right Support: A good support bra is not just for post-surgery. Wearing one that fits well can help maintain the position of your implants and reduce the strain on your skin and tissues
Maintain a Stable Weight: Significant weight gain or loss can alter the appearance of your breasts and put pressure on your implants. Keeping your weight stable can help maintain the aesthetic results of your breast augmentation
Live Healthily: A balanced diet and regular exercise can keep your skin and tissues healthy, which in turn supports the integrity of your breast implants. Smoking, on the other hand, can impair healing and affect the health of your skin, so it’s best avoided
Regular Medical Follow-Ups: Make sure to attend all scheduled follow-up appointments with Dr Carmen. These are vital for monitoring the condition of your implants and catching any potential issues early on
By taking these steps, you can help ensure that your breast implants last as long as possible and reduce the likelihood of needing early replacement.
Signs and Symptoms of Ageing Implants
As time goes by, even the best breast implants may show signs of ageing. It’s important for you to recognise these signs so you can take appropriate action.
Recognising the Signs of Wear and Tear: Just like any product, breast implants can wear out. You might notice changes in the shape or feel of your breasts, or you might see some asymmetry developing where there was none before
Capsular Contracture and Its Impact: This condition, where the scar tissue around the implant tightens, can change the shape and feel of the breast and may indicate that your implants are ageing. If your breasts start to feel unusually firm or start to look distorted, it’s time to talk to Dr Carmen
Rupture and Deflation: Keep an eye out for any sudden changes in the size or shape of your breasts, especially if you have saline implants, as these will deflate if they rupture. Silicone implants may not show such obvious signs, so regular scans as recommended by your plastic surgeon are important
Aesthetic Changes over Time: Your body changes as you age, and so will the appearance of your implants. Changes in your skin’s elasticity or breast tissue can affect the look of your breasts. If you’re not as happy with the appearance of your implants as you once were, it might be time for a check-up
If you notice any of these signs, it’s a good idea to book an appointment with Dr Carmen. She can assess your implants and advise you on whether it’s time for them to be replaced or adjusted.
Complications and Risks
When you choose to have breast implants, it’s important to be aware of the possible complications and risks that can occur after the surgery. These can happen soon after your operation or develop over a longer period.
Short-term complications post-surgery
In the days and weeks following your surgery, there are several common issues you might face. Swelling and bruising are typical and should lessen as you heal. Pain is also to be expected, but Dr Carmen will give you advice on how to manage it. Sometimes, you might notice an infection or bleeding at the site of the surgery. If you see any signs of infection, such as redness, discharge, or if you have a fever, you should get in touch with your plastic surgeon right away.
Another possible short-term problem is a reaction to the anaesthesia. While most people don’t have issues with this, it’s something to be mindful of and discuss with your anaesthetist before the procedure.
Long-term risks associated with breast implants
With time, you might encounter other issues with your breast implants. The outer shell of the implant can break down, leading to a leak or rupture. If you have saline implants, your body will absorb the saltwater safely, but you’ll notice a change in the shape and size of the breast. With silicone implants, it can be harder to tell if there’s a leak since the gel may remain within the breast tissue or escape into the body.
Another long-term risk is capsular contracture. This happens when the scar tissue around the implant tightens, which can cause discomfort or change the breast’s shape. It’s also possible for the implant to shift position, which might lead to an uneven appearance.
Download Dr Carmen’s Guide to Breast Augmentation with Implants
Guide Breast Augmentation
The Breast Implant Replacement Process
Deciding to replace your breast implants is a significant step. If you’re noticing signs of ageing in your implants, or if you’re experiencing discomfort or a change in appearance, it might be time to consider replacement.
When to Consider Breast Implant Replacement: If your implants are causing you trouble, or if they’ve reached the end of their expected lifespan, it’s worth discussing replacement options with Dr Carmen. Other reasons might include a desire for a different size or shape, or a change in your natural breast tissue
The Surgical Process of Replacement: What to Expect: The procedure for replacing breast implants is similar to your original surgery. Your plastic surgeon will likely use the same incisions to remove the old implants and insert new ones. You’ll be under anaesthesia, and the surgery takes a few hours
Recovery and Healing from Replacement Surgery: Recovery from implant replacement surgery may be similar to your initial procedure. You’ll need to take it easy for a few weeks, avoiding strenuous activities. Pain, swelling, and bruising are common, but Dr Carmen will provide guidance on pain relief and care for your incisions
Comparing the First Surgery to the Replacement Procedure: While the steps of the surgery are similar, your experience may differ. Your body has changed since your first surgery, and your surgeon will take this into account. The recovery period might be shorter or longer, depending on the extent of the surgery and your body’s response
Remember, it’s important to have realistic expectations and to follow your plastic surgeon’s advice for both preparation and recovery to ensure the best possible outcome from your replacement surgery.
FAQs about Breast Implants
How many years can I expect my breast implants to last?
Breast implants are not lifetime devices, but they are built to be very durable. On average, implants can last between 10 to 20 years. However, around 20% of people have them removed or replaced within 8 to 10 years due to personal preferences or complications.
What are the signs that my breast implants might need to be replaced?
You should watch for changes in breast appearance or feel, such as asymmetry, swelling, or pain, which could indicate a leak or rupture. Hardening of the breast, which could suggest capsular contracture, is another sign. If you notice any of these changes, it’s best to consult with your plastic surgeon.
Do different types of breast implants last longer than others?
The longevity of breast implants can vary depending on whether they are saline or silicone. Both types have similar life expectancies, but silicone implants tend to have a lower rate of rupture. However, individual experiences can differ, and the best way to ensure longevity is through proper monitoring and maintenance.
Can lifestyle choices affect how long my breast implants last?
Yes, certain lifestyle choices can impact the longevity of your breast implants. High-impact activities that cause significant movement or pressure on the chest, like certain sports or heavy lifting, may contribute to wear and tear. Maintaining a stable weight can also help, as significant weight gain or loss can alter the appearance and strain the implants.
How will I know if my breast implant has ruptured?
If you have saline implants, a rupture will be noticeable as the breast will deflate and change in size. With silicone implants, it might not be as obvious because the silicone tends to stay in or near the breast capsule. Silent ruptures, where there are no symptoms, can occur with silicone implants, which is why regular imaging tests are recommended to monitor their condition.
Further Reading about Breast Augmentation with Dr Carmen
Dr Carmen Munteanu FRACS(Plas) is an experienced Specialist Plastic Surgeon based in Melbourne Australia. She has significant expertise in Breast, Body and Facial Surgery with a particular interest in Labiaplasty, Breast Reduction and Body Lift Surgery After Weightloss