When Do My Breast Implants Need Removal or Replacement?

Posted on by Lorraine Golosow

During my consultations, many women are surprised to learn that their breast implants are not lifetime devices. In other words, breast implants do not last forever and, in fact, need to be removed or replaced over time. Many patients seek to remove breast implants due to health concerns, dissatisfaction, or complications. The question then becomes “how do I know when my implants need to be checked and how long do they last?”

In the United States, there are three main companies that manufacture implants for cosmetic and reconstructive surgeries. Allergan and Mentor offer a 10-year warranty and Sientra offers 20 years. There isn’t a formal expiration date dictated by the U.S. Food and Drug Administration (FDA) for when implants need to be replaced. However, according to the American Society of Plastic Surgery, most implants are thought to last 10-15 years but there can be variation. Breast implants consist of a silicone shell that is filled with saline or silicone. They are subject to wear and tear over time and eventually will rupture.

The rupture of a saline implant is obvious as the fluid is absorbed and the implant deflates. Silicone ruptures can be more subtle. For this reason, the FDA recommends that women with silicone implants have an initial MRI or ultrasound five years after surgery and every two years after that. A physical exam should also be done to help determine if there are any problems with the implants. A regular mammogram will not diagnose an implant rupture until the silicone leaks out into the breast itself. Therefore, early MRI imaging and checkups with a plastic surgeon are important, and recommendations from international society organizations support regular monitoring for implant safety and removal.

Signs of implant rupture are pain, change in shape of the implant, a new lump or the development of scar tissue or capsular contracture. These are definite reasons to have implants checked out. Capsular contracture without an implant rupture can also happen as implants age and may be a reason to remove or replace an implant. Other complications, such as tissue hardening, adverse reactions, or symptoms of autoimmune disease—including those associated with breast implant illness—can also make it necessary to remove implants. The immune system may react to the presence of implants, leading to possible complications that affect overall health.

Many women who want to avoid having any leakage of their implants will consider replacing them every 10 years. Reasons to consider replacing implants before they leak include the desire to change the size, due to malposition, changes in the aging breast, or concerns about the breast skin and breast tissue. When removing breast implants, surgical options include total or en bloc capsulectomy, where the entire scar capsule is removed, sometimes from the chest wall and surrounding breast tissue, especially if foreign materials are present. Partial capsulectomy is another option, where only part of the scar capsule is removed. For patients seeking a flat chest contour after explant, aesthetic flat closure can be performed to achieve a smooth, flat result. These procedures are considered aesthetic plastic surgery and cosmetic surgery, and should be performed by experienced surgeons to ensure the best outcomes.

Possible complications after breast implant removal include the accumulation of excess fluid, seroma, hematoma, and changes in breast appearance. Drains may be placed to drain excess fluid and help prevent complications. Recovery time can vary depending on the procedure performed and individual patient factors.

For any further questions regarding your breast implants or the need for any workup to determine their integrity, please contact our office at 239-939-5233 for more information. It makes sense to consult a surgeon or consider removal based on your overall health and personal concerns.

Introduction to Breast Implant Removal Surgery

Breast implant removal surgery, also known as explant surgery, is a specialized procedure performed by a plastic surgeon to remove silicone or saline breast implants from the body. This surgery may be recommended for a variety of reasons, such as addressing complications like capsular contracture, managing symptoms of breast implant illness, or simply because a woman decides she no longer wants her implants. During the breast implant removal procedure, the surgeon may also remove the scar tissue capsule that naturally forms around the implant. Every patient’s situation is unique, so it’s important to consult with a board-certified plastic surgeon to discuss the best approach for your needs and to understand the potential risks and complications associated with implant removal. Whether you are experiencing discomfort, changes in your breast appearance, or are considering surgery for personal reasons, a thorough evaluation will help ensure the safest and most effective outcome.

Reasons for Implant Removal

There are many reasons why women choose to have their breast implants removed. Some women experience dissatisfaction with the look or feel of their breasts over time, while others may develop complications such as capsular contracture, where scar tissue tightens around the implant, causing pain or changes in breast shape. Implant rupture is another reason for removal, as leaks from silicone or saline implants can affect both comfort and appearance. Additionally, some women report symptoms collectively known as breast implant illness, which can include joint pain, muscle pain, fatigue, and other health concerns following breast augmentation. Concerns about the safety of certain types of implants, such as textured implants and their association with rare cancer, may also prompt women to consider implant removal. Ultimately, many women choose this surgery simply because their preferences or lifestyle have changed, and they no longer wish to have breast implants.

Breast Implant Removal Procedure

The breast implant removal procedure is typically performed under general anesthesia and begins with an incision, often placed along the same scar from your original breast augmentation procedure. Your plastic surgeon will carefully remove the implant, taking care to protect the surrounding tissues and minimize trauma to the breast. In some cases, the surgeon may also remove the scar tissue capsule that has formed around the implant—a process known as total capsulectomy. This can be done in one piece (en bloc capsulectomy) or in sections, depending on your individual needs. After the implant and any necessary scar tissue are removed, the surgeon will close the incision and may reshape the breast to create a natural contour. Some women opt for a breast lift at the same time as implant removal to address any loose or excess skin and improve the overall appearance of the breast. Your surgeon will discuss the best surgical plan for your goals and anatomy.

Cost and Insurance

The cost of breast implant removal surgery can vary widely based on factors such as the complexity of the procedure, your geographic location, and your surgeon’s experience. On average, patients can expect to pay between $2,000 and $5,000 or more for implant removal. If additional procedures, such as a breast lift or removal of extensive scar tissue, are needed, costs may increase. Insurance coverage for breast implant removal depends on the reason for surgery. If the procedure is medically necessary—such as in cases of capsular contracture or implant rupture—insurance may cover some or all of the costs. However, if the surgery is elective or for cosmetic reasons, patients are typically responsible for the full expense. It’s important to check with your insurance provider and discuss all potential costs with your surgeon before scheduling your procedure.

Recovery and Aftercare

Recovery from breast implant removal surgery usually takes several weeks, and it’s normal to experience some discomfort, swelling, and bruising during the initial healing process. Your surgeon will provide detailed post-operative instructions, which may include wearing a compression garment to support your breasts, taking prescribed pain medication, and avoiding strenuous activities until you are cleared to resume them. Follow-up appointments are important to monitor your healing and to remove any sutures or drains if they were placed during surgery. Most patients can return to work and light activities within a week or two, but it’s essential to listen to your body and give yourself time to heal. Prioritizing self-care and following your surgeon’s advice will help ensure the best possible results from your breast implant removal surgery.

 

Can a tummy tuck fix loose skin after weight loss?

Posted on by Lorraine Golosow

Why does loose skin linger after weight loss?

Losing a significant amount of weight is a major accomplishment, but it can leave behind loose or sagging skin that does not match how healthy and strong you feel. When skin has been stretched for a long time, its collagen and elastin fibers can lose their ability to bounce back fully. No matter how much you exercise or tone your muscles, extra skin and stubborn bulges in the lower abdomen may remain.

This is especially common after pregnancy or after losing a large amount of weight over a short period of time. Many people describe feeling proud of their progress, but discouraged when clothing still does not fit the way they hoped. That is where a surgical approach, such as a tummy tuck, may come into the conversation.

What a tummy tuck actually does

A tummy tuck, also called abdominoplasty, is designed to remove excess skin and tighten weakened abdominal muscles. During surgery, Dr. Lorraine Golosow makes an incision low on the abdomen, lifts and smooths the remaining skin, and may repair stretched or separated muscles to create a flatter, more supported core. Fat in the lower abdomen can also be reduced as part of the procedure.

For patients after weight loss, the main benefit is getting rid of hanging or “apron” skin that cannot be improved with diet or exercise alone. The goal is not to make you look unrealistically tiny, but to create a firmer, more balanced midsection that matches your new weight and body shape.

When a tummy tuck can help with loose skin

A tummy tuck tends to work best for people who are close to their goal weight, are generally healthy, and have maintained a stable weight for several months. In this situation, most of the remaining issue is extra skin and laxity rather than large amounts of excess fat. Surgery can then focus on tightening and reshaping, giving a smoother contour in fitted clothing and swimwear.

If you look at Dr. Golosow’s tummy tuck before and after photos, you will notice that the results are tailored. Some patients need more skin removal and muscle repair, while others benefit from a more limited approach. During consultation, your anatomy, scar placement, and expected improvement are discussed honestly, so you understand what kind of change is realistic for you.

What a tummy tuck cannot do

It is important to know that a tummy tuck is not a weight loss procedure. It will not replace healthy habits, and it is not a solution for everybody who has loose skin. If your weight is still changing, or if you plan future pregnancies, your results can be affected. In those cases, Dr. Golosow may recommend waiting until your weight and family plans are more settled.

A tummy tuck also cannot completely erase stretch marks, although some of them may be removed with the excess skin. Remaining stretch marks may look less noticeable once the skin is tightened, but they will not disappear entirely. Scars from surgery are permanent as well, even though they are placed low where they are usually hidden under clothing and tend to fade over time.

Deciding whether surgery is right for you

Choosing a tummy tuck after weight loss is a very personal decision. For some people, removing loose skin significantly improves comfort, posture, and confidence. For others, simpler options or continued non-surgical efforts may feel like a better fit. A one-on-one consultation with Dr. Golosow in Fort Myers is the best way to get clear, individualized advice.

If you are curious about whether abdominoplasty could help your specific concerns, consider scheduling a visit through the online contact form. You will have the chance to review photos, discuss your goals, and learn what kind of improvement is realistically achievable so you can make a confident, informed choice about your next step.

Breast Cancer Awareness Month: Why Early Detection Matters

Posted on by Lorraine Golosow
breast cancer awareness signs and early detection

Every October, communities across the country come together to recognize Breast Cancer Awareness Month. It is a time to honor survivors, support those currently facing a diagnosis, and remember the importance of early detection. At our practice in Fort Myers, Florida, we see the difference that early awareness can make in both treatment outcomes and overall peace of mind.

Understanding Why Early Detection Is So Important

Breast cancer is one of the most common cancers affecting women, but it is also highly treatable when caught early. Detecting changes in the breast through self-exams, mammograms, and regular checkups allows medical teams to begin treatment sooner, often with less invasive procedures and improved recovery. For many women, early detection means having more options available, including the possibility of breast-conserving surgery.

Regular screenings also offer something equally valuable, reassurance. Even when no concerns are found, staying consistent with exams helps women feel confident that they are taking the right steps for their health.

How Early Detection Supports Recovery and Reconstruction

For women who undergo mastectomy as part of their treatment, early detection may open the door to a wider range of reconstructive options. Advances in breast reconstruction after mastectomy mean that patients can consider approaches that align with both their health and their personal goals.

When breast cancer is identified early, patients may face fewer complications and shorter recovery times, which often makes the reconstruction process smoother. Although each patient’s journey is unique, early awareness allows doctors and patients to plan together with more confidence and clarity.

Supporting the Whole Person

A breast cancer diagnosis can feel overwhelming, but patients are never alone in their journey. Choosing a trusted surgeon who understands both the medical and emotional aspects of treatment makes a difference. Dr. Lorraine Golosow has supported women in Fort Myers for many years, providing compassionate care and helping patients understand their options at every stage.

Support also extends beyond surgery. Recovery is not just about physical healing but also about restoring confidence and well-being. Family, friends, and healthcare providers all play a role in creating a positive environment where women feel supported and empowered.

Here are a few small but meaningful ways to offer support to a loved one facing breast cancer:

  • Attend appointments with them for comfort and reassurance
  • Offer help with daily tasks such as meals or transportation
  • Encourage open conversations and active listening without judgment

These gestures may seem simple, but they often have a powerful impact during recovery.

Taking Action for Your Health

Breast Cancer Awareness Month is a reminder to make time for your health and encourage others to do the same. Scheduling regular exams, paying attention to changes in your body, and talking with a trusted physician are all steps that make a difference.

If you or someone you love has questions about breast reconstruction or the options available after mastectomy, our team is here to help. We invite you to contact us through our online form to schedule a consultation. Taking that first step is a powerful way to move forward with knowledge, support, and confidence.

 

Combining Breast Lift and Implant Augmentation: What You Need to Know Before Surgery

Posted on by Lorraine Golosow

Considering a Change to Breast Shape and Size?

Many women notice changes in their breasts over time due to pregnancy, aging, weight fluctuations, or genetics. This can lead to both sagging (ptosis) and a loss of volume. At Lorraine Golosow, MD in Fort Myers, we frequently meet with patients interested in a combined breast lift and augmentation. This approach allows you to achieve a natural, youthful shape in a single surgery—saving time and creating beautiful results.

Why Combine a Breast Lift with Implants?

A breast lift (mastopexy) repositions and reshapes the breast tissue for a perkier, more youthful appearance. Implants, on the other hand, restore or enhance lost volume. By performing these two procedures together, you can enjoy both improved shape and fullness. This one-step process means one surgery, one recovery, and transformative results that balance your figure and boost your confidence.

Who Is a Good Candidate for a Combined Procedure?

You may be an ideal candidate for combining a breast lift with implants if you have both deflation and sagging—often common after pregnancy or significant weight loss. If your nipples point downward or sit below the natural breast crease, or if you hope to improve both breast shape and size, this solution may be right for you. During your private consultation, Dr. Golosow will review your health history, discuss goals, and examine your unique anatomy to create the best surgical plan for you.

What to Expect During the Procedure

This combined surgery is highly personalized. Dr. Golosow will lift and reshape your natural breast tissue and may adjust or resize the nipples for ideal symmetry. Then, saline or silicone implants are placed according to your preferences and body type. Every step is performed with an artistic eye and meticulous attention to minimize visible scarring and ensure your results look natural and beautiful for your frame.

Your Recovery and Final Results

Most women can return to light activities within about a week after surgery. While some swelling and mild discomfort are normal, these subside as you heal. Because both the lift and augmentation are completed together, you’ll have just one recovery period and can appreciate your results sooner. Over the following weeks, your breasts will settle into their rejuvenated, youthful shape.

Why Choose Dr. Lorraine Golosow?

Selecting a skilled and experienced surgeon is essential for a safe, satisfying experience. Dr. Lorraine Golosow is a board-certified plastic surgeon with years of dedicated expertise in breast surgery. Her patients value her artistic technique, supportive bedside manner, and attention to natural results. Dr. Golosow is committed to helping women achieve their best and most confident selves.

Is This the Right Solution for You?

If you’re unsure whether you need a breast lift, implants, or both, the best place to start is a personalized consultation. Dr. Golosow will listen to your concerns, assess your breast tissue and skin quality, and help you explore all your options. You’ll leave empowered to make the best informed decision for your goals and lifestyle.

Ready to Start Your Journey?

Take the first step toward feeling your best. Schedule a consultation with Dr. Lorraine Golosow today to learn how combining a breast lift with implants can restore your breast shape, volume, and self-confidence—all tailored specially for you.

 

Summer Self-Care: Choosing the Right Breast Procedure in Fort Myers

Posted on by Lorraine Golosow

Summer is the perfect time to reassess your self-care routine and, for many, that involves considering cosmetic enhancements such as breast procedures. Whether you’re in Fort Myers, Cape Coral, Lehigh Acres, or Bonita Springs, understanding your breast surgery options is crucial to achieving desired results and boosting your confidence. This guide will help you navigate the most suitable breast procedure for your needs.

Understanding Your Options for Breast Procedures in Fort Myers

Each breast procedure serves unique purposes, catering to different goals, body types, and lifestyles. Let’s delve into the most popular options available at our plastic surgery practice in Fort Myers, led by Lorraine Golosow, MD.

Breast Augmentation: Enhancing Volume and Shape

Breast augmentation is one of the most popular cosmetic surgeries, not only in Fort Myers but globally. It involves the use of implants or fat transfer to increase breast size and improve symmetry. Ideal for those who feel their breasts are too small or have lost volume due to weight loss or pregnancy, breast augmentation could help achieve the fuller look you desire.

  • Considerations: Decide between saline and silicone implants, assess your lifestyle for recovery considerations, and consult with Dr. Golosow to determine the best fit for your body.
  • Ideal Candidates: Women seeking to increase breast size or restore volume.
  • Recovery: Most patients return to normal activities in about a week, with full recovery in a few months.

Breast Lift: Combating Sagging and Rejuvenating Appearance

If you’ve noticed sagging due to aging, weight fluctuations, or pregnancy, a breast lift might be the solution. It involves lifting and reshaping the tissue to achieve a more youthful contour.

  • Considerations: Unlike augmentation, a lift primarily focuses on reshaping rather than resizing. Explore a combination of procedures for optimal results.
  • Ideal Candidates: Women with sagging breasts but satisfactory volume.
  • Recovery: Similar to augmentation, light activities can be resumed within a week.

Breast Reduction: Finding Relief from Discomfort

For women experiencing discomfort or health issues due to overly large breasts, reduction surgery can provide significant relief. This procedure involves removing excess breast tissue and skin to achieve a breast size in proportion with your body.

  • Considerations: Think about how a reduction can alleviate neck, back, and shoulder pain while enhancing mobility.
  • Ideal Candidates: Women suffering from physical discomfort or self-consciousness due to large breasts.
  • Recovery: Recovery varies but usually spans several weeks. Gentle activity is encouraged as you heal.

Breast Reconstruction: Restoring Post-Mastectomy Confidence

For those who have undergone a mastectomy, breast reconstruction offers a chance to regain breast shape and volume, significantly impacting self-esteem and quality of life. Lorraine Golosow, MD, specializes in several reconstruction techniques tailored to individual needs.

  • Considerations: Reconstruction can be immediate or delayed. Discuss options for tissue expansion and implant-based reconstruction with our team.
  • Ideal Candidates: Mastectomy patients looking to restore breast shape.
  • Recovery: The timeline varies based on the type of reconstruction performed.

Implant Exchange: Updating Your Breast Implants

Over time, some women choose to have their breast implants replaced, whether to update to a newer implant type, change breast size, or address issues like leakage.

  • Considerations: Implant technology advances regularly, offering better options for comfort and resilience.
  • Ideal Candidates: Women wishing to refresh their implants or experiencing complications.
  • Recovery: Recovery often mirrors that of an initial augmentation.

Choosing the Right Procedure: Consultation Is Key

Meeting with Dr. Lorraine Golosow enables personalized discussions regarding your goals, concerns, and health history. A thorough consultation is vital to tailor a plan that aligns with your aspirations, ensuring your comfort every step of the way.

If you’re considering breast procedures, contact us to schedule a consultation. We prioritize your safety and satisfaction, employing the latest techniques and technologies for the best possible outcomes.

Why Choose Us?

Dr. Golosow’s practice provides a unique local expertise and a welcoming environment that supports you pre- and post-surgery. Our commitment to personalized care makes our practice stand out in the Fort Myers area.

For more information on each procedure, feel free to explore our breast procedures overview and contact us for personalized advice.

Conclusion: Embrace Summer with Confidence

This summer, take the time to invest in yourself. Whether it’s a breast augmentation in Lehigh Acres, a breast lift in Cape Coral, or any other procedure, our Fort Myers clinic is ready to help you achieve your aesthetic goals. Embrace your new look and step into the sunny season with renewed confidence and poise.