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?

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17 answers to “Ruptured implant and silicone in...”

A: Lymph nodes and ruptured silicone gel implant

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... more

A: Remove silicone implants when ruptured

By Otto Joseph Placik, MD - Chicago Plastic Surgeon

The treatment depends on which silicone implant was utlized. The more cohesive gel impants are quite firm and do not easily spread when ruptured. However, the less cohesive gell implants can diffuse throughout the breasts. This can be quite a mess to clean up. Therefore it is best for you to find and treat... more

A: Ruptured silicone implants

By Steven Wallach, MD - Manhattan Plastic Surgeon

Ruptured breast implants should be removed as soon as possible. Remember that silicone is relatively inert and shouldn't specifically harm you, but it should be removed or replaced sooner than later.

A: Time is on your side.

By Scott E. Kasden, MD - Dallas Plastic Surgeon

Science has demonstrated that the silicone is not threat to you or your health. The silicone will be taken up by lymph nodes in the area, and can be easily visualized on X-rays, and MRI's. What to do? Find a plastic surgeon you trust. Discuss your options. They will include-... more

A: Ruptured Silicone Implants probably should be removed.

By Stephen A. Goldstein, MD - Denver Plastic Surgeon

Breast implants, like most medical devices, are not meant to last a lifetime. I advise our prospective patients that replacement will likely occur sometime over their life time. In 1999, the Institute of Medicine concluded that silicone implants do not cause any major health problems. Research and reports... more

A: I would always recommend removal

By Armando Soto, MD - Orlando Plastic Surgeon

I agree- if the implants are known to be ruptured, nothing good is going to come from leaving them in place. I wouldn't want you to think that dealing with the issue is an emergency, but the longer the silicone material is allowed to stay in place, the greater the chances of further silicone migration to lymph... more

A: Ruptured implants

By Steven H. Williams, MD - Bay Area Plastic Surgeon

Current recommendations are to replace or remove ruptured implants. While studies have shown that there is likely no significant _systemic_ harm from leaking silicone the silicone itself can cause local inflammation which can lead to scar tissue and other local problems over time. And as Dr. Freund and... more

A: Silicone in the Lymph Nodes after Breast Augmentation

By Raffy Karamanoukian, MD - Los Angeles Plastic Surgeon

Axillary (armpit) lymph nodes most commonly occur following infection of the arm or upper extremity. They can occur from infection, cancer, and less commonly, from a ruptured silicone implant in the breast. Lymph nodes in the armpit should never be ignored and must undergo complete evaluation to rule out... more

A: Ruptured implants should be removed and/or replaced.

By John P. Di Saia, MD - Orange County Plastic Surgeon

Hello, Remove the implants with the capsules and consider replacement with saline versus silicone-filled implants if you wish. As long as the skin/breast tissue integrity is OK, this should be possible. You need to be properly evaluated by a qualified board certified plastic surgeon to get this sorted out... more

A: False breast exam findings

By Robert M. Freund, MD - New York City Plastic Surgeon

Dear Mommy of two, I have read all that is listed below and I agree wholeheartedly with the following: 1-There have been many studies that show that leaking silicone does not pose any risks to systemic disease or collagen vascular disorders. 2-The older implants had a thin shell that would leak or disintegrate... more

More answers to Ruptured implant and silicone in lymph node
Los Angeles - Silent rupture dilemma
New York City - See your local board certified plastic surgeon
Seattle - Not an emergency, but should be done
Thousand Oaks - It's Node Unusual
Westchester - The current recommendations are to replace the ruptured implants

Comments

bonni martin
unregistered guest

14 Dec 2008

I had silicone implants, had them removed after years of sickness and fatigue. My implants were ruptured. They leaked outside the capsule and I am deformed as a result of my doctor getting all the stuff out. My lymph nodes are still sore after six months, but I feel great, am no longer tired, not sick all the time and my asthma is gone. Please get that junk out of your body. Most women have it done without resulting deformity. If you feel you can't live without them, please consider saline instead of more toxins.

older girl
1 post
24 Feb 2009

Older implants one feels harder the other feels softer they both still look the same should I do anything? or ignore