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Lymph nodes and ruptured silicone gel implant

Vincent N. Zubowicz, MD answers: Ruptured implant and silicone in lymph node

Should ruptured silicone implants in the lymph nodes be removed as soon as possible? Can the implants be replaced? Some doctors say the silicone isn't harmful, and there's no rush to remove/replace the implants if they're not bothersome. Is this true? What can be done?


Vincent N. Zubowicz, MD
5 months ago
By Vincent N. Zubowicz, MD - Atlanta Plastic Surgeon

A ruptured implant should be replaced at a convenient time for the patient.  It is not an emergency and will cause no long term health problems. The silicone will be contained by the capsule that forms around all breast implants.

It is unnecessay to remove lymph nodes if silicone is suspected. Probably everyone in this country has molecular silicone in a lymph node somewhere. Injection needles are lubricated with silicone so anytime you get a medical injection or IV, some silicone is shed into the blood and ultimately filtered through the lymphatics.

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