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E-mailed Comment – 2100 cc Breast Implants and Overfilling

Posted Nov 29 2010 10:30am

Overfilled Implants (850 to 2100 cc by report)

E-mailed Comment:

I’m friends with a few local plastic surgeons here in South Florida. With regard to the larger sizes, I recall from your past posts that you aren’t a fan but recognize the interest some women have with them. As you know, ‘custom’ implants are pretty-much a thing of the past. However, there are good alternatives. For one thing, an Allergen or Inamed implant can be overfilled as much as 10 times before bursting. So my point is – overfilling an 800 or 850cc implant by 4 times it’s rating is still fairly ‘safe’ in-terms of the actual device. Yes, the patient’s particular physiology is another matter altogether. But my (now ex) significant other had 800cc-rated implants overfilled to 1900cc’s without incident to the device, and a friend of ours had some overfilled to 3000cc’s. Later ‘fills’ can be handily accommodated to facilitate making the implants larger, under local anesthesia. Our friend was implanted at 1100cc’s, and had subsequent ‘fills’ of these ‘standard’ implants to 1600, 1900, 2100, 2400 and finally 3000 – in the aforementioned manner.

 

Liability is the main regulatory force within medicine. You might recall the largest breast implant patient went to Brazil to get her surgery as she reportedly couldn’t find a US surgeon to do it.

 

Although you describe a pretty good experience with overfilling breast implants in such a large way, the question is what would happen if the implants were to rupture? The manufacturers state that over filling beyond their stated tolerance voids the warranty. If they were to rupture or require additional surgery, the patient would be on the hook for the cost. At this size the potential to need further surgery for problems at some point would be quite large. This is part explains the relative scarcity of docs who will “go that big.”

 

I am a big believer in the right of a patient to do that which she wants with her body, but don’t want to end up in court. This like many things in medicine is a matter of a doctor’s own philosophy. I would need a specially-worded consent form for a case like this if I agreed to do it. lol.

 

Best Regards,

 

John Di Saia MD

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