1206 Somerville Rd
Decatur, AL 35603
This page discusses problems with leaking silicone breast implants.
I have extensive experience in dealing with all types of breast implant problems. One of my specialties is consulting with patients that have silicone breast implants, especially if those implants are many years old. Leaking silicone implants are a big problem and each case presents unique problems. As you will see with the cases presented below, you would not want leaking silicone implants in your body.
The basic goal of these procedures is to remove the leaking silicone implants and the biologic capsule together and not allowing the free silicone to escape from the capsule. Secondly, I want to reconstruct the patient with saline implants, or reshape with a breast lift without putting in a set of implants. Some patients will decide to remove the implants and capsules and not do any further procedures to shape the breast. This of course leaves a deflated looking breast envelope.
During your initial consultation we will discuss all of the aspects of the operation and how it relates to you. We will have a second visit that is the pre-operative visit where I will answer all of your final questions, write the prescriptions for the medicines you will need after the surgery and you will do your pre-operative visit at the hospital.
This procedure will not be covered by insurance if the original implants were placed for a cosmetic augmentation of the breasts. If the implants were placed after breast reconstruction for breast cancer or sever fibrocystic disease, then I can submit for insurance coverage. Often the insurance companies will only pay for the portion of the procedure that deals with removing the implants and the capsules, they will not pay for new saline implants or a mastopexy to re-shape the breasts.
All patients are unique and the response to post-operative discomfort is variable. Removing the entire capsule can cause pain especially if the original implant was in a sub muscular pocket. Some patients take the narcotic medicine only for a few days and then switch to Tylenol for pain. Some patients take a narcotic medicine for 3 or 4 weeks after the surgery. As I said, patients are all unique and their pain tolerance is very different. Almost all patients feel normal by 4 weeks.
For a desk job that does not require any heavy lifting you should expect to be away from work for 2 weeks. Some women have gone back to a desk job in as little a 1 1/2 weeks. For a job that requires physical exertion or heavy lifting you should expect to be away from work for 4 weeks. If there are any small healing problems with your breast we may keep you off of work for an additional 1 to 2 weeks or consider a light duty job if that is available at your job after the 4 weeks period.
You will need to come to the office usually two days after your surgery and you should arrange for someone to drive you to this appointment because you will be sore and on narcotic medications. At this first postoperative check, I will change your dressings and check your drain tube output amounts. There is not a set time to remove the drains after a surgery like this. You will measure the drain outputs at home and I will monitor the outputs when you come to the office. I will remove the drains when the outputs are low enough and this could take 3 to 7 days. Removing the drain tubes pinches a little but is not terribly painful. You will go home with a light gauze dressing that you will change every day for 3 days. I do not use any special postoperative surgical bras. You can take a full shower 24 hours after you drains are removed. You will take off your dressings, shower, soapy water will not hurt your incisions, pat yourself dry and replace your light dressings.
Your next appointment will be in approximately 1 week. The next appointment will be in 2 weeks and at that time we will begin discussing issues like returning to work and shopping for a regular bra.
Your next appointment will be in approximately 1 month. After that I will see you again in approximately 6 months. Therefore, I will see you between 8 months and 12 months after your surgery and do a final assessment of your size and shape, assess the quality of your scars and get your final opinion on the surgery.
You can shop for a regular bra once most of the initial post-operative swelling is resolved and there are no wound problems. This is usually 3 to 4 weeks after the surgery. You can wear a very lightweight sports bra or a camisole earlier then this if you discuss it with me in the office. Generally you can resume all of you normal activities, including physical exertion and exercise after 4 to 6 weeks. You should wait at least 6 months before getting another mammogram.