My implants are 14 years old and now I want new ones. Where do I begin? It's been so long.

Answers from doctors (10)


Ralph M. Rosato, M.D., F.A.C.S.

Published on Aug 26, 2016

If you have a good experience, I would return to your first surgeon. If he or she is no longer practicing, then I would look for a board-certified plastic surgeon in your community. You can call or visit the American Society of Plastic Surgeons website at https://find.plasticsurgery.org/default.aspx

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Answered by Ralph M. Rosato, M.D., F.A.C.S.

If you have a good experience, I would return to your first surgeon. If he or she is no longer practicing, then I would look for a board-certified plastic surgeon in your community. You can call or visit the American Society of Plastic Surgeons website at https://find.plasticsurgery.org/default.aspx

Published on Jul 11, 2012


Robert Kearney, MD

Published on Aug 19, 2016

There is no reason to change your implants unless you are having a problem, don't like the way they look or want to be bigger or smaller. It is good, if possible, to have the information about the implants you have in. This can help with the size of the new implants.

I would see a plastic surgeon to discuss what you want when you change, and that will start the discussion.

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Answered by Robert Kearney, MD

There is no reason to change your implants unless you are having a problem, don't like the way they look or want to be bigger or smaller. It is good, if possible, to have the information about the implants you have in. This can help with the size of the new implants.

I would see a plastic surgeon to discuss what you want when you change, and that will start the discussion.

Published on Jul 11, 2012


Kenneth L. Stein M.D. FACS

Published on Aug 19, 2016

You need to call the doctor's office where you had it done. Also, refer to your implant information and call the company. Also check the website for more information.

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Answered by Kenneth L. Stein M.D. FACS

You need to call the doctor's office where you had it done. Also, refer to your implant information and call the company. Also check the website for more information.

Published on Jul 11, 2012


Paul Benien Jr. D.O., F.A.C.O.S., F.A.A.C.S.

Published on Aug 17, 2016

You start by calling a plastic/cosmetic surgeon's office and making an appointment for a consultation.

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Answered by Paul Benien Jr. D.O., F.A.C.O.S., F.A.A.C.S.

You start by calling a plastic/cosmetic surgeon's office and making an appointment for a consultation.

Published on Jul 11, 2012


More About Doctor Paul Vitenas Jr., MD

Published on Aug 10, 2016

Thank you for your question. Saline implants have a 10-year warranty, but that doesn’t mean you have to get them replaced every 10 years. If you have liquid silicone implants, you may want to consider replacing them for the new cohesive gel silicone implants. If you don’t have any problems with your implants and you are still comfortable with the aesthetics, you can leave them alone. If you have liquid silicone, you may want to research top surgeons in your area who specialize in breast implant exchanges.

Answered by Paul Vitenas Jr., MD (View Profile)

Thank you for your question. Saline implants have a 10-year warranty, but that doesn’t mean you have to get them replaced every 10 years. If you have liquid silicone implants, you may want to consider replacing them for the new cohesive gel silicone implants. If you don’t have any problems with your implants and you are still comfortable with the aesthetics, you can leave them alone. If you have liquid silicone, you may want to research top surgeons in your area who specialize in breast implant exchanges.

Published on Jul 11, 2012


David C. Yao MD, FACS

Published on Aug 05, 2016

Thank you for asking. You should start by seeing your plastic surgeon. If he or she is no longer in practice, set up a consultation with a board-certified plastic surgeon who can guide you. There may be new options today that were not available or offered 14 years ago. See more than one consultation if you need to gather more opinions. Best wishes!

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Answered by David C. Yao MD, FACS

Thank you for asking. You should start by seeing your plastic surgeon. If he or she is no longer in practice, set up a consultation with a board-certified plastic surgeon who can guide you. There may be new options today that were not available or offered 14 years ago. See more than one consultation if you need to gather more opinions. Best wishes!

Published on Jul 11, 2012


Larry Leverett, MD, FACS

Published on Aug 04, 2016

If they are still perfect, stay home. No one can make them more perfect. But if you desire change, start with a local board-certified plastic surgeon, preferably one who is a member of ASAPS.

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Answered by Larry Leverett, MD, FACS

If they are still perfect, stay home. No one can make them more perfect. But if you desire change, start with a local board-certified plastic surgeon, preferably one who is a member of ASAPS.

Published on Jul 11, 2012


Andrew Trussler MD, FACS

Published on Aug 04, 2016

Breast implant exchange is a fairly straightforward process. The most common reason for breast implant exchange is for size, either smaller or bigger. Implant rupture, deflation and scarring are other reasons. The process would start with defined patient goals: new implants (either bigger or smaller), new shape and/or silicone. With this, a consultation with a plastic surgeon would be in order, and the options can be discussed with a surgical plan laid out. Secondary breast surgery has very easy recovery because of the previous incision and surgery.

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Answered by Andrew Trussler MD, FACS

Breast implant exchange is a fairly straightforward process. The most common reason for breast implant exchange is for size, either smaller or bigger. Implant rupture, deflation and scarring are other reasons. The process would start with defined patient goals: new implants (either bigger or smaller), new shape and/or silicone. With this, a consultation with a plastic surgeon would be in order, and the options can be discussed with a surgical plan laid out. Secondary breast surgery has very easy recovery because of the previous incision and surgery.

Published on Jul 11, 2012


Barry J. Kaplan, D.O.

Published on Aug 04, 2016

If they are saline, there is no need to change unless you want a different size. If they are silicone, I recommend changing to smooth high profile saline, although many surgeons would say leave if no problem. Silicones all leak eventually.

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Answered by Barry J. Kaplan, D.O.

If they are saline, there is no need to change unless you want a different size. If they are silicone, I recommend changing to smooth high profile saline, although many surgeons would say leave if no problem. Silicones all leak eventually.

Published on Jul 11, 2012


ELLIOT B. DUBOYS, MD, FACS

Published on Aug 04, 2016

Why? Do you have saline or silicone? If you have saline and they are intact, soft and you still like the appearance, there is nothing that has to be done. If you have silicone and are concerned, you might want to get an MRI to make sure they are still intact.

However, on the other hand, if you had your implants prior to children, prior to nursing or prior to any condition that might have made your breasts change and you no longer like the appearance of your breasts, you might want to consider a consultation with a board-certified plastic surgeon.

The best way to start, would be to see your original surgeon. If you don't want to, or he is no longer in practice, you might start by asking friends and family for recommendations or contact the American Society of Plastic Surgeons and look at their roster of member surgeons. Best of luck.

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Answered by ELLIOT B. DUBOYS, MD, FACS

Why? Do you have saline or silicone? If you have saline and they are intact, soft and you still like the appearance, there is nothing that has to be done. If you have silicone and are concerned, you might want to get an MRI to make sure they are still intact.

However, on the other hand, if you had your implants prior to children, prior to nursing or prior to any condition that might have made your breasts change and you no longer like the appearance of your breasts, you might want to consider a consultation with a board-certified plastic surgeon.

The best way to start, would be to see your original surgeon. If you don't want to, or he is no longer in practice, you might start by asking friends and family for recommendations or contact the American Society of Plastic Surgeons and look at their roster of member surgeons. Best of luck.

Published on Jul 11, 2012


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