I have had breast implants since 1978. I'm 66 years old, A recent ultrasound found free silicone. Mine are saline/silicone?

Thank you for your question! I would suggest you go see a board certified plastic surgeon and seek his advise.  It seems like a ruptured implant!  Best of luck!Dr Dhaval PatelDouble Board Certified Plastic Surgeon Chicago Hoffman Estates Oak Brook

Hello,'Free silicone' refers to the fact that the silicone gel filling of the implant has penetrated through the scar capsule you formed around your implants 35 years ago. You do not need any further tests, as the ultrasound was conclusive of an implant rupture. It is not dangerous, and it is rarely painful or uncomfortable. However, It is likely that both your implants and breasts might not have the shape that they did when you first had your surgery. You would likely benefit from a revision surgery that would remove the old implants, scar tissue, and any residual silicone filling, and replace with new implants.Best of luck!

Dear Ms. Lynn,
Based on your description and the longevity since your surgery, you may have silicone breast implants rupture. Ultrasound may not be specific enough to look at breast implant rupture especially of silicone. You will benefit likely from having an MRI to ascertain whether or not you have a rupture. MRI is more sensitive in finding silicone breast implant ruptures.