Should I have my breast implant removal after discovering rupture?

I am 42 years old and I had silicone mcghan 600cc implants placed over the muscle in 2006 and have been told via scan and mammogram that my right side is ruptured,collapsed and lying in a complex fluid collection,inferolaterally ...and have been advised to remove ASAP....can you please explain what exactly this means and what I can expect if removed please?

Doctor Answers 5

Should I have my breast implant removal after discovering rupture?

With documented silicone implant rupture, you should have the implant removed as soon as possible.  Consult with your Plastic Surgeon to schedule surgery.

Atlanta Plastic Surgeon
4.9 out of 5 stars 60 reviews

Should I have my breast implant removed after discovering rupture?

If you have a documented silicone implant rupture, you should have it removed.  Although, a patient can have a ruptured silicone implant and not have adverse symptoms, we do know that the free silicone can cause problems with swelling, pain, or infection over time.  If the implant and silicone are removed, your breast will be significantly smaller and will sag to some extent.  In most cases a new implant can be placed at the same time as the removal of the old one.  Best wishes.

Vincent D. Lepore, MD
San Jose Plastic Surgeon
4.8 out of 5 stars 56 reviews

Ruptured Silicone Implant

I would recommend removal especially if you have a "fluid" collection.  The most likely represents silicone that can become irritating to the breast and surrounding tissues. This will more than likely cause you pain if left untreated.

Earl Stephenson, Jr, MD, DDS, FACS

Ruptured silicone breast implant

Ruptured silicone breast implant needs to be removed with the capsule as enblock removal. Free silicone can migrate and can cause silicone granulomas.
Samir Shureih MD. FACS

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

The decision to remove an implant is based on symptoms.

Removal of an implant is necessary if you notice pain, burning, fever, or if you experience a change of shape or size. Silicone implants made today remain stable even if there is evidence of a tear in the surface. Saline implants need to be changed after leakage because the shape and size of the breast will change dramatically, and an empty saline implant will crumple into an uncomfortable ball.If you have MRI or mammographic evidence of significant change in a silicone implant, It should be exchanged, but it is rarely an emergency. If you wish to proceed, you may want to consider exchanging both implants and placing them under the muscle.

John Cassel, MD (in memoriam)
Miami Plastic Surgeon
5.0 out of 5 stars 10 reviews

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.