Newsletter: Breast implant replacement

Replacement of Breast Implants After 15–20 Years – What You Need to Know

In this newsletter, we inform you about breast implant replacement after 15–20 years — why replacement may be necessary, the signs to look out for, and what you can expect.

How Long Do Breast Implants Last?

Breast implants typically last between 15 and 20 years. This doesn’t mean they must be replaced automatically after this period, but it is advisable to have them checked regularly to ensure they are still in good condition.

Implants can undergo changes over time, even if there are no obvious signs of complications.

Why Should Breast Implants Be Replaced After 15–20 Years?

There are several reasons why breast implants may need to be replaced after 15 to 20 years:

1. Implant wear and tear: Over time, breast implants — especially those filled with silicone — may gradually degrade. This can result in a leak or rupture, even if there is no immediate pain or discomfort.

2. Changes in breast shape: As time passes, breast tissue can sag or the implant may shift position, altering the appearance of the breasts.

3. Capsular contracture: This is a complication in which tight scar tissue forms around the implant, potentially causing pain, hardening of the breast, and a change in shape. In some cases, the implant must be replaced and the capsule removed to correct the issue.

4. Loss of volume: Over the years, you may notice that your breasts no longer look the same as they did after the original surgery. This can be due to a natural loss of breast volume.

When Is It Time for Replacement?

Although breast implants are designed to last for many years, there are certain signs that may indicate the need for replacement.

• Pain or discomfort in the breasts

• Changes in the shape or position of the breasts

• Symptoms of capsular contracture, such as pain or a firm, hardened breast

What Can You Expect from a Replacement Procedure?

A breast implant replacement procedure is similar in many ways to the original surgery, but it is generally less invasive. Here are the basic steps you can expect:

• Consultation: Your expectations will be discussed, followed by the creation of a surgical plan. Imaging (ultrasound or MRI) may be performed to rule out breast cancer and detect possible implant rupture.

• Implant replacement and possible capsule removal: The old implant is removed and replaced. The existing pocket may be adjusted—made larger or smaller. In some cases, a breast lift, fat transfer (lipofilling), or repositioning of the implant to a new pocket may be needed. You can choose to keep the same size or opt for a different one, depending on your preferences and any changes in your body.

• Recovery: Recovery is usually quicker than after the initial augmentation, as no new pocket needs to be created. The process is therefore often nearly painless.

Regular Check-Ups Are Essential

Even if you’re not experiencing any symptoms, it is recommended to have your implants checked every 3 to 5 years using ultrasound. This can help detect any ruptures at an early stage.

Conclusion

Breast implants may need to be replaced after 15 to 20 years. From 10 years after your initial surgery, it is advisable to have check-ups every 3 to 5 years to ensure your implants are still in good condition.