Implant Removal / Replacement

2005 PIP Implants Removal without Implant Exchange

Implant Removal / Replacement

Transcript

Hello. My name’s Adrian Richards. I’m a plastic surgeon and the Surgical Director of Aurora Clinic. This is our latest in our series of videos showing PIP implants which I’m treating.

This lady had PIP implants inserted, in 2005, in front of the muscle. Now she’s got quite a lot of rippling in front of the area. She knows a lot about PIP implants and has decided she would like her implants removed and not replaced. Today I’m going to be removing the implant, dealing with the capsule, photographing the implants during this procedure. I’ll be taking you through each stage of the procedure.

I’ve removed the implant, which is a 250 cc implant. It’s got a small amount of gel bleed, I would say. Not that much gel bleed on this one. There’s still some, as you can see there, not too bad. This is a 250 cc implant. Although there is some gel bleed on this PIP, I’d say it’s probably less than normal. So less than normal for a PIP, but more than normal compared to a normal implant, an Allergan or Nagor implant.

I’ve just removed this one, the left implant. You can see there is more gel bleed on this side. I don’t know whether you can see that. That’s the gel just coming through on the outside of the implant. Again, this implant, I think, is in slightly worse condition than the right. It’s lost volume from the top, as we’re seeing a lot with these PIPs because the gel sort of comes through, and then it empties the top, basically, and then fills the bottom. The remaining silicone goes to the bottom. This is not the worst one I’ve seen, but I think it’s best removed, really. Number one, because of the silicone gel bleed, and number two, because of the silicone on the outside.

So having a look down here, this is the right implant. This is the left implant. They’re both intact PIP implants. As you can see, what they tend to do is lose a bit of gel from the upper portion of the breast. This isn’t too bad, this one, but you can see how it is becoming slightly deflated in this area. When it’s inserted, it’s fuller, like that. With time, with gel bleed oozing through the shell, you get lack of volume here. Then, this is the waviness that you can see through the skin. I don’t know whether you can see that. That rippling is when the outline of the implant shows through the skin.

The right one had some gel bleed, not too bad. The left one, again, slightly deflated. You can see this lack of volume in the top with the waviness of the implant. So I think it’s good to remove them both.

Thank you very much for watching the video, and a big thank you for our patient for allowing us to show the video. If you’d like any information about PIP implants, any other type of plastic surgery, please email us or get in contact with us via phone.