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If I know my silicone filled implants are ruptured how long should I wait before I have a ruptured silicone implant replaced or removed?

Replacement of implants that have ruptured is not an emergency operation.
However it is recommended that removal and or removal and replacement be undertaken at maximum within several months from the diagnosis. There is no evidence at this time that ruptured silicone implants can cause medically related problems. However over time the ruptured leaking silicone implants can stimulate the production of scar tissue around the implant. The procedure requires not only removing the ruptured silicone implants but in addition scar tissue around the implant. Some women elect for removal only. However most opt for removal and replacement.
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