A dermatologist determined that silicone is now leaking from my ruptured 40+-year-old implant through my skin. Is this likely?

Question

The rupture of both implants was confirmed by MRI. Beneath my L breast what appears to be a keloid scar has formed. It feels sticky to the touch and stings with soap application when I shower. I cannot afford explantation (Medicare regards removal as a cosmetic procedure)--is it dangerous to my health--as I have no alternative--to leave the implants in?

Jerome Edelstein, MD · Answer

A ruptured silicone implant, especially one that is so old, should be removed immediately. This is for your safety as it can cause serious complications to your health if it is left in.

Larry S. Nichter, MD, MS, FACS · Answer

Although this is not likely that the silicone is coming out of your skin unless there is a history of trauma it is possible, silicone may have also
leaked to your lymph nodes in this situation. Most silicone ruptures are
contained within the breast implant capsule. The treatment is implant removal
and capsulectomy typically with an implant exchange. The silicone implants
today  are highly cohesive and tend  not to leak as you described.

Shim Ching, MD · Answer

It is likely that leaking silicone is causing these changes in your skin.  You should have them removed immediately.  The longer you wait, the more chance the silicone will damage your skin.

Larry C. Leverett, MD, FACS · Answer

Agreed. Your silicone implants are ruptured and need to be either removed and replaced or simply removed. Go see you board certified plastic surgeon. Depending on the manufacturer (and the longevity of the implants), there is likely some financial assistance to help you take care of this.

Frederic H. Corbin, MD (license restricted) · Answer

I would check with your provider but removal for medical reasons without replacement is not considered cosmetic. Dr Corbin

A dermatologist determined that silicone is now leaking from my ruptured 40+-year-old implant through my skin. Is this likely?

Answers (6)

Answer: Ruptured Implants

Answer: Ruptured Implants

Answer: Removal

Answer: Removal

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

A dermatologist determined that silicone is now leaking from my ruptured 40+-year-old implant through my skin. Is this likely?

Answers (6)

Answer: Ruptured Implants

Answer: Ruptured Implants

Answer: Removal

Answer: Removal

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.