PIP breast implant removal: A study of 828 cases

An unusual case of a ruptured Poly Implant Prothèse breast implant associated with xanthoma

“…This may arise due to absorption of the fat-soluble compounds due to a high permeability of the PIP shell. [1] Similarly to other studies we observed some fluid effusion during implant removal as a result of synovial metaplasia associating with implant rupture. [1,4,21,22]…”

“…[(7] However, no clear association between PIP implants and ALCL has been yet confirmed according to SCENIHR or other investigations. [1,4,11] It is also worth to mention, that before the surgery we were unaware of any seroma in the breast and did not perform any fluid aspiration and cytological evaluation. However, an excisional biopsy of the tumor with histhopatological assessment had been performed with following immunohistochemistry, which was considered sufficient to describe the morphological patterns of the tumor and rule out ALCL.…”

“…[1–4] Over 400,000 PIP implants have been utilized for breast augmentation worldwide, and approximately 10,000 have been sold in Ukraine.…”

Magnetic Resonance Imaging of Breast Implants and the Reconstructed Breast

“…The silicone used to fill the envelope comes mainly from two manufacturers. More than 25% of poly-implant prostheses (PIP) are filled with non-medical-grade silicone, which is less "cohesive" at body temperature and do not include an anti perspiration barrier; thus in case of rupture they have a higher risk of an uncontrolled dispersion [2][3][4].…”

Autologous Fat Grafting in the Breast: Critical Points and Technique Improvements

“…Surgical implants are predominantly used. However, prosthetic breast reconstruction is not without risk, since many cases of leakage or rupture, displacement, infection, and capsular contracture have been reviewed [2,3]. Moreover, even if implants may last for many years, some of them need to be revised or replaced and they might present sometime complications such as capsular contracture.…”