Analysis of 109 Consecutive Explanted Breast Implants: Correlation Between Suspected Implant Rupture and Surgical Findings

Lotan, Adi Maisel; Retchkiman, Meir; Tuchman, Izhak; Binenboym, Rami; Gronovich, Yoav

doi:10.1007/s00266-016-0689-7

Cited by 14 publications

(3 citation statements)

References 27 publications

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“…The latter is unreliable because it only has a sensitivity of 30% [ 6 ]. In contrast, MRI is ideal for detecting implant rupture, with a sensitivity of 100% and specificity of 54% for detecting rupture or leakage [ 18 ]. The ‘linguine sign’ has been reported to have a sensitivity of 93% and specificity of 65% in breakage detection.…”

Section: Discussionmentioning

confidence: 99%

Rupture of 40-year-old silicone gel breast implants: a case report

Wu,

Weng,

Chou

et al. 2023

BMC Geriatr

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Background Implant rupture is one of the complications of breast augmentation surgery. The rupture of silicone implants is often insidious, potentially causing problems at any time. This is a case report of the rupture of 145-cc breast implants manufactured by Dow Corning Corporation and their removal at 40 years after augmentation. Case Presentation A 70-year-old female patient was admitted for the removal of a lump in the upper and inner quadrants of the right breast. After a detailed examination, a rupture of the bilateral breast implants was diagnosed. Explantation without replacement was performed; the entire procedure proceeded smoothly. Immunohistochemical staining revealed siliconoma with lymphoid hyperplasia and calcification in the bilateral breasts with no signs of malignancy. Conclusions Silicone breast augmentation is one of the most popular aesthetic surgical procedures worldwide. Therefore, it is important to educate patients on the need for close monitoring of their implants after augmentation through magnetic resonance imaging or ultrasound to facilitate early detection of any changes before a rupture occurs. Early detection of the implant rupture, in turn, will facilitate early and effective management.

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Section: Discussionmentioning

confidence: 99%

Rupture of 40-year-old silicone gel breast implants: a case report

Wu,

Weng,

Chou

et al. 2023

BMC Geriatr

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“…Over the past few decades, there has been overall improvement in the quality and integrity of these devices; however, damage from medical instruments continues to be the cause of device failures in over 50% of reported cases. 15 Due to the nature of autologous fat transfer with multiple passes and essentially a blind technique, one can see how this may represent a high-risk procedure for treating implant damage. Interestingly, one study even suggested that left-sided implants seem to be damaged more often owing to surgeons’ overall right handedness.…”

Section: Discussionmentioning

confidence: 99%

Inadvertent Rupture of a Silicone Breast Implant during Fat Grafting: Surgical and Radiological Findings

Stewart

Heinrich

2020

Plastic and Reconstructive Surgery - Global Open

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Summary: Autologous fat grafting is a common, relatively safe procedure for breast augmentation and reconstruction. The most commonly reported complications tend to be fat necrosis and oil cysts. The incidence of rare events, such as breast implant rupture, is likely underreported. Here we present the case of a patient who underwent fat grafting and sustained implant rupture with injection of fat within the silicone implant. She complained of her implant changing shape and magnetic resonance imaging (MRI) showed classic signs of implant rupture (linguini sign). At the time of surgery however, fat was surprisingly found to be within the implant itself. To our knowledge this finding has yet to be reported. Here we review the radiologic and surgical findings of implant rupture following fat grafting and present some suggestions to prevent this occurrence and ensure safe, aesthetically pleasing outcomes.

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“…Risk of implant rupture increases with implant age. 2 Rupture rates vary according to the literature; however, studies show a single time point rupture rate of 9% to 12.2%. 3,4 The sticky, oily nature of silicone makes ruptured implant removal messy, cumbersome, time-consuming, and unpleasant.…”

mentioning

confidence: 99%

An Elegant Method for Removing Breast Implants - a Novel Surgical Device

Gronovich

Maisel-Lotan

2023

Plastic &Amp; Reconstructive Surgery

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Summary: The use of breast implants is consistently on the rise owing to increases in aesthetic and reconstructive breast surgery. Implant rupture is a potential complication, the rate of which has increased over time. Therefore, implant removal or replacement is a common procedure, and needed for most breast implants at some point during the patient’s lifetime. Surgical removal of ruptured implants is messy, cumbersome, time-consuming, and, overall, unpleasant. The authors have developed a custom-made device that effectively removes a silicone implant, whether ruptured or intact. To determine its efficiency, the authors conducted a prospective clinical trial of 25 women (45 breasts) undergoing removal or replacement of breast implants with the device between January of 2019 and January of 2022. Device safety and efficiency were assessed, and the need for the device was evaluated through a survey among 25 board-certified plastic surgeons. The mean implant age was 12.8 years, and mean volume was 370 g. The mean time to extract the implant with the device was 10.7 seconds. Twenty-two implants (49%) were ruptured. There were no minor or major complications during the procedure or follow-up. The mean follow-up period was 6 months. Surgeons’ intention to use this device in their own practices for removal of intact and ruptured implants was very high. This novel device may prove indispensable for explantation of both intact and ruptured silicone implants. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

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Analysis of 109 Consecutive Explanted Breast Implants: Correlation Between Suspected Implant Rupture and Surgical Findings

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 14 publications

References 27 publications

Rupture of 40-year-old silicone gel breast implants: a case report

Rupture of 40-year-old silicone gel breast implants: a case report

Inadvertent Rupture of a Silicone Breast Implant during Fat Grafting: Surgical and Radiological Findings

An Elegant Method for Removing Breast Implants - a Novel Surgical Device

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