Intracapsular Breast Implant Rupture

Bouzghar, Ghizlane; Pokorny, K.P.

doi:10.1097/ruq.0000000000000261

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…Detection rates are much higher, nearing 95% in some studies, at detecting extracapsular ruptures (seen as the “snowstorm sign”); however, most ruptures are intracapsular, making this less useful. 8 There are ongoing studies comparing ultrasound directly with MRI in detecting implant rupture, which showed promising results in regard to safety and accuracy. 9 Likewise, there are many surgeons successfully using ultrasound in-office to evaluate breast implant integrity without the need for a radiologist.…”

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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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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“…Silicone implant shell rupture may result in gel containment within the fibrous capsule (intracapsular rupture) or leak through a concomitant capsular tear in to the breast tissue (extracapsular rupture). 24,25 The former may be clinically silent; the latter can present as a palpable finding, pain, or change in how the implant feels to the patient. 25 For silicone implant ruptures, MRI detection may reveal a linguine sign.…”

Section: Implant Rupturementioning

confidence: 99%

“…Saline implant rupture results in deflation of the implant and absorption of the saline contents and is most often diagnosed clinically. Silicone implant shell rupture may result in gel containment within the fibrous capsule (intracapsular rupture) or leak through a concomitant capsular tear in to the breast tissue (extracapsular rupture) 24,25 . The former may be clinically silent; the latter can present as a palpable finding, pain, or change in how the implant feels to the patient 25 .…”

Section: Implant Complicationsmentioning

confidence: 99%

Breast Implants

et al. 2021

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Modern breast surgery was first introduced in the United States in 1962 with the use of silicone gel-filled breast implants. Over the past 6 decades, development of breast implants has been challenged by a variety of influencers including aesthetic appeal in shape, texture, and material; challenges in managing outcomes such as contracture, disease, and rupture; and public perception of risks associated with implants. In 1992, silicone breast prostheses were banned by the US Food and Drug Administration with exception for use in breast reconstruction, congenital deformities, or to replace existing implants. The ban led to heightened concerns about implants and possible disease manifestations. Knowledge of the historical evolution of breast prostheses is useful for understanding the associated risks and outcomes unique to each breast implant era. This article aimed to explore characteristics of breast implants by generation, with implications for diagnosis and assistance to modern surgical planning for novice plastic surgeons.

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Intracapsular Breast Implant Rupture

Cited by 2 publications

References 8 publications

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

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

Breast Implants

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