Understanding the Reasons for Breast Implant Removal or Revision
Implants may need to be removed or replaced for a variety of reasons. One of the most common reasons is breast implant rupture, which can occur due to trauma or a breakdown in the integrity of the implant shell, causing the implant to leak. Other reasons include bottoming out or double bubble formation.
If an implant ruptures, it causes a change in the shape of the breast. However, most implant ruptures are silent and are first detected during a routine breast scan. Capsular contracture is another side effect associated with breast implants, causing the breasts to harden. In the past, there have been various theories about the causes of capsular contracture, but the most common theory is that it’s linked to implant infection or contamination.
There are various stages of capsular contracture, ranging from a mild hardening of the breast implant (and breast) to a more noticeable hardening, pain and distortion of the breast.
A classification system, known as the Baker Classification system, can be used to grade the severity and extent of capsular contracture. Grade 3 and 4 capsular contracture can result in the breast taking on an abnormal shape, leading to noticeable differences between the two breasts.