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Topic: Replacing breast implants

Forum: Breast Reconstruction —

Talk with others facing decisions about whether or not to have breast reconstruction, and if so, what type and when.

Posted on: Jun 25, 2021 05:02PM

veronicapoland2 wrote:

I have had textured implants since my double mastectomy 6 and a half years ago. I am concerned because of the recall on textured implants but they have also shifted and there is scar tissue that makes them uncomfortable. I have decided to have them replaced and am trying to decide between plain silicone vs saline. My PS also said he would do some liposuction to add fat to the implants for support. Any experience with this? Safety? I am a young 72 year old. Thank you.

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Sep 14, 2021 01:46PM veronicapoland2 wrote:

I went to my PS last week who said basically the same thing. I have had these implants for 6 and a half years and although they are a bit misshapen and have some wrinkles they are not giving me a problem. He said, as did my oncologist, that they have not come across anyone who developed cancer from the textured implants. I figured I still have a few years before they may have to be switched anyway and maybe by then there will be other options for implants.

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Sep 14, 2021 11:35PM MinusTwo wrote:

I have no problems with my Allergan 410 implants - and I'm at 10 years. I have had two breast MRIs and have regular breast ULS every two years and there have not been any issues. I'm not excited about surgery when it appears unnecessary. I know the 'average' shelf life of implants is around 10 years - but I'm not jumping into anything since I am healthy & happy.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Sep 15, 2021 08:03AM - edited Sep 15, 2021 09:36AM by SpecialK

Just want to add that the threat of BIA-ALCL from the bio-cell covering on textured implants increases with time, but is still exceedingly rare. While the implants have been recalled by the FDA, that recall was only extended to implants on the shelf and not yet used, not those that have already been surgically implanted. Anyone with textured implants should have received a recall letter, but that letter should have also stated that surgical explant is not currently recommended even though those of us with textured implants were legally required to be notified of the current recall status. At this time the typical surgical risks to remove those implants are greater than the possibility of developing lymphoma from textured implants - that is not just my opinion, but the opinion of the FDA. They are advising not to explant if there are no medical problems. I did switch out my implants but I did it because I had a silent rupture inadvertently discovered during a routine MRI. Without the rupture I would not have had surgery, but while my PS was in there she did swap both and do some remedial work on the left side which has given me so many problems - all skin related. As far as the 10 year lifespan of implants, it is a bit of a misnomer as that is what the warranty time period is - meaning that if your implant fails within 10 years the manufacturer will pay for a new one, and contribute a set amount toward the surgical costs per whatever agreement you signed at the time of the implant surgery. It does not mean that the implant only lasts for 10 years and has to be replaced at that time.

BMX w/ TE 11/1/10, ALND 12/6/10. 16 additional surgeries. TCHx6 2/17-6/2/11. Herceptin until 1/19/12. Femara 8/1/11, Arimidex 6/20/12, back to Femara 2013-2018. Dx 9/27/2010, DCIS, Stage 0, Grade 3 Dx 9/27/2010, IDC, Right, 2cm, Stage IIB, Grade 3, 2/14 nodes, ER+/PR+, HER2+ (IHC)
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Sep 15, 2021 09:01AM Beesie wrote:

To support what MinusTwo and SpecialK said, I switched out my Allergan 410s at 13 years. I'd had the implants checked out by MRI a year or two earlier and they appeared to be fine so I had no plans to replace them - but then I was diagnosed again and decided to have a second MX. I had two implants, one on the previous breast cancer side where I'd had a UMX, and another very small implant that had been put in my formerly 'good' side for symmetry.

When they were removed, both implants were in absolutely pristine condition, as was my muscle/tissue surrounding the implants.

That's not to say that this would be the case for everyone, but it supports the fact that not everyone has problems and that yes, these implants can last well beyond 10 years.

Dx 9/15/2005 Right, 7cm+, DCIS-Mi, Stage IA, Gr 3, 0/3 nodes, ER+/PR- ** Dx 01/16/2019 Left, 8mm, IDC, Stage IA, Gr 2, 0/3 nodes, ER+/PR-, HER2- (FISH) ** Surgery 11/30/2005 MX Right, 03/06/2019 MX Left ** Hormonal Therapy 05/2019 Letrozole
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Sep 15, 2021 09:32AM MinusTwo wrote:

Special - thanks for the 10 year clarification. I agree - my risk of surgery is higher than BIA-ALCL. especially since my PS can't guarantee not to "hit" more lymph nodes that might lead to even worse lymphadema.

Beesie - good to hear your report of 'pristine' condition after 13 years.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Sep 15, 2021 10:49AM veronicapoland2 wrote:

Thanks for your feedback. I guess I panicked prematurely and am now glad that I cancelled surgery. Especially since my PS said that the smooth implants could wrinkle and move and harden after awhile.

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Sep 18, 2021 11:43AM Bren58 wrote:

Lots of good information! Now I have more questions for my pre-op appt on Monday. I'm still not sure if I am going to go through with surgery. The implants have been in 12 years and I know they won't last forever.

Faith is having the courage to let God have control. Dx 7/4/2000, DCIS, Stage 0, Grade 3 Surgery 8/27/2000 Lymph node removal: Right, Sentinel Surgery 8/27/2000 Mastectomy: Left, Right Surgery 12/4/2000 Reconstruction (left); Reconstruction (right) Surgery 12/1/2009 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction Surgery 9/10/2012 Lymph node removal: Right Dx 9/11/2012, IDC, 1cm, Stage IIB, Grade 3, 1/29 nodes, ER+/PR+, HER2+ Targeted Therapy 11/29/2012 Herceptin (trastuzumab) Chemotherapy 11/29/2012 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 4/24/2013 Lymph node removal: Right, Underarm/Axillary Hormonal Therapy 7/24/2013 Arimidex (anastrozole) Hormonal Therapy 7/31/2014 Aromasin (exemestane)
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Sep 18, 2021 12:51PM Nsbrown54 wrote:

Not sure if this is the right thread, but since this is about implants, figured I’d post here. I’m considering a prophylactic SMX on my good breast. I plan to discuss with my breast surgeon when I see her later this year. I had broached the subject earlier and we decided to wait. When I get it done, I’m thinking of getting smaller implants. Has anyone had that done? I’m a 36G/H and would like to drop a couple of cup sizes.

Dx 6/16/2020, IDC, Right, 6cm+, Stage IIB, ER+/PR+, HER2+ Chemotherapy 6/28/2020 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 11/18/2020 Mastectomy Targeted Therapy 1/4/2021 Herceptin (trastuzumab) Targeted Therapy 1/25/2021 Perjeta (pertuzumab) Hormonal Therapy 6/2/2021 Arimidex (anastrozole)
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Oct 8, 2021 01:21PM Roth59 wrote:

I originally had Allergan anatomically shaped implants (left mastectomy with right augmentation for symmetry 5/2018) which were then replaced with round silicone gel implants (11/2019) due to grade IV CC on left side. Fat grafting would help with ripples and improve shape for me, but I am experiencing CC again and I am not sure how long I can last with the pain. I am going to ask for PT with ultrasound to try and avoid surgery. My PS said he would not do implants again. Other option is autologous "fat" procedure, but I am of slender build and would have to use buttocks. My PS has been telling me this is a more complex procedure, perhaps trying to discourage me (?) but I do not know how much longer I can stand the pain. Perhaps a different PS is in order? Anyway, in answer to your original question - I do not have a problem with the round implants. Fat grafting sounds like it would help. Yes I preferred the look of the shaped/textured implants, but most importantly I would like to be free from the chronic pain!

Dx 1/2018, DCIS, Left, 1cm, Stage 0, Grade 3, 0/3 nodes, ER-/PR-, HER2- Surgery 3/1/2018 Lymph node removal: Left, Sentinel, Underarm/Axillary; Mastectomy: Left; Reconstruction (left): Tissue expander placement Surgery 5/24/2018 Reconstruction (left): Silicone implant Surgery 11/14/2019 Reconstruction (left): Silicone implant
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Oct 8, 2021 01:37PM - edited Oct 8, 2021 01:38PM by MinusTwo

NS brown - sorry just seeing your post. I suggest you post your questions on Whippetmom's thread. Read the header and you'll know what information she needs to give you some advice.

Here's the link. https://community.breastcancer.org/forum/44/topics...


2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Oct 9, 2021 05:19PM - edited Oct 10, 2021 06:52PM by VegGal

This Post was deleted by VegGal.
Dx 1/12/2016, DCIS, Left, <1cm, Stage 0, Grade 2, 0/3 nodes, ER+/PR-, HER2- Surgery 3/11/2016 Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 6/10/2016 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Surgery 9/8/2017 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant
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Oct 10, 2021 04:44PM Nsbrown54 wrote:

Thank you MinusTwo.

Dx 6/16/2020, IDC, Right, 6cm+, Stage IIB, ER+/PR+, HER2+ Chemotherapy 6/28/2020 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 11/18/2020 Mastectomy Targeted Therapy 1/4/2021 Herceptin (trastuzumab) Targeted Therapy 1/25/2021 Perjeta (pertuzumab) Hormonal Therapy 6/2/2021 Arimidex (anastrozole)

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