I am sorry to hear what you are experiencing. I am just concerned as to why the ruptured implant was not explanted as soon as it was diagnosed 7 years ago. I hope there was no communication breakdown between you and your surgeon. You have to go back to your plastic surgeon and let them know of what has occurred. Some clinical signs of ruptured implants include acquired breast asymmetry, breast enlargement, fuller lower pole, and loss of lateral projection. Secondary symptoms could include pain, swelling, redness or even tingling of the breasts. After all these years, it is definitely possible that a capsule formed around the failed implant, and has now started to contract. Capsular Contracture Grade 4 will make your breast seem abnormal, and feel painful to the touch. However, you describe the pain in the left arm and in the left-sided back. Although such symptoms have not been described in the literature, you are one of the few people who have had a ruptured implant left in for at least 7 years, and as such, the left-sided symptoms may be from the ruptured implant. Once again, please follow-up with your plastic surgeon and have the implant exchanged. Some costs of the surgery may be covered with the implant warranty. You will also benefit from a MRI to see the current state of the implant and the leaked silicone within the breast anatomy. Hope this helps.