Trauma to Chest Cause Implant Rupture?

For silicone implants prior to 2006, ruptures occur at rates of approximately 1-2% per year for the first ten years then markedly increases after that time period. For implants 20 yrs old your chance of rupture even without a bike accident is about 80%. A rupture or deflation of the implant may be experienced at any point after the initial augmentation; this complication may be increased by an under-filling or overfilling of saline solution into the implant, excessive compression, trauma, and other causes. (If the implant shell if not filled with the correct amount of saline, there may be a crease or fold in the shell which often leads to a rupture). You will be able to self-diagnose the need for an implant exchange (if using a saline implant) because if the current implant ruptures, the breast will shrink to approximately its preoperative size. A silicone implant that has a rupture is usually noted on a routine mammogram or MRI scan. In either case although the situation needs to be corrected on a timely basis, it is not dangerous to your health from our current knowledge base. Silicone implants after 2006 are more cohesive and less likely to leak. Most insurance companies will pay for removal but not replacement.

Thank you for the question.

I think you will be best off by in person evaluation by a well experienced board-certified plastic surgeon.  Given that the implants have been in place for 20 years and you're dealing with encapsulation,  it will likely be in your best interests  to have the implants removed and replaced.  Capsulectomy  may also be necessary.

Best wishes.

It takes a significant amount of force to rupture an implant. However, depending upon the age of the implants, the thickness of the implant shell, and most importantly, the extent of the trauma to the chest, the bicycle accident could have caused your implant to rupture. The best thing to do at this point is to definitely get it checked out, especially since you are in pain. Get an MRI done. This will let you know if there is a leak or not. If there isn't, you accident may have caused trauma to other parts of your body causing the pain.

Insurance will not cover cosmetic procedures. However, you cannot ignore this if it has ruptured. There are several financing options available. Some places offer financial programs that include interest free repayment options. Other places may work out a payment plan with you.

Best regards,

Dr. Speron