Prosthetic breast implant rupture
: imaging-pictorial essay.
Netscher, "The life span of silicone gel breast implants and a comparison of mammography, ultrasonography, and magnetic resonance imaging in detecting implant rupture
: a meta-analysis," Annals of Plastic Surgery, vol.
In the second part of the study, 344 women received MRI examinations to detect possible implant rupture
. The FDA found that 69 percent had at least one ruptured breast implant.
With violation of the capsule or overlying musculature (subpectoral implants), herniation of the implant into the adjacent parenchyma can occur and result in a contour deformity without necessary implant rupture
Mammography is of limited value in detecting implant rupture
. The mammogram readings of rupture were not confirmed by surgical removal of the implant.
Although the number of sonographically detected ruptured implants is small, two distinct patterns that can be detected with ultrasound are indicative of implant rupture
.[67,74,78,81,85-89] The first pattern consists of diffuse homogenous internal echoes throughout the implant, linear or curvilinear horizontal lines within the implant and bizarre echogenic patterns across the entire implant.
Different research - from doctors, private clinics, from abroad - said different things; the implant rupture
rate was fine, the rupture rate was too high, implants should go, implants should stay, women should consult the clinic where they had the surgery, women should speak to their own GPs.
However, the FDA recommended that women undergo regular MRI scans in the years after surgery to screen for implant rupture
Unlike saline implant rupture
, which is readily apparent on physical exam, silicone implant rupture
can be difficult to identify.
A colleague gave me an article about a woman who's been suffering the aftereffects of an implant rupture
There are some risks to consider--these range from painful and restricted arm and shoulder motion to breast asymmetry and nerve loss due to implant ruptures
and implant hardening.
What happens when a faulty implant ruptures
? When an implant ruptures
, the silicone gel filling can leak into the body.