Allergan Textured Breast Implant Recall: What You Need to Know

The Allergan textured breast implant recall has created understandable concern among women with breast implants. As a plastic surgeon who has placed thousands of implants over two decades, I want to give you the complete picture—without the fear-mongering or false reassurance you might find elsewhere.

What the Recall Actually Means

In July 2019, Allergan voluntarily recalled their textured breast implants in conjunction with the FDA. This recall removed unused textured implants from surgeons' offices—it did not require women to have their implants removed.

The recall happened because textured implants are associated with a higher risk of ALCL (anaplastic large cell lymphoma), a rare cancer that can develop in the scar tissue around breast implants. However—and this is crucial—the recall was not triggered by new data showing these implants had become more dangerous. The risk level remains exactly what we knew before the recall.

Understanding ALCL Risk in Perspective

ALCL is extraordinarily rare. Worldwide, there have been roughly 500 reported cases among tens of millions of women with breast implants. To put this in perspective: you're more likely to be struck by lightning than to develop ALCL, even with textured implants.

The risk isn't equal across all implants. Smooth implants appear to carry no increased ALCL risk. Among textured implants, those with more aggressive surface texturing (primarily certain Allergan models) are associated with more cases than those with gentler texturing.

What You Should Do Now

First, find out what implants you have. Your surgeon should have given you an implant information card with the manufacturer, model, size, and serial numbers. If you've lost this card, your surgeon should have records. We maintain a database of all our patients' implant details going back to 2006.

If you have smooth implants, this recall doesn't concern you. If you have textured implants, you have two reasonable options: monitor or replace.

Option 1: Active Monitoring

Continue with monthly breast self-exams and routine follow-ups. ALCL typically causes breast swelling due to fluid accumulation around the implant. If you notice persistent swelling, contact your surgeon immediately.

Diagnosis is straightforward. An ultrasound will show if fluid is present. If so, we can aspirate the fluid and send it for testing to determine if ALCL cells are present. In the rare cases where ALCL is found, removing the implant and surrounding scar capsule typically cures it.

Option 2: Implant Replacement

If you'd prefer not to monitor, replacing textured implants with smooth ones eliminates the ALCL risk. Allergan has announced a replacement program offering free smooth implants to women with recalled textured models.

This program allows you to change implant size, profile, or cohesivity (firmness) at no additional cost for the implants themselves. You'll still pay surgical fees, but the implant cost—typically $1,200-2,000—is covered.

Making Your Decision

Neither choice is wrong. Some women prefer the peace of mind that comes with replacement. Others are comfortable with monitoring, given the extremely low risk.

Consider your anxiety level, your stage of life, and your individual risk tolerance. A 25-year-old might reasonably choose replacement to avoid decades of monitoring. A 55-year-old might prefer to keep her implants and simply stay vigilant.

The Bottom Line

This recall reflects appropriate caution, not panic. The ALCL risk with textured implants, while real, remains very low. Whether you choose monitoring or replacement, you're making a reasonable decision based on your personal circumstances.

If you're unsure about your implant type or want to discuss your options, we can help determine the best path forward for your specific situation.

Frequently Asked Questions

How do I know if I have textured or smooth implants?

Check your implant information card from surgery, or contact your surgeon for your implant records. We maintain detailed records for all our patients and can quickly tell you your implant specifications.

What are the symptoms of ALCL?

The most common symptom is persistent swelling of one breast, typically occurring years after implant placement. Other symptoms can include breast pain, lumps, or skin changes around the breast.

Is the Allergan replacement program still available?

The program was announced recently, but we don't know how long it will last. If you're considering replacement, it's wise to act promptly to take advantage of the free implant offer.

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