Implant Replacement  
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The first thing Dr. Graham will do, is to simply check the implants to assess if anything does need to be done or not. If he feels you do require implant attention or replacement, your options may range from a simple adjustment procedure, to removal of the prostheses or replacement with a newer technology implant. In many cases you may have several options, so it is important to discuss the merits of each available choice. 
A decision to have your implants removed or replaced is a personal decision which should be made in consultation with your doctor or surgeon. In making this decision you should find out the condition of your implant but you should also consider other factors such as:

·         your current health;

·         any concerns you have about the long term effects of keeping your implants; and

·         the possible complications and risks of surgery. 

Generally, doctors only recommend removal of implants if you are experiencing specific health problems such as rupture, extreme capsular contracture, constant pain or infection that will not clear up. Other doctors may suggest removal because of the age of your implant and its limited lifespan. You may also need to consider whether you should have the capsule which surrounds your implant removed at the same time.

If you decide to have your implants removed because of concerns about the effects of silicone on your health, then it may make sense to have the capsule removed as this is where the silicone is likely to be. However, some doctors say that removal of the capsule is unnecessary and that it increases the risk of bleeding during and immediately after the operation. You should discuss any concerns you have about removal of the capsule, including the risks and benefits, with your surgeon.

Removal of your implant will also carry the usual risks involved in any operation (e.g.: bleeding, infection and scarring and the risk of anesthetics). Your implant may also rupture as it is being removed. If your implant has already ruptured prior to the operation, the surgery to remove the escaped silicone gel may also involve the removal of some breast tissue.