There have been a number of studies regarding ruptured silicone implants and whether the implants can cause or be associated with auto-immune diseases such as fibromyalgia. The results of these studies have been mixed, some showing no association and some indicating a possible causative relationship. There has been one study, involving a small group of patients who had fibromyalgia symptoms, who had ruptured silicone implants removed. Of the 43 patients in the series, 42 patients (97%), reported their symptoms to be improved after implant removal. In most cases, plastic surgeons will recommend implant removal, with or without replacement, if a ruptured silicone implant is detected. Best wishes, Dr. Lepore.