In breast replacement where both implants have ruptured what are best options
Silicone tracking down arm after having mentor implants for 20years ultrasound confirmed ruptured right breast. Witch has caused lot of pain
I'd suggest you use the 'Find a Surgeon' feature on our ASAPS website to seek out the services of a Specialist Plastic Surgeon near you. They can guide you on the best course of action, be it removal or replacement of your breast implants.
Thank you for reaching out to us here at Ask ASAPS. My name is Dr Gary Avery and I am a Specialist Plastic Surgeon.
With regards to removing your implants and replacing them, there have been some changes with regards to Medicare and health funds covering this procedure of late, and this may impact your options.
Removing the implants if they have ruptured is generally the recommendation aiming to remove all of the free-silicone from within the breast. If there is silicone extending beyond your breasts such as in lymph nodes or down your arm, a consultation is required to discuss the significance of this and the pros and cons of attempting to remove this. The removal of the implants does attract a Medicare item number; possible applicable numbers include –45548 or 45551. Removing the implants would hopefully help with the pain you are experiencing.
Replacing the implants is not generally covered by Medicare or health funds. Whereas Medicare considers the removal of the implants to be medically indicated, they are not supportive of replacing them.
My recommendation would be to remove the implants and you can also consider having the remaining breast tissue lifted to restore the position of the breast if you felt necessary. Once recovered from this surgery, you may opt to re-insert implants or you may consider the result of the removal with or without a lift to be what you desire. The cost for the re-augmentation will not be covered by Medicare.
There are certainly options available to you and I recommend searching the ASAPS database to locate a surgeon close by and book a consultation to discuss these options in person.
All the best, Dr Gary Avery.