DLM Internal

Are breast implants under warranty?

Yes. Most manufacturers cover their implants under warranty. They differ in their duration. Following are the options for warranty coverage for breast implants for the four manufacturers available in the US. nn1. ALLERGAN BREAST IMPLANT WARRANTYnAllergan makes an extensive line of breast implants. All of their silicone gel implants are cohesive (gummy bear). nnAllergan calls their warranty the ConfidencePlus Program. All Allergan breast implant patients are automatically enrolled into this warranty.nnAllergan silicone gel breast implants are covered for rupture, capsular contracture, late seroma, and ALCL. If you experience any of these, Allergan will replace the affected implant and the one on the other side for life. If any of these events occur in the first 10 years after your surgery, they will reimburse you for expenses up to $3500 for rupture, $2000 for capsular contracture and $7500 for ALCL.nnAllergan saline breast implants are covered for both rupture and ALCL. If you either of these occur, Allergan will replace both the affected implant and the implant in the opposite breast for life. There is no financial assistance for rupture unless you upgrade your warrant to what they call ConfidencePlus Premier. This must be done within 45 days of your surgery and costs $200. With the upgrade, they will reimburse $2400 of rupture expenses within the first 10 years after surgery.nnALLERGAN SALINE IMPLANTS ARE NOT COVERED FOR EITHER CAPSULAR CONTRACTURE OR LATE SEROMA FORMATION. nnMENTOR IMPLANT WARRANTYnMentor, a division of Johnson & Johnson, manufactures two lines of silicone gel implants. MemoryGel (Round, smooth and textured) and MemoryShape (Tear drop shaped, textured)nnMemoryShape and MemoryGel implants both come with the same warranty options. The MentorPromise Protection Plan is the standard warranty and all patients are automatically enrolled in it. If, at any time, you experience a rupture of one of these implants, Mentor will provide you with a replacement implant as well as an additional implant for the other side at no charge. This part of the warranty is good for your lifetime. If the leak occurs within the first 10 years after surgery, Mentor will pay up to $3,500 of surgical costs. This warranty does not cover capsular contracture, double capsule, late seromas, or ALCL.nnWithin 45 days of your surgery, you may also purchase the MentorPromise Enhanced Protection Plan for an additional $300. In addition to the coverage under the standard plan, the Enhanced Protection Plan provides up to $3,500 reimbursement for surgery for capsular contracture, double capsule, and late seromas. With this plan, you are not limited to a replacement implant of the same style and may choose any implant from their catalog.nnMentor also offers a line of saline-filled breast implants. nMentor offers two different warranty programs for their saline breast implants. Their standard warranty, MentorPromise, is the one that patients are automatically enrolled in. This offers lifetime coverage for implant rupture and will patients with up to two replacement breast implants of the same style. There is no reimbursement for surgery costs and no coverage for anything other than deflation. That means that capsular contracture, late seroma, and ALCL are not covered.nnMentor’s MentorPromise Enhanced Protection Plan can be purchased within 45 days of surgery for $200. It is the same as the basic protection plan but will reimburse up to $2,400 for surgery costs in the event of a deflation.nnSIENTRA IMPLANT WARRANTYnSientra, the third largest manufacturer of breast implants in the U.S., offers their OPUS line of silicone gel breast implants. All Sientra implants are filled with what they call their High Strength Cohesive Gel implants. Sientra offers a smaller range of styles and sizes of breast implants compared with Allergan or Mentor.nnLike Allergan and Mentor, Sientra offers free lifetime replacement for ruptured silicone gel implants. They cover both the ruptured one and provide an additional implant for the opposite breast. You may choose any of their styles or sizes for your replacement implant. They will also pay up to $5,000 in surgical fees for ruptures that occur within the first 20 years of surgery. This is the longest duration and the most money offered by any manufacturer’s warranty.nnFor capsular contracture, late seroma, and double capsule, Sientra provides free replacement implants for 20 years and will reimburse up to $2,000 in surgical fees for two years after the date of the original surgery.nnSientra does not offer saline-filled breast implants.nnIdeal only makes saline-filled implants. Their product, the Ideal Implant, is a multi-layer saline implant that is designed to feel more natural and more like a silicone gel implant than regular saline implants do. The Ideal implant contains two separate chambers that hold the saline and these are separated by multiple nested shells. This is supposed to make the implant feel less watery and more like silicone gel. The Ideal implant does not feel as natural as a silicone gel implant but it is definitely an improvement over standard saline implants.nnIdeal offers two different warranties - Basic and Premium. Both offer lifetime implant replacement for deflation and 10 years of implant replacement for capsular contracture.nnThe basic warranty will reimburse you up to $3,500 towards surgical costs if the implant deflates within the first 10 years. There is no financial reimbursement for capsular contracture.nnThe premium warranty offers unique coverage: it will reimburse you up to $10,000 for what Ideal refers to as postoperative events in the first 60 days after surgery. These would include bleeding, infection, anesthesia issues, blood clots, and wound healing problems. No other implant offers similar coverage.nnThe premium warranty will also pay you up to $5,000 for deflation, capsular contracture, scarring, or other postoperative events for life.nnThe premium warranty needs to be purchased prior to your surgery and costs $189 for primary breast augmentation and $249 for implant exchange. This warranty requires annual renewal at a fee of $79 per year.nnTo summarize - nnThe most likely warranty scenario you will encounter is an leaking breast implant 10 years or more after your breast augmentation. In this situation, all four manufacturers standard warranties will provide you with a replacement implant plus an additional one if needed, for the other breast.nAll four manufacturers provide similar financial support for implant deflations that occur within the first 10 years. Sientra offers coverage to 20 years, which is twice as long as their competitors. This could prove valuable since most ruptures will probably occur between 10 to 20 years after surgery. Offsetting this though, Sientra has a less expensive product line and shorter track record in the U.S. than Allergan or Mentor.nnCoverage for capsule contracture is a nice bonus but not nearly as critical as warranty against deflation. With enough time, every breast implant will eventually deflate. Very few, however, ever develop a capsular contracture.nWhen available, consider purchasing any upgraded or extended breast warranty. The coverage that they provide will likely prove more valuable to you than the relatively low cost of the upgrade.nThe Ideal Breast Implant definitely offers the longest and most extensive warranty available in the industry. If you are interested in the Ideal Implant or in saline implants in general, this should be a factor in your decision. nKeep in mind, though, that the Ideal Implant is more expensive than competing implants and, to obtain the lifetime benefits, you will need to remember to pay the annual renewal fee.nnFinally, each of these manufacturers warranties is very strong. All of them provide a level of coverage and protection that is unusual in any product, particularly one that receives as much wear-and-tear as a breast implant. nWe do not recommend choosing an implant brand based on warranty alone. The breast implant brand used for your surgery should be discussed in detail with Dr Fichadia and ought to be based on a variety of factors.

How long is breast augmentation recovery?

Dr. Fichadia uses innovative techniques to make breast augmentation a rapid recovery procedure. The patients should be able to go out the same evening. The soreness in the muscle feels more like it feels after an intense work out. Patients can expect to take up to three days off work or school. Any physical or strenuous activity should be avoided for two weeks post-op, at which point all activities can be resumed. The optimal results from breast augmentation will still not be apparent for a few months as the tissues heal.

What happens if you do not massage your breast implants?

Some patients have heard that massaging your breasts after breast augmentation is good for preventing capsular contracture, but this is unproven in the literature. In the initial healing period, massaging the breasts can do more harm than good. After surgery, you will be fitted with a surgical bra or compression garment to aid in healing and making sure the implants settle into the desired position. Once healing process is over, implant massage can be done, but there is no clear cut evidence that this helps prevent capsular contracture.

What causes breast implants to rupture?

All breast implants have a chance of rupturing. Over time, the risks of implant rupture increases. Most implant rupture is caused due to aging of the implant, but rarely, it can also be caused by trauma from accidents or impact to the breasts.

What is a gummy bear implant?

A gummy bear implant is one of the many implant options available for breast augmentation. these implants are silicone gel breast implants that contain a more form-stable material. They are called gummy bear implants because they are known to retain their shape better than other types of implants while still allowing breasts to still be naturally soft.

Do breasts sag after breast augmentation?

Breast implants can sag over time, especially if they are large. The augmentation surgery does not stop the skin from aging so the natural strength and skin elasticity of the breasts can change, to causing the implants to sag.

Can breast implants cause pain years later?

Yes. Breast implants can cause pain either due to capsular contracture (where the shell around the implant gets thickened and tight) or leakage (which may or may not always be painful).

Can breast implants last 30 years?

Yes, they can, but it is more an exception than the rule. Breast implants can have weakness in their outer shell 10-20 years after placement, causing leakage. It may not always be visually apparent through breast shape. For patients, it is important to understand that breast implants will likely need additional surgeries in the future for replacement or removal or revision.

Can fat be transferred to breasts?

Yes!! Fat transfer is a great way for all-natural breast augmentation, with the added benefit of contouring a different area of your body. It is one of Dr Fichadias clinical interests as well.

Will Cigna cover breast augmentation?

Cosmetic breast augmentation is not covered by insurance.

Whats the safest breast implant?

All the currently available breast implants have undergone rigorous testing and found to be safe. That being said, it is important to understand that they are not meant to be lifetime devices, and will need replacement in the future. For silicone breast implants, FDA recommends screening for silent rupture by an MRI starting 5-6 years after placement and every 2-3 years thereafter.

What are gummy bear implant?

A gummy bear implant is one of the many implant options available for breast augmentation. these implants are silicone gel breast implants that contain a more form-stable material. They are called gummy bear implants because they are known to retain their shape better than other types of implants while still allowing breasts to still be naturally soft.

How long are breast augmentation incisions sore?

Breast augmentation incisions can be sore for upto 1-2 weeks. Most patients dont need any strong opioid-type pain medications after the surgery.

How do you know if you have capsular contracture?

If the breast starts to feel firm and/or tight, that may be a sign of early capsular contracture.

Can I move my arms after breast augmentation?

Yes! Dr Fichadia encourages arm movement after breast augmentation to promote speedy recovery. In fact, you will start doing arm stretches in the recovery area itself!