MRI Indicates Bilateral Rupture of my Silicone Implants, But Dr. Wants More Results. Why?

asked 4 months ago by deadsexee in IL
Latest answer by Peter A. Aldea, MD
Question viewed 133 times
Tags: accident, pain, protocol, rupture

I was in an car accident 5 months ago. My front airbag deployed and my car was totaled when someone pulled out in front of me while I was going 50 MPH. I have had pain n both ever since. My surgeon ordered an MRI that indicated a biltateral rupture. He doesn't believe and wants me to get a 3D MRI. With all the cost and the fact that I have so much pain and my left implant is softer I dont' know why he doesn't believe the MRI results? He says to massage the implants and the pain should go away.

5 answers to MRI Indicates Bilateral Rupture of my Silicone Implants, But Dr. Wants More Results. Why?

Ruptured Breast Implant on MRI. What's the Next Step?

The MRI and the trained eyes who read them is an extremely sensitive test to examine the breasts and breast implants. The false positive rates are extremely low. At this point you probably should have your implants either removed or replaced. Both Natrelle (formerly Inamed/McGhan) and Mentor have a life time replacement warranty on their breast implants. Although trauma is excluded it is worth asking them to reconsider. If your surgeon declines to operate you may look for a second opinion. more

Peter A. Aldea, MD
Memphis Plastic Surgeon

MRI indicates slicone implant rupture

Given the history of a severe blow to the chest, the finding that the implants feel different right to left, you have had pain for five months, and the MRI indicates likely rupture, it makes sense that your implants are replaced. The additional MRI doesn't appear necessary. MRI can produce a false reading of rupture, but with the whole picture in mind replacing your implants would probably be best. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

The history and MRI are enough for implant exchange

I would think that your surgeon has not noticed any physical changes and does not want to operate on you. You did not mention about the age of the implants and if there is any changes in the breast shape post surgery. I would recommend that you discuss your concerns with your surgeon and tell him/her that you will be OK if surgical exploration does not find ruptured implants. There is no reason for another MRI.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Silicone Gel Implant Rupture after Car Accident?

Based on the description of your accident, I'm very glad that you are able to submit this question! Also, based on the description of the significant trauma, I'm not sure why your plastic surgeon “doesn't believe” the results of the MRI study; I think your history, physical examination, and the results of the MRI would be enough for me to proceed to the operating room. There may be a reason why he wants further information;... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

MRI Results and Ruptured Breast Implants

Dear Deadsexee, While MRIs are the most accurate imaging test currently available for ruling out implant ruptures in silicone breast implants, they are not perfect and can give a "false-positive" result at times. Almost every plastic surgeon has had the experience of having a MRI result that is positive for an implant rupture and then finds the implant intact in the operating room. Again, no test is 100% accurate. Because of your concerns, please discuss your... more

Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon

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