The silicone has started to ooze out of a tiny pinhole on the underside of my breast. Surgery is not an option as I am not financially able to pay for it.
How Dangerous is It to my Health Not to Have Implants Removed when One Has Ruptured and is Leaking Silicone out of a Small Hole?
Doctor Answers (5)
Silicone implant leak. Options.
It sounds from your description, (no photos), that your implants need to be removed. You have a rupture and what sounds like a leak through your skin. This is not going to get better. I know this is not in the budget, but needs to be taken care of. Call a few board certified plastic surgeons in your area. Some will have complamentary consultations. Most will have financing or a payment plan. Some insurances will pay for explantation. Often teaching hospitals will have financial counselors or a resident clinic that can help in exactly this type of situation.
Remove ruptured gel implant now
There is no question that the implant needs to be removed. It will not improve on its own and will potentially get worse over time. Leading to infection and silicone gel graulomas.
Silicone Breast Implant Leakage Recommendations?
It sounds like you have an “exposed” breast implant as well as breast implant leakage. It will definitely be in your best interests to have the situation addressed ASAP. You may find a variety of financing/insurance options available to you; seek consultation with board certified plastic surgeons in your area.
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Ruptured Silicone Implants Should be Removed
The bottom line is that you should have all leaking implants saline or silicone removed if leaking. Regarding the risk of medical grade silicone as a danger to the rest of your body - the risk is relatively small but can cause local problems more often if your implant is not intact. This is because older implant used less cohesive gel so it was more like honey or molasses in consistency so can potentially migrate vs the newer ones that are more like jello or a gummy bear candy. I think you have to answer this question in two ways:
First, to address the perceived silicone toxicity by the public/patients which has not been substantiated by scientific studies and would be rare if it occurred at all.
Secondly you have to address if they have ever been proven to be toxic.
The first question is easy to answer: there is no known toxicity from silicone gel breast implants. It has been studied by the FDA for more than three decades to establish its safety. Silicone is the most common material used in medical devices/implants. Examples include shunts that go from the brain to the abdomen (for hydrocephalus) which are left in for a lifetime, artificial finger joints, syringes, IVs, catheters (including ones that go next to the heart), surrounding pacemakers, and even oral anti-gas tablets.
The one possible exception may by the PIP implant made in France (generally not available in the USA). Most of the concerns about the PIP implant were about the use of non-medical silicone and manufacturing problems, and do not relate to implants used in the United States by board-certified plastic surgeons. This is not to say that breast implants, like any implant, can have problems; they may have to be removed and are not meant to last a life time. Common reasons for replacement include: capsular contracture, rupture, infection, change in breast size, and pain—but not for toxicity.
To answer the perceived toxicity of Silicone by the general public—this is quite a different matter.
Breast implants have been around since the 1960s. About 15 years ago Connie Chung ran an exposé, Face to Face with Connie Chung, claiming silicone implants were responsible for different health problems. This led to lawsuits, a huge windfall for lawyers, and the subsequent ban on silicone implants for first-time breast augmentation patients went into effect. They were always available for breast reconstruction (e.g. after mastectomy) and replacement of existing silicone breasts. Also, please note that saline implants are still covered by a silicone envelope.
Soon after, a ban on silicone implant use became worldwide. This lasted for years until more than 100 clinical studies showed that breast implants aren’t related to cancer, lupus, scleroderma, other connective tissue diseases, or the host of other problems they were accused of causing.
June 1999, The Institute of Medicine released a 400-page report prepared by an independent committee of 13 scientists. They concluded that although silicone breast implants may be responsible for localized problems such as hardening or scarring of breast tissue, implants do not cause any major diseases such as depression, chronic fatigue syndrome, lupus or rheumatoid arthritis, etc.
The Institute of Medicine is part of the National Academy of Sciences, the nation’s most prestigious scientific organization.
Eventually, a federal judge dismissed/rejected the lawsuits, declaring them junk science and ended for the most part the barrage of lawsuits. This led to the present reintroduction of silicone implants years ago and their approval by the FDA. Interestingly enough, most of the rest of the world reintroduced them many years prior to the United States
I happened to be in private practice in Orange County, California during this time of confusion by the public and media. My office was deluged with patients, mostly new ones having had surgery elsewhere, believing they were being poisoned by their breast implants. Most of my consults lasted about an hour and were spent trying to convince patients that they did not need surgery. In fact, I told them that they would not even have to pay for the consultation if they decided to not have surgery. Most of the patients had no problems but were simply gripped with general panic, mass hysteria, and fear from all the media hype and false information. Despite my strong advice to not remove their implants, many insisted upon that action. As a footnote, the vast majority of these patients that I removed implants eventually returned to my office for silicone gel replacement.
—Larry S. Nichter, MD FACS
Leaking silicone implants
It is recommended that leaking silicone implants be removed. I urge you to consult with a board-certified plastic surgeon to assess your options. Many surgeons have complimentary consultations, and you can get accurate advice regarding how to proceed and what financial options there are. Some insurance policies do cover removal of ruptured silicone implants.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.