Is it necessary to change implants after mammoplasty and how soon it needs to be done



The breast augmentation surgery, which is widespread at the present time - mammoplasty - has become a “salvation” for many women who consider small breast size to be relatively unattractive or inappropriate to the proportions of their bodies.

To have a general picture of this operation, consultation with an experienced surgeon can take up to three hours. The question of whether you need to change the implants after mammoplasty, interests every woman who comes to the consultation to the surgeon.



If we compare the implants of the present time and those that were released 15 years ago, the difference in quality measures is significantly different. The range of the second was mainly in a rounded shape, smooth shell. The composition of the implants was also different, and they were much inferior to modern in terms of wear.

Mammoplasty is the most popular operation among women , so the leading clinics around the world paid the most attention to it. So, already in the present tense, thanks to research, implants can have a lifelong lifespan. But, unfortunately, not everything is so simple, and there are still some nuances of implant replacement.

The main reasons for replacing implants after mammoplasty:

• Fibrous capsular contracture.
• Sagging skin in the chest area, which is influenced by age factors.
• Aesthetic wishes for changing the size and shape of the breast.
• Rupture and leakage of implants.
• Installation of poor-quality breast implants in unscrupulous specialists.
• Any inflammatory processes in the area of ​​the mammary glands.

Any secondary intervention necessarily involves a certain degree of risk to the body. Clinical examination, mammography, breast ultrasound, ECG and many other tests will give a clear picture for re-replacing implants.

Natural changes in the mammary glands after mammography are due to the stretching of ligaments and tissues. This can occur after a dramatic weight loss or, conversely, an excess in weight, after breastfeeding and many age factors. It should be noted that all these frequent problems that force the female floor to re-start the operation can be caused by the location and weight of the implant, that is, if it was large and installed under the gland, and not “under the muscle”, then the probability of breast sagging there will be more.



Fibrous capsular contracture

Despite the vast and practical experience in performing mammoplasty , medicine is powerless to the protective function of the human body. Fibrous capsular contracture is the formation of dense fibrous tissue around an established implant, which over time can cause discomfort and tangible pain. As mentioned above - this is the defense mechanism of our body. There are some statistical arguments and studies of surgeons about the formation of fibrous tissue, more precisely, if, then its prevention.

It is possible to avoid fibrous capsular contracture under the following conditions:

• Installing the implant is not under the gland, but partially or completely under the muscle.
• The textured surface of the implant (not smooth, but "rough" circle).

In fact, there is no consensus. Some surgeons argue otherwise. Most likely, an individual approach of an experienced specialist to the constitution of a woman’s body structure minimizes the appearance of fibrous capsular contracture.

Most often, re-arthroplasty becomes a personal wish of the patient. But it is necessary to take into account the factors that should be discarded:

1. Back problems . Implants themselves are heavy, for example, an increase to 4th breast size can give complications to the spine.
2. Breast augmentation of three to four sizes in one mammogram. Further deformation of the mammary glands , as well as overstretching of the ligaments and tissues may occur.
3. Implant correction caused by a drastic change in weight, often caused by a woman’s pregnancy.

How to replace breast implants in stages

Depending on the problem the woman addressed, the surgery to replace the implants can last one to two hours.

The anesthesiologist, assuring the patient's good health, can carry out general or local anesthesia, which depends on the technical nuances of the operation.

The duration of the operation may be longer if the woman wants only to remove implants. In this case, an additional adjustment of the shape, symmetry, tightening of ligaments and soft tissues.

How is breast implants replaced? Full re-implantation can be divided into three stages.

1. First of all, the surgeon removes old implants . Makes cuts following the hem left from the first operation. This may be the line under the mammary glands (submammar) or the axilla. One of the most popular is an operation performed on the nipple areola line. This case leaves behind visually invisible scars. This replacement option solves the problem of ptosis (possible omission of the mammary glands in the future). Women who want to increase their breasts by more than two sizes can also hope for a good result. It is important in this case to choose an experienced and practicing this technique specialist. After the incision is made, the implants are removed.
2. Then complete or partial removal of the fibrous contracture capsule (capsulotomy) is performed . Most often, these tissues adapt to a new foreign object (in this case, an implant). But with its severe form, it is necessary to completely remove the resulting contracture.
3. In the third stage of the operation, the plastic surgeon installs new endoprostheses . If the patient only needs to replace the implants with new ones, then he sets them in the old place. In another case, for example, when increasing the volume of the breast , it is necessary to form a new space for additional volume of the mammary glands. At this stage, if necessary, they are tightened.

Recommendations and limitations after re-arthroplasty:

1. After removing the old implants, the place after them should be sealed. For this process, women are recommended to wear special compression garments for a certain period, it usually takes no more than a month. The use of linen does not allow to fill the place from the implant with a physiological fluid. The same recommendations are given when replacing endoprostheses.
2. It is forbidden to visit the baths, saunas, take hot baths and use the solarium .
3. Restriction or exclusion in the first month of any exercise.
4. Intimate life is not allowed without the approval of the attending physician.

Observing all the recommendations and listening to the advice of an experienced specialist, your physiological changes in the future will not be noticeable. Soon you will get used to the changes and will be content with new external changes.