How often should breast implants be replaced?

It is a myth circulating in the community in general on this point. Often, patients with their plastic surgeon, said that "10 years ago and they told me that my breast implants replaced. This is not necessarily the case. Breast implants are not like tires should be rotated every few thousand miles. The only reason that the plant must be replaced if something goes wrong with the system. problèmesslogans of this break, Capsular tension ring Konor moving the tracker system. The prices of these complications varies depending on the type of plant. The good news is that in the event of a plant must be replaced, now the manufacturers of implants and saline solution as a replacement for the silicone breast implants for free and sometimes for the fees and surgeons.

Silicone Implants

Silicone breast implants were the heart since 1960. There were four generareons these plants. The "first generation" derSilikon implants by Dow Corning. These are very often quite in line with silicone sleeve. The desire for a natural feeling, the work was the impetus for the creation of a "second generation" in 1970. She had a thin shell and liquid silicone. They had a high error rate and high levels of silicon "sangre" by the thin shell of complications such as capsule contracture tension ring. The "third generation" was created to painting in the 1980s, with a dicken shell, and once again a more cohesive silicone gel, which the reservoir. These are silicone implants are not currently available in the United States for the increase in breast cancer. Approved by the FDA in November 2006 after the FDA has an extensive amount of data from clinical trials of women studied for four years, and a hostaltre information to the risks and benefits of these products, "says ersagte Daniel Schultz, MD, Director of the Center for Devices and Radiological Health, FDA. "The body of scientific knowledge scale is a reasonable assurance of the benefits and risks of these devices." The "fourth generation" is the "Gummy Bear" plants that are not yet FDA approved for use DANSSE United States, but widespread in Europe. They also have a silicone for a more cohesive in a stable form of silicon, and possibly a lower risk of rverstopft.

Breaking:

Determining the frequency of  Fractures of the modern silicone implants are difficult because of the diversity of plants currently in the game. In some studies in institutions generate 3rd Suggests that the rate of about 15% failures in 10 years. The information provided by the FDA for approvazionezione of these plants revealed a fracture of 0.5% in 3 years. This is probably a bit "misleading, because the risk of Rottura which increases with age. The majority of MRI studies suggest that mostn the 2nd plant Generation of fracture of 10 years. Many were "silent rupture", without symptoms. Only once there is sufficient experience with the new generations of long-term, the rate of distribution to be determined. Sn according to the cohesion of the equipment, improving technology and the length of the fuselage is to be expected, and improve the rate of fracture.

There is a controversy about whether an organization was broken "need" to remove. ManyWomen have "Break the Silence", which does not recognize symptoms or physical examination. FDA has concluded RECOMMRM TEST 3 years after placement of silicone implants, and every 2 years. In reality, this is unproposizione and expensive, and only a few surgeons and patients to follow this recommendation for the "T". In fact, many women with silicone implants who do not know they have a break. Of course, if a diagnosis of fracture, either physical, MammogRaphi, magnetic resonance tomography - the FDA recommends, should be removed because it is a failure of the device. Few étudesQue show an increase in symptoms such as fatigue, memory loss, fibromyalgia and joint pain in patients with silicone implants compared to control route. Many patients that these symptoms disappeared after removal of implants. There are also reports of anti-silicone antibodies in the blood in patients with silicone implants and die route of migration through the lymph nodes. This remains a controversial issue of continuity. If there are disputes, better to be on the safe side DeLuna patienno and plastic surgeons recommend the removal of the diagnosis of rupture of silicone implants.

Capsular tension ring contractures:

Another relatively frequent cause for replacement of implants Entfernungund Capsular tension ring contractions. This is a hardening of the capsule, which is the strength of the Körpers is around the implant. In general, the capsule is soft and imperceptible. If hired can be strong, distorted or even douloureux. Causes of tension ring capsule contracture is not fully known, but factors such as infections, bleeding and bruising silicon seem to be involved. In the study of the 3rd Mentor Implant contracture generation growth rate after 3 years 8.1%. This is much more than three years. There is less controversyabout the "necessity" that the implant removed cacas capsule tension ring of contractions. Usually, this happens when Ilil, which is sufficiently serious that the patient must have the device removed and replaced. Sometimes conservative Accolate (unaotros or drugs) can be effective.

Even long-term data from these plants in Capsular tension ring contractions 3rd Generation is missing. The post-approval studies to clarify some of these risks.

The Kochsalzlösung imption


Saline breast implants with an exterior similar silastic silicona plants, but the material is saline than silicone. These prospective studies have shown an error of about 3-5% at 3 years and 7-10% after 5 years. This is approximately 1-2% on the year of implementation. With saline plants have no fear of "breaking the silence." Introductionil you simply do not deflate, and the procedure for the exchange of a new solution is usually very easy and kann under local anesthesia. Since the month has not diimpianto filling out forms, silicone and cohesion, there is a greater likelihood of a "double error" (something like the rise of the newspaper). Repeated bending, but the imprrente and can lead to an increased risk of rupture. The filling valve is another important sourceiel of an increased risk of fracture plant for saline implants, in conjunction with silicone implantsdid. It is documented in Rischio decline in contracture Capsular tension ring with saline implants, in conjunction with silicone implants. New generations of silicone implants should reduce the risk of contractures through materials that are less coherent "bleed" silicone oil.

In summary, the risk of failure is more and more converts a plant in place. According to the FDA and Produkteuttori references to plants, sind not durable and most patients devront be replaced at least once. For saline implants, if they do not break or cause problems, should not be replaced. It is the same for silicone implants, but there is a danger of "breaking silence." The FDA recommends frequent magnetic resonance studies for the diagnosis of rupture of silence. E 'unaffordable for many patients. It may make a recommendation anSilizium have been replaced in a InterVAMiss, wIf the results of the subsequent approval of the study. For the period, should be replaced if not.