Anaplastic Large Cell Lymphoma (ALCL) Associated with Breast Implants explained, Morristown N.J.
Anaplastic large cell lymphoma associated with breast implants is not a completely understood entity. It is not clear if this is a lymphoproliferative disorder or a true cancer. It occurs extremely rarely in patients with breast implants and is confined to the capsule, the tissue that surrounds the implant. Clinically it appears as swelling of the affected breast, which is caused by a liquid accumulation in the breast implant pocket called a seroma. Aspiration of this liquid and cytologic examination confirms the diagnosis of Anaplastic Large Cell Lymphoma (ALCL). The treatment is, removal of the implant and the capsule and is curative. The capsule is a layer that the body forms around the implant. The implants involved are mostly textured, but ALCL has been reported even more rarely in association with smooth surface implants. There are different types of textured surfaces depending on the brand of implants used and we don’t know which type of textured structure is more likely associated with this condition. I have not yet seen a patient with this condition in my practice in Morristown NJ as of today’s date. This is probably because I never use textured implants for breast augmentation. However I do use them in breast reconstruction because of the need for a form stable, shaped implant in those cases. These implant have a teardrop shape and have to be textured in order to adhere to the tissues. This tissue adherence prevents the rotation of the implants. To learn about the types of breast implants used today see our breast augmentation page.
If you have had a breast augmentation or a breast reconstruction with implants, there is no reason to panic or worry. ALCL is an extremely rare condition with only a few hundred cases reported. This is out of several millions breast implants performed. You just need to make sure you get examined by your plastic surgeon, especially if you notice an unusual size increase or swelling in one breast.
If you have any additional questions regarding breast implants please do not hesitate to call our office at 973 2670928.
Common Questions Patients Search About Breast Surgery
How much does breast augmentation cost in New Jersey?
Primary breast augmentation in Northern New Jersey typically runs $8,500 to $12,500 all-in, depending on implant type (saline, silicone gel, or Ideal Implant) and whether the case is combined with a lift. Dr. Rafizadeh quotes a flat price during the consultation that includes the surgeon's fee, anesthesia, the facility, and follow-up visits. Revision breast surgery costs more because the planes are scarred and the operation typically takes longer.
Is silicone or saline better for breast implants?
Both are FDA-approved and safe; the right choice depends on the patient's anatomy, preference, and how she values certain trade-offs. Silicone gel feels more like natural tissue and is the default for thinner patients with less native breast coverage. Saline ruptures are obvious immediately (the breast deflates), so some patients prefer that built-in monitoring. Dr. Rafizadeh also offers the Ideal Implant — a structured saline implant that feels closer to silicone with the safety profile of saline.
What's the difference between a breast lift and a breast reduction?
A breast lift (mastopexy) raises the breast and nipple position without removing significant tissue — ideal for women whose breasts are the right size but have descended. A breast reduction removes excess tissue along with raising the breast — appropriate for women whose breast size causes back, neck, or shoulder symptoms. The incisions are similar; the volume removed is what differs. Dr. Rafizadeh's North Jersey patients often combine elements of both when needed.
Is a breast lift easier to recover from than implants?
Recovery is similar in length (about 2–3 weeks back to non-vigorous activity), but the comfort curves differ. Implant patients report more pressure and chest tightness for the first week as the muscle accommodates. Lift patients report more skin tightness and incision care — the muscle is undisturbed but the skin envelope is reshaped. Both groups are typically back to office work in 7–10 days when surgery is performed under Dr. Rafizadeh's local-anesthesia-with-sedation protocol.
What is the 45-55 rule for breasts?
It's an aesthetic guideline: the ideal breast shape has roughly 45% of the volume above the nipple and 55% below, with the nipple sitting just above the inframammary fold. The rule helps surgeons decide implant placement, lift technique, and how much to elevate the nipple-areolar complex. Dr. Rafizadeh uses the 45/55 ratio as one of several proportional anchors during planning, alongside chest width, sternal notch-to-nipple distance, and the patient's own preferences.
How long do breast implants last?
Modern silicone and saline implants are not lifetime devices but are designed to last 10–20 years. Many patients get longer than that with no issue; some need an exchange sooner due to capsular contracture, rupture, or simply wanting a size change. The FDA recommends MRI or ultrasound screening for silicone implants starting at 5 years post-op, then every 2–3 years. Dr. Rafizadeh discusses long-term monitoring as part of every breast augmentation consultation.
What is the hardest cosmetic surgery to recover from?
Among breast procedures, breast reduction typically has the most involved recovery because of the tissue removed and the size of the incisions, but most patients say the pain trade-off is worth it given how much physical relief they feel almost immediately. Tummy tuck and combined mommy-makeover procedures rank higher overall on the difficulty curve. Compared to those, isolated breast lift or augmentation recovery is relatively gentle.
Ready to schedule a consultation with Dr. Rafizadeh?
Book a Consultation