If your breast implants are 20 years old, you don’t automatically need to replace them — but you should get them checked. Many implants last longer than 10 to 15 years, yet the risk of rupture or changes in breast shape rises with time, so getting your implants checked out by a doctor or medical professional is important. 

In this blog post, you’ll learn what to watch for, when replacement makes sense, and how doctors check for leaks or capsular problems. 

If you are interested in having your implants checked out or replaced and are in the Temecula, Murrieta, Menifee, California area, contact Newman Plastic Surgery today! 

How Long Do Breast Implants Last?

Most breast implants last between about 10 and 20 years, but many patients keep theirs longer without issues. Your implant type, surgery details, body changes, and symptoms determine when a replacement or revision is needed.

Typical Lifespan of Implants

Most implants are expected to last roughly 10–20 years. The FDA calls implants “not lifetime devices,” which means you should expect follow-up care and possible replacement at some point.

Some people never have problems and keep implants beyond 20 years. Others need revision earlier because of rupture, firmness, shifting, or cosmetic concerns. If your implants are older than 10 years, you should have regular check-ins with your surgeon or our clinic to monitor them.

Imaging like MRI or ultrasound can find silent ruptures in silicone implants. Saline ruptures are usually obvious because the implant deflates. Tracking changes in shape, feel, or pain helps decide timing for replacement.

Types of Implants and Durability

Two main types affect durability: saline and silicone gel. Saline implants leak visibly and are easier to detect, but the shell can still fold or rupture. Silicone implants can have “silent” ruptures that need imaging to detect.

Gummy bear (cohesive gel) implants hold shape better and may resist rupture and wrinkling more than older silicone gels. Textured vs. smooth shells and implant placement (above or below the muscle) also change how they wear over time.

Newer implants and surgical techniques aim to last longer and look more natural. Still, no implant guarantees a lifetime without revision. Your implant age, model, and prior surgery records help plan monitoring or replacement.

Warning Signs Implants May Need Replacement

Watch for these signs: new lumps, hardening or firmness (capsular contracture), persistent pain, noticeable asymmetry, shifting position, or sudden deflation with saline implants. For silicone implants, a change in breast shape or unexplained discomfort can mean rupture.

Other reasons to replace implants include cosmetic changes you want (size or shape), aging skin, or scar tissue problems. If you notice any of these signs, schedule an evaluation with Dr. David A. Newman or our team here at Newman Plastic Surgery.

Regular exams and imaging when recommended give you the best chance to catch problems early and choose the right timing for revision or removal.

When Should You Replace Breast Implants?

You should replace implants if you have symptoms, want a size or style change, or your implants are old enough that risks rise. Regular checkups and imaging help catch problems early.

Reasons for Implant Replacement

You should consider replacement if you notice pain, hardening, visible rippling, or a change in size or shape of a breast. These signs can mean rupture, capsular contracture, or shifting of the implant pocket. Infection or recurrent fluid collection also require evaluation and often surgery.

Many people replace implants for cosmetic reasons too. You might want a different size, a newer implant type, or breast lift at the same time. If your implant maker issues a recall or offers repair under warranty, that is also a reason to act.

Age of Implants and Health Considerations

Most manufacturers and surgeons suggest monitoring implants after 10 years. Rupture risk and capsular contracture become more likely with time. Saline ruptures are usually obvious; silicone ruptures can be silent and need MRI or ultrasound to detect.

If your implants are 15–20 years old, get imaging and an exam even if you feel fine. Also tell your surgeon about any new breast lumps, unexplained pain, or changes in shape. Your overall health, prior surgeries, and plans for pregnancy can affect timing of replacement.

Advice for 20-Year-Old Implants

If your implants are about 20 years old, schedule an appointment with Dr. Newman’s clinic for a clinical exam and imaging. We often recommend MRI or targeted ultrasound for old silicone implants to check for silent rupture. Bring records of the original implant type, size, and surgery if you have them.

Be ready to discuss goals: do you want the same size, a change, or removal? If problems are found, implant exchange or removal with capsulectomy may be advised. We will review risks, recovery, and expected costs so you can make an informed choice.

Potential Complications After 20 Years

After many years, implants can show wear, the tissue around them can tighten, and your breast shape can change. These are the common issues patients ask about when they come in for a long-term check.

Implant Rupture Risks

Silicone and saline implants can rupture over time. Saline ruptures are usually obvious because the implant deflates. Silicone ruptures can be silent; the gel may stay inside the shell or leak into surrounding tissue.

You should get regular imaging if your implants are silicone. MRI or ultrasound can detect a silent rupture. If a rupture is confirmed, removal or replacement is recommended to avoid inflammation or changes in breast shape.

Activity, trauma, and normal shell wear increase rupture risk. Implants older than 15–20 years have higher odds of rupture than newer ones. Bring any sudden change in size, firmness, or unusual pain to the clinic right away.

Capsular Contracture

Capsular contracture happens when scar tissue around the implant tightens and squeezes the implant. You may notice firmness, distortion of breast shape, or pain. It can start slowly or appear after many years.

We grade contracture from mild to severe. Mild cases may only need monitoring. Moderate to severe cases often require surgery to remove the capsule and either replace or remove the implant.

Risk factors include infection, bleeding around the implant, and implant rupture. Textured implants and certain surgical techniques can change risk, so discuss your implant type and history when you schedule an evaluation.

Changes in Appearance

Your breasts and implants age together. Skin stretches, breast tissue thins, and implants can shift lower over time. This can cause sagging, asymmetry, or a less natural contour.

Weight changes, pregnancy, and gravity make appearance changes more likely after 20 years. You might want revision surgery to lift the breast, change implant size, or adjust placement for a more balanced look.

Photos and a physical exam help us plan the right option for you. We’ll review whether you need implant exchange, a lift, or removal based on your goals and medical history.

Breast Implant Health Monitoring

Keep track of how your breasts look and feel, and schedule exams and imaging when recommended. Monitoring helps catch leaks, firmness changes, and other issues early.

Regular Check-Ups and Imaging

You should see a plastic surgeon or your primary care provider at least once a year to review implant status and breast health. If you have silicone implants, the FDA and many surgeons recommend imaging—ultrasound or MRI—starting 5–6 years after placement, then every 2–3 years after that, or sooner if you notice changes.

Bring prior operative reports and implant cards to appointments so the provider knows implant type, size, and placement. If you have saline implants, a visible deflation usually shows a leak; still keep routine visits in case of capsular contracture or contour change. If you notice pain, hardening, growing asymmetry, or sudden shape change, get seen right away.

Self-Examination Tips

Check your breasts monthly in front of a mirror and while lying down. Look for asymmetry, dimpling, skin redness, new lumps, or changes in shape or nipple position.

Palpate gently with flat fingers, covering the entire breast and under the armpit. Feel for firm areas, thickening, or fluid waves (better noticed with saline). Note any persistent pain, swelling, or a sudden decrease in size on one side—these deserve prompt evaluation.

Keep a simple record of what you find and when. Bring this log to appointments so Dr. Newman or his team can compare changes over time.

What to Expect if You Need Implant Replacement

If you decide to replace your implants, expect a step-by-step plan that covers your exam, the surgery itself, and the weeks after. You will discuss implant type, pocket changes, and scar or capsule issues so you know what to expect each step of the way.

Consultation With Dr. David A. Newman

You will meet with Dr. Newman for a focused exam and talk about your goals. He will review your implant history, any symptoms like firmness or asymmetry, and imaging if needed. Expect questions about prior surgery details: implant type, size, placement, and any complications.

He will inspect the breast shape, scar tissue (capsule), and skin quality. You may get an ultrasound or MRI if rupture or leak is suspected. Dr. Newman will explain options: replace with similar implants, change size or profile, switch from saline to silicone, or remove implants completely.

Before leaving, you will get a tailored plan with risks, expected scars, and a cost estimate. If you want, schedule the surgery date and pre-op instructions. For more on breast options in our practice, see our breast augmentation page.

Replacement Surgery Overview

Most replacement operations take 1–2 hours under general anesthesia, depending on complexity. If the capsule is tight (capsular contracture), Dr. Newman may perform a capsulectomy (remove scar tissue) or a capsulotomy (release the scar) to improve shape and comfort.

Surgeon choices include using the old incision or a new one under the breast fold. He may reposition the implant pocket — for example, move from above the muscle to below — to get better shape or reduce complications. If you change implant type, size, or pocket, expect a slightly different feel and look.

The team will place drains only if needed and close incisions with dissolving sutures. You will wake in recovery and remain monitored until you meet discharge criteria.

Recovery and Results

Plan for 1–2 weeks off work for desk jobs and longer if your job is physical. You will wear a support bra continuously for several weeks to limit movement and help the implants settle. Pain is usually moderate the first 48–72 hours and controlled with prescribed medication.

Follow-up visits occur at 1 week, 6 weeks, and 3 months to check healing and position. Swelling and firmness slowly fade; final shape may take 3–6 months. Watch for warning signs like fever, severe pain, sudden swelling, or changes in breast color — call the office if any of these occur.

Maintaining Breast Health With Implants

Regular checks and healthy daily habits help you spot problems early and keep your breasts comfortable. Pay attention to changes in shape, pain, or lumps, and follow recommended imaging and lifestyle steps to protect your implant and natural breast tissue.

Mammograms and Screening

Tell the imaging center that you have breast implants before your appointment. Implants can hide some breast tissue on standard mammograms, so the tech may perform additional views called implant-displaced (Eklund) views to improve visibility.

Continue age-appropriate screening based on your doctor’s advice. If you have a family history of breast cancer, genetic risk, or symptoms like a lump or persistent pain, you may need earlier or more frequent imaging.

If you notice sudden swelling, hardening, or new asymmetry, get evaluated right away. You may need ultrasound or MRI to check implant integrity or look for seroma, rupture, or capsular contracture. Keep records of implant type and surgery date to share with providers.

Healthy Habits Post-Surgery

Maintain a stable weight with balanced diet and regular exercise to prevent large breast changes that stress implants. Rapid weight gain or loss can alter breast position and increase sagging.

Avoid smoking and limit alcohol. Smoking raises risks for poor healing and infection. Alcohol can affect overall health and make follow-up care harder.

Do self-breast exams monthly and report any persistent changes to your surgeon or primary care doctor. Keep routine follow-up visits with Dr. David A. Newman’s office so we can track implant condition and discuss replacement timing if needed.

Next Steps for Patients With 20-Year-Old Implants

If your implants are around 20 years old, plan a focused checkup to look for rupture, capsular contracture, and changes in breast shape or comfort. Bring your surgical records, note any new symptoms, and expect a discussion of options: observation, imaging, replacement, or removal.

Schedule An Appointment With Newman Plastic Surgery

Call our Temecula office or use the online form to book a consultation with a patient coordinator. Tell us the year of your original breast augmentation surgery, the implant type if known (saline or silicone), and any symptoms like pain, firmness, or size change.

During the visit, we will take a medical history and perform a breast exam. If needed, we can order imaging — typically MRI for silicone or ultrasound for suspected leaks — and review results with you.

We will discuss realistic options: monitor without surgery, exchange implants, capsulectomy (removal of scar tissue), or explantation. We will explain risks, recovery time, and cost for each path so you can make an informed choice.

Bring a list of questions and any prior operative reports or implant cards. If you prefer, request a photo review or a pre-consult phone call to speed up the visit.

Get started today!

Loss of Breast Tone, Firmness and Fullness

Many women lose tone, firmness, and fullness to their breasts after childbirth and breastfeeding.  This results in drooping, looseness of the skin, and loss of breast volume in the upper part of the breast.

Loss of this upper breast fullness becomes important to patients seeking plastic surgery consultation because it is not only obvious to the patient but also is visible to others, because this is the part of the breast that is not completely covered by a blouse or bathing suit.

Patients then seek cosmetic surgery consultation to gain fullness in this upper part of the breast, and this is best achieved with the placement of a breast implant.

How Breast Augmentation Achieves A Natural Result

Breast augmentation achieves a natural result because the implant is placed under the chest or “pec” muscle, and the muscle not only covers the implant but also acts like an internal bra to support the new volume and provide fullness in the upper part of the breast.

Submuscular placement leads to long-term stability of implant position on the chest and that translates into long-term excellent results.

Many women who go through pregnancy and breastfeeding simply lose volume but don’t develop drooping of their breasts and therefore simply require an implant to restore tone and fullness.

But some patients not only lose volume but develop drooping of their breasts where the breasts descend to a lower position on the chest and this issue requires attention in order to achieve a good cosmetic result.

Thinking About Breast Drooping When Planning Implants

A good way to think about breast drooping when implants are planned is that the new implant is under the muscle, which is fixed and in a good position on the chest.

As the breast droops, it descends below this position, away from the position of the implant. So the breast and the breast implant will be in two different positions. That’s where breast lifts enter the picture.

A breast lift (mastopexy) is a procedure where loose skin is removed and the breast is not only tightened, but also the nipple is kept attached and raised to a higher position. No breast tissue is removed during a breast lift, and so breast lifts don’t change the size of the breast at all. Most patients who have drooping of the breast have one procedure where the lift is combined with an implant.

Breast lifts raise the tissue and nipple to the position of the breast implant, but also result in a scar that fades with time and is placed in an inconspicuous place on the breast.

But one of the most important issues regarding treatment for breast drooping is related to how much breast tissue a patient has prior to their procedure.

The explanation relates to support of the breast: The implant, as mentioned above, is supported by the muscle, which keeps it from falling.

But breast tissue is supported by skin and childbirth and breastfeeding generally cause skin thinning, making the skin less supportive and that can lead to drooping.

The implant does not support the breast tissue after surgery and so if a patient has drooping with a significant amount of breast tissue, tissue needs to be removed or recurrence of drooping can happen after surgery.

Breast Tissue Removal Techniques

There are different techniques for breast tissue removal with an implant and lift procedure but really two different ideas.

One way is to remove some breast tissue with the combined implant/lift procedure. This is the procedure of choice when there is a limited amount of tissue to start with as with patients in the B to small C cup size.

When patients are larger than that, it is not possible to remove enough tissue. In that situation, the surgery is staged with a true breast reduction performed first and the implant is placed at a subsequent procedure.

The patients that require two procedures are generally in the full C to D and larger cup size. So when women have a significant amount of breast tissue, sculpting the new breast tissue shape with a breast reduction can give a better shape than when all the procedures are performed together.

Book A Breast Reduction & Augmentation Consultation in the Temecula, Murrieta, & Menifee Area!

It is, of course, important to seek consultation with a Plastic Surgeon who has significant experience with all of the above-mentioned procedures so all of the alternatives can be presented.

Women who have lifts performed with implants as well as tissue reduction, can have a more dramatic result as compared with only breast augmentation because they can have more significant change.

If you are in the Temecula, Murrieta, and Menifee area and interested in a breast reduction and/or augmentation procedure, book a consultation with Newman Plastic Surgery today!

Gummy Bear Implants in Temecula, Murrieta, Menifee, and the San Diego area

When considering breast augmentation, many people are curious about gummy bear implants. These implants, known for their ability to hold their shape, offer a more natural look compared to traditional options. Gummy bear implants maintain their form and provide a predictable breast shape with fullness at the bottom and a thinner profile at the top.

The recovery process for gummy bear implant surgery typically takes a few weeks, though most patients begin feeling better after just a couple of days. Like all breast implants, the main goal is to improve both shape and size in a way that meets the patient’s aesthetic goals.

Natrelle is currently the only brand offering a smooth collection with three different gummy gel options. The gummier the implant, the better it holds its shape when handled, giving patients and surgeons more choices for customized results. Many plastic surgeons now offer consultations specifically for those interested in learning if these cohesive gel implants might be right for them.

What Are Gummy Bear Implants?

Gummy bear implants are a specific type of breast implant known for their stable shape and natural feel. They get their nickname from their consistency, which resembles gummy bear candy when cut.

Composition and Structure

Gummy bear implants are made of highly cohesive silicone gel, which is thicker than traditional silicone implants. This cohesive gel maintains its shape even when cut or damaged, reducing the risk of leakage. They typically have a teardrop shape, mimicking the natural breast contour with more fullness at the bottom and a tapered top.

The outer shell of these implants is stronger than traditional options. This enhanced durability helps them maintain their shape over time, even when subjected to pressure or movement.

Most gummy bear implants feature a textured surface designed to reduce rotation. Since they have a specific shape, maintaining proper orientation is important for natural-looking results.

Are Gummy Bear Implants Textured?

Most gummy bear implants have a textured surface rather than a smooth one. The textured exterior helps the implant stay in place and reduces the risk of rotation. This feature is particularly important because of their teardrop shape.

If a teardrop-shaped implant rotates, it can create an unnatural appearance in the breast. The textured surface creates friction against the breast tissue, helping the implant remain in its intended position.

Some manufacturers offer different degrees of texturing. The texturing process varies between brands, with some using more aggressive texturing than others.

Comparison With Other Implant Types

Gummy bear implants differ from traditional options in several key ways:

Shape: Unlike round implants, gummy bear implants have a teardrop shape that many consider more natural-looking.

Gel consistency: Traditional silicone implants use a less cohesive gel that feels softer but is more prone to rippling or leaking if damaged.

Longevity: The highly cohesive gel in gummy bear implants may help them maintain their shape longer than saline or traditional silicone options.

Feel: Gummy bear implants feel firmer than traditional silicone implants but softer than saline implants.

The stability of gummy bear implants reduces common issues like rippling and folding that can occur with other implant types. This stability comes with a trade-off – they typically require a larger incision for placement due to their firmer consistency.

Benefits of Gummy Bear Implants

Gummy bear implants offer several advantages over traditional breast implants, making them a popular choice for many patients. These cohesive gel implants provide enhanced aesthetic results while addressing common concerns associated with other implant types.

Natural Appearance and Feel

Gummy bear implants create a more natural breast shape compared to traditional options. Their teardrop design mimics the natural slope of the breast, with more fullness at the bottom and a tapered appearance toward the top. This anatomical shape helps patients achieve results that look less artificial.

The cohesive silicone gel inside these implants maintains its shape while remaining soft to the touch. This consistency closely resembles natural breast tissue, making it difficult to distinguish from real breasts both visually and by feel.

Many patients report higher satisfaction with the natural movement of gummy bear implants. Unlike some older implant types, these implants move naturally with the body while maintaining their shape in all positions.

Durability and Longevity

Gummy bear implants demonstrate excellent durability over time. The cohesive gel composition helps the implants retain their shape for longer periods compared to traditional options.

These implants resist common issues like rippling and wrinkling that can affect other implant types. The thicker gel maintains its form and position, even after years of use.

The strong silicone shell of gummy bear implants provides additional structural support. This enhanced shell integrity contributes to the overall longevity of the implants and helps them withstand normal physical activity.

Reduced Risk of Leakage

One significant advantage of gummy bear implants is their lower leak rate compared to traditional silicone implants. The cohesive gel inside maintains its shape even if the implant shell is compromised.

If a rupture occurs, the gel remains largely contained within the implant rather than leaking into surrounding tissue. This “form-stable” property minimizes complications and makes ruptures easier to detect during routine examinations.

The reduced leak risk also means less silicone gel extravasation (migration of silicone into body tissues). This lowers the chance of complications and often results in less frequent need for replacement surgeries over time.

Potential Risks and Considerations

While gummy bear implants offer many benefits, they also come with important risks and considerations that patients should understand before making a decision. Safety concerns range from surgical complications to long-term health issues that vary from person to person.

Possible Complications

Gummy bear breast implants, like all surgical procedures, carry several potential complications. Infection may occur during or after surgery, requiring antibiotic treatment or implant removal in severe cases. Changes in nipple and breast sensation are common, with some patients experiencing temporary or permanent numbness or hypersensitivity.

Pain in the breast area might persist beyond the normal recovery period. According to FDA information, additional surgeries may be needed to address complications or adjust implant position.

Implant rupture remains a risk, though gummy bear implants tend to hold their shape better than traditional options if this occurs. This “silent rupture” can be harder to detect without imaging.

MRI screenings are recommended regularly to check implant integrity, adding to the long-term maintenance costs and considerations.

Who May Not Be a Candidate

Individuals with certain health conditions should avoid gummy bear implants. Those with active infections, untreated breast cancer, or other malignancies are not suitable candidates due to increased health risks.

Women who are pregnant or breastfeeding should postpone surgery until several months after completing breastfeeding. Patients with autoimmune disorders like lupus or rheumatoid arthritis may face higher risks of complications.

Those with unrealistic expectations about results or recovery should reconsider. The procedure requires significant recovery time and will not solve body image issues or relationship problems.

People with a history of poor wound healing or those unwilling to accept potential scarring should explore alternatives. The firmer nature of gummy bear implants also makes them less ideal for those with minimal natural breast tissue.

Capsular Contracture Risks

Capsular contracture is one of the most common complications with breast implants. This condition occurs when scar tissue forms around the implant and begins to contract, making the breast feel firm or hard. It can also cause pain and distortion of the breast shape.

While all breast implants carry this risk, some studies suggest gummy bear implants may have a slightly lower rate of capsular contracture compared to traditional silicone implants. However, the risk still exists.

Factors that may increase capsular contracture risk include:

• Bacterial contamination during surgery
• Bleeding during recovery
• Implant rupture or leakage
• Radiation therapy to the breast area
• Genetic predisposition

Treatment often requires surgical intervention to remove the hardened capsule and replace the implant. In severe cases, the implant might need to be removed entirely.

Gummy Bear Implant Recall

Some gummy bear implants have been subject to recalls in recent years. The FDA discovered a link between certain textured breast implants and a rare form of cancer called Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL).

Though rare, this cancer of the immune system develops in the scar tissue and fluid surrounding the implant. Symptoms may include persistent swelling, pain, or lumps in the breast or armpit.

In 2019, several textured implants were recalled from the market due to these concerns. Patients with these specific implants were advised to:

• Monitor for symptoms but not remove implants if no problems exist
• Consult with their surgeon if symptoms develop
• Register with the manufacturer’s warranty program

Current gummy bear implants on the market have undergone additional safety testing, but ongoing monitoring is essential for any patient with breast implants.

Gummy Bear Implant Procedure

The gummy bear implant procedure involves several carefully planned stages to ensure optimal results. This specialized breast augmentation technique requires proper preparation, precise surgical execution, and appropriate recovery care.

Preoperative Preparation

Before gummy bear implant surgery, patients must schedule a consultation with a board-certified plastic surgeon. During this appointment, the surgeon will evaluate the patient’s medical history and current health status.

Patients are typically instructed to stop taking certain medications like aspirin or anti-inflammatory drugs that might increase bleeding risk. Smokers must quit at least two weeks before surgery, as smoking can impair healing.

Pre-surgical preparations often include baseline mammograms and breast measurements to determine the appropriate implant size. The surgeon will discuss implant placement options—either under the breast tissue or beneath the chest muscle.

Patients should arrange for someone to drive them home after surgery and assist with daily activities for the first 24-48 hours of recovery.

Surgical Steps

Gummy bear implant surgery is performed under general anesthesia and typically takes 1-2 hours. The surgeon begins by making an incision in one of three locations: the inframammary fold (under the breast), around the areola, or in the armpit.

The choice of incision depends on patient anatomy, implant size, and surgeon preference. Gummy bear implants often require slightly larger incisions than traditional implants due to their firmer consistency.

After creating a pocket for the implant, the surgeon carefully inserts the gummy bear implant. These form-stable implants must be placed with precision since their teardrop shape is designed to maintain orientation.

Once positioned correctly, the surgeon closes the incisions with layered sutures. Skin adhesive or surgical tape may be applied for additional support.

Recovery Timeline

First Week:

• Rest is essential with limited arm movement
• Wear a surgical bra or compression bandage continuously
• Manage discomfort with prescribed pain medication
• Expect swelling, bruising and tightness

Most patients can return to light activities within 3-5 days, but should avoid heavy lifting (over 5 pounds) for at least two weeks. Surgeons typically remove stitches within 7-10 days if non-absorbable sutures were used.

By weeks 3-4, moderate exercise can usually resume, though chest-focused workouts should be avoided for 6 weeks. The implants will gradually settle into their final position over 2-3 months in a process called “dropping and fluffing.”

Full recovery takes approximately 6 months, when all swelling resolves and the implants settle completely. Regular follow-up appointments with the surgeon are important to monitor healing.

Choosing the Right Gummy Bear Implants

Selecting the ideal gummy bear implant involves understanding the available options to match your body type and aesthetic goals. These form-stable implants offer excellent shape retention and come in various configurations to suit different needs.

Shapes and Sizes

Gummy bear implants come in two main shapes: round and anatomical (teardrop). Round implants provide fullness in the upper breast and create a more pronounced look. Teardrop implants mirror the natural breast shape with more volume at the bottom, offering a subtler enhancement.

Size options typically range from 120cc to 800cc. Your surgeon will help determine the appropriate size based on your chest measurements, existing breast tissue, and desired outcome. Many surgeons use “sizers” during consultations to simulate how different volumes might look on your frame.

Consider your lifestyle when choosing size. Larger implants may cause more discomfort during physical activities and potentially more noticeable rippling over time.

Textured vs. Smooth Surfaces

Gummy bear implants are available with either textured or smooth outer shells. Textured surfaces were designed to reduce the risk of capsular contracture and prevent implant rotation, especially important for anatomical shapes.

However, textured implants have been linked to a rare condition called BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma). This has led many surgeons to prefer smooth-surfaced options for patient safety.

Smooth implants move more naturally within the breast pocket and typically feel softer. They integrate well with surrounding tissue but may have a slightly higher risk of rotating if anatomically shaped.

Your surgeon’s experience with different surface types should guide this decision, balancing aesthetic goals with safety considerations.

Longevity and Maintenance

Gummy bear implants offer impressive durability compared to earlier implant types, with proper care significantly extending their lifespan. Regular monitoring and maintenance are essential components of ensuring optimal long-term results.

Expected Lifespan

Gummy bear implants typically last between 10 to 15 years, though some can remain intact for up to 20-25 years with proper care. Their cohesive gel composition contributes to this extended durability compared to earlier silicone implant generations.

The lifespan varies depending on individual factors including:

• Body type and activity level
• Proper post-surgical care
• Regular medical check-ups
• Absence of complications

Proactive maintenance significantly extends implant longevity. Following surgeon recommendations about physical activities and wearing supportive garments can prevent unnecessary stress on the implants.

Signs Replacement Is Needed

Patients should watch for specific indicators that suggest implant replacement may be necessary:

Physical Changes:

• Change in breast shape or size
• Hardening of the breast tissue (capsular contracture)
• Visible rippling or wrinkling
• Pain or discomfort in the breast area

Diagnostic Indicators:

• Rupture detected during imaging
• Shifting of implant position

Current guidelines recommend routine MRI or ultrasound screenings every 2-3 years after placement, even without symptoms. Silent ruptures can occur without obvious external signs, making these screenings crucial for early detection.

Immediate consultation with a plastic surgeon is advised if any concerning symptoms develop between scheduled check-ups.

Consultation and Next Steps

When considering gummy bear implants, the first step is scheduling a consultation with a qualified plastic surgeon. During this meeting, the surgeon will assess your anatomy and discuss your goals for breast enhancement.

The consultation provides an opportunity to ask questions about the procedure, recovery, and expected outcomes. Surgeons typically review your medical history and may take measurements to determine the right implant size for your body.

Be prepared to discuss your lifestyle and expectations openly. This helps the surgeon recommend the best implant type and surgical approach for your needs.

Many patients find it helpful to bring photos showing their desired results. This visual reference gives the surgeon a clearer understanding of your aesthetic goals.

After the consultation, you’ll receive a customized treatment plan. This plan outlines the procedure details, costs, and recovery timeline.

Pre-Surgery Preparation:

• Complete required medical tests
• Stop smoking at least 2-4 weeks before surgery
• Adjust medications as directed
• Arrange for someone to drive you home after surgery

Most patients take about one week off work for initial recovery. During this time, you should avoid lifting anything over 10 pounds and follow all post-operative instructions carefully.

Follow-up appointments are essential to monitor your healing progress. Your surgeon will provide specific guidance on when you can safely resume normal activities.

If you are in the Temecula, Menifee, Murrieta, and San Diego area and are considering breast implants such as gummy bear implants, Newman Plastic Surgery is here to help. Contact us today to schedule a consultation.

Size Matters but Not Like You Think

You have just decided to take the plunge and have a breast augmentation. There has been the back and forth deciding and listening to your friends and relatives telling you what to do but now you have finally decided. You have consulted with several good plastic surgeons but you still don’t know exactly how big you want to go or which implant is the best. Dr David Newman recommends that patients think more like a doctor when looking at breast implant alternatives. And there are two secrets that doctors know about breast implants.

Your Right Breast Implant Size is the Size That Will Make You Look Your Best

Plastic surgeons use volume to create shape. So when the volume of the implant is too small, there is not enough size to get to the best shape. For example, the implant needs to extend horizontally from the cleavage area to the outside of the breast in order that the cleavage will be the best it can be. If the implant is smaller than this, the cleavage will suffer. This is also true from the vertical perspective. The implant needs to have sufficient volume so that it can extend from the bottom of the breast to the upper pole or the upper part of the breast won’t be full and again, the overall shape will not be its best. These are both examples of the minimum volume required to achieve the best shape. 

But shape will suffer when the implant goes beyond a maximum volume. In other words, when the implant is too large, the shape won’t be as good as it was with a lesser size. This is mostly because the doctor has to make a larger pocket to hold the larger implant and the space required may extend beyond the natural edge of the breast tissue. When this is done, the breast starts to lose its “breast shape” and become more  “blobby”. Some patient might be willing to sacrifice some loss of shape to get to the size they wish but more often patients wish the best shape. But patients should know that there is a “best shape range of implant sizes” that will lend the best shape. There are some other issues that relate to creating a pocket that extends past the natural edge of the breast tissue. The breast tissue provides natural cover for the implant and hides the ability to feel or see edges of the implant (rippling). So when the implant goes beyond the edge of the natural breast tissue, it may be possible to feel the implant. 

Another issue relates to the support of the implant by the patient’s tissues. The implant is being supported by the pectoralis muscle which acts like an internal bra to push the implant up and that creates fullness of the upper part of the breast. We need good volume to have the implant “get to the top” of the breast to create this fullness but when the implant pocket is made too large or especially when the muscle is released at the bottom to put in a large implant, the muscle is no longer able to support the large implant and, over time, the implant that lacks support will fall and “bottom out”. This also results in loss of fullness of the upper part of the breast.  Most patients can get to their goal size wishes without having to go beyond this point. But it is interesting and helpful to discuss the fact that there is a “best size” or at least “best size range” for each patient and this is generally in the C to full C range though it can vary widely with different chest widths, different anatomy and different breast shapes. To find your best size range it is important to discuss your wishes with a plastic surgeon, both in terms of the size and the shape.  

What Size Breast Implant Should I Get?

A Plethora of Possibilities

While you are on the road to your best shape, it’s also important to know that there are several kinds of breast implants and not only one type. Breast implants can be round or tear drop shaped, have differing amounts of projection (sticking out from the chest), can be saline or silicone gel and even are offered with differing thicknesses of gel. This reveals something very important: there is no one best implant but rather different implants that each have pluses and minuses. Each patient must weigh the benefits of these different implants as they relate to their goals and go through the process of this decision. It’s a very enjoyable process to go through and find what is best for you! So don’t let anything hold you back. 

How Much Does Breast Augmentation Cost In California?

Breast Augmentation is one of the most gratifying cosmetic procedures offered by plastic surgeons today. In fact, studies show a 95% satisfaction rate with this surgery, which is one of the highest rates among all procedures.

A large number of patients have breast augmentation when they are in their younger years, when they are just joining the workforce, are in school, or otherwise find it difficult to fund surgery.

It may still make sense to have this surgery, both because of the high satisfaction rate and because the beneficial effects of the surgery are so long-lasting. Breast implants provide for a permanent size that never changes during a patient’s lifetime.

Implants also affect shape and make the breast appear natural and youthful, even when patients are in their older years. Breast implants also allow for greater ease in the wearing of different styles of clothing. In a way, breast augmentation surgery might be considered a worthwhile investment.

Breast implant surgery is generally performed under anesthesia, and so support personnel are required to provide the safest and most pleasant experience. Staffing for surgery involves not only the physician performing the procedure but also an anesthesiologist and nursing staff, as well as other operating room personnel.

The surgery must also be performed in an accredited surgery center, and all materials and procedures must comply with the best standards and practices.

Despite the high cost of providing this high level of medical care, competition has made breast augmentation surgery affordable for almost every patient. One factor has put an upward pressure on the cost of breast augmentation surgery.

If you are in the Temecula, Murrieta, and Menifee area and are considering breast augmentation surgery, contact Newman Plastic Surgery to schedule a consultation.

Breast Implant Cost

In the 1980s, there were two types of implants available: saline and silicone-filled breast implants. The cost of the implants was so low that they represented approximately 4% of the total cost of the surgery, and so breast augmentation prices remained low.

More recently, breast implant manufacturers have brought different types of breast implants to the market at higher prices. Most significantly, “gummy bear implants” were introduced, and these breast implants have a thicker silicone gel fill than previous gel breast implants. When gummy bear implants are used, they drive the implant cost to account for 30% of the total cost of surgery.

Gummy Bear Implants: Higher Cost, But Are They Better?

The breast implant manufacturers state in their sales literature that gummy bear implants support the upper part of the breast more than saline implants and more than their other silicone gel breast implants. They also state that it is more difficult to “feel” the implant and that, therefore, the results of breast augmentation surgery are more natural with the gummy bear implants. These claims have not been confirmed yet by an independent scientific study.

As mentioned above, breast implants are quite durable when one considers that they move with the patient’s movements and appear totally natural and part of the patient’s natural anatomy for many years. Patients, in consultation are encouraged to feel the different types of implants, to “try on” the implants in a specially designed bra and also to look at breast implants before and after photos.

One issue that might affect a patient’s shape with gummy implants is that, with time, and as normal breast tissue is lost, the more solid shape of these implants may become more noticeable. Gummy bear implants are relatively new, and although they are FDA approved, it may take some years of actual patient experience to determine what the long-term effects are on the shape of the breast as compared with the current saline and silicone gel alternatives.

Fat Transfer Breast Augmentation

Recent innovations in the field of liposuction and fat transfer have made the use of fat an alternative to enlarge the breast.

Benefits of the use of fat are that no foreign object (i.e., a breast implant) is required. The greatest negatives regarding the use of fat to enlarge the breast are the degree to which the breast can be enlarged, which is a fraction of one cup size, and that multiple treatments may be required. The average increase in cup size when patients opt for breast implants to enlarge the breasts is between one to two cup sizes.

Additionally, with time, the fat that has been transferred may be lost, whereas breast implant volume never changes, with the exception of the occurrence of deflation, which is uncommon. Thus, for now, fat transfer breast augmentation is probably not the best option for patients seeking breast augmentation, but technological advancements may change that.

Breast Lift With Implants

Some patients may develop loosening of their breasts, especially after childbirth and with breastfeeding, and this can cause the breast to droop. The other issue with drooping is that, at the same time, there is a loss of tissue in the upper part of the breast, and so the breast can appear less full.

Patients who develop drooping of their breast and also note loss of fullness in the upper part of the breast usually require a breast augmentation with a breast lift. Since this surgery takes at least twice as long to perform, the cost is higher. There may be alternatives, and so it is important to discuss these with your plastic surgeon.

Dr. Newman is a board-certified plastic surgeon who has performed numerous breast augmentation procedures throughout his career. Contact Newman Plastic Surgery today to schedule your breast augmentation surgery consultation.