American Society of Plastic Surgeons
For Medical Professionals
4 years ago

Implant removal and fat transfer

I have the implants that have been recalled they have been in for five years I’m looking for someone within 150 miles of me that has experience with this I would like to have them removed and discuss possibility of fat transfer. I am not having any problems or side effects from them I just want a consult because I do want to have them removed I don’t want to wait till I’m having a problem

Procedure: Breast Implant Revision
Location: Belpre, OH

Replies 4

Lawrence Glassman
ASPS Surgeon


1. Macro-textured Breast Implants were voluntarily taken off the market by its manufacturer(Allergan) because of the increased likelihood of these implants being associated with Breast Implant Associated-Anaplastic Large Cell Lymphoma(BIA-ALCL). This does not apply to smooth wall implants.

2. If you have these implants, the likelihood of this occurring is very rare. Without signs of increased breast size, swelling or lumps, The FDA does not recommend removal.

3. In patients who desire removal of these implants despite having no signs of BIA-ALCL, I personally will remove both implants and perform a complete or near complete capsulectomy (removal of the scar tissue that is associated with BIA-ALCL). I recommend replacement with smooth wall implants. I use fat transfer for breast shaping rather than augmentation.

I hope this information is helpful.

J. Gerald Minniti
ASPS Surgeon

Your risk of having lymphoma from your implants is around 1/3500 to 1/4000. Your risk of breast cancer (all American woman, unrelated to breast implants) is 1/8. That’s 400-500 times more likely than lymphoma associated with these implants. Just leave them alone, and follow up with your surgeon yearly, unless you note any changes like swelling to your breasts.

Nelson Castillo

Thank you for sharing your question. If electing to pursue removal for peace of mind then removal of the implant and capsule, as well as fat grafting can likely be performed in the same setting. It will be important to understand the limitations of fat grafting so be sure to see an ASPS board certified plastic surgeon in consultation to discuss.

Katerina Gallus
ASPS Surgeon
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Hello and thank you for your question. There are definitely some important things to consider when pursuing implant removal in the context of the recent recall. The risk of a medical issue related to your implants is low but it is ultimately your decision whether or not to have them removed. Additional procedures at the time of that surgery can be considered to restore breast shape and volume. It will be important to seek consultation with a board-certified plastic surgeon in your area that can explain the risks and benefits as well as your surgical options in detail and answer your questions. You currently have time on your side - take your time to find the right fit and consider more then one consultation. Best of luck!


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