How are silicone implants ruptures detected?

Question

Have had multiple MRIs done (high risk annual cancer screening). MRI notes potential inter capsule rupture on all MRIs since implants placed. Surgeon recommended an ultrasound to confirm rupture but I was denied the ultrasound because the radiologist said that not how ruptures are detected. Any suggestions?

Robert M. Wald, Jr., MD · Answer

Silicone breast implant ruptures are best detected by an MRI. An ultrasound is not required. I would see another plastic surgeon and discuss this issue with them.

Jeffrey M. Darrow, MD · Answer

An MRI is the gold standard for detecting breast implant rupture. I do not believe that an ultrasound would add any information. It must be noted that the MRI is not 100% accurate and it can have false positives, saying your implant is ruptured when it is not, or, false negatives, saying your implant is not ruptured when it is. Taking into account that implant rupture gradually increases over time, you may decide, as long as there are no other issues, to have an implant exchange.  This would give you the peace of mind of knowing that you have a brand new set of implants in.  Best wishes.

Shaher W. Khan, MD · Answer

Hello, thank you for your question! The best imaging study to detect a rupture is MRI without contrast, Although this test is still not perfect, it is the best one out there. Per recommendations of implant manufacturers, an initial MRI at year 3 and every 2 years there onward is recommend to detect silent ruptures.

Raffy Karamanoukian, MD, FACS · Answer

Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Daniel Barrett, MD · Answer

Dear 35ChicagoFemale,
generally speaking, it is hard to detect silicone implant rupture. Most are detected using MRI. In most cases, ruptured implants should be removed or replaced. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Jon S. Wilensky, MD · Answer

Silicone implant ruptures are often detected through imaging techniques such as MRI (Magnetic Resonance Imaging). Regular monitoring and follow-up with a healthcare professional are important for detecting any issues with breast implants. If you suspect a rupture or experience unusual symptoms, consult your surgeon for proper evaluation.

Connie Hiers, MD, FACS · Answer

Actually, the ultrasound is a good, safe, and fairly inexpensive way to detect a rupture. The MRI is only 95% accurate.  Only God is 100% accurate. You might just pay for the ultrasound. Insurance usually wants the mammogram first, then ultrasound, and then MRI done in that order.

Benjamin J. Cousins, MD · Answer

Thank you for your post and story. The decision to remove and/or replace breast implants can be a difficult one, as there are often several factors to consider. An MRI is the best test to detect a gel rupture, and it is about 95% accurate. An Ultrasound may provide additional information. Breast implants do not last forever, as they are not lifetime devices. If you are having symptoms such as pain, swelling, redness, firmness or other symptoms, be sure to see a Board Certified Plastic Surgeon for an appointment and evaluation of options for you. Hope this helps.

Sincerely,
Benjamin J. Cousins MD
Triple Board Certified Plastic Surgeon, Miami/Miami Beach FL

Sincerely,
Benjamin J. Cousins MD
Triple Board Certified Plastic Surgeon, Miami/Miami Beach FL

Steven Mapula, MD · Answer

MRI is still the most sensitive imaging study to detect implant rupture, but like all other things in medicine, it isn't perfect. If you are concerned at all and or having symptoms ,ts probably best to discuss implant exchange

Camille Cash, MD · Answer

MRI's are the most common tool used to detect rupture of implants.  If a rupture is present it is recommended that the implants, and often the capsules as well, be removed.

How are silicone implants ruptures detected?

Answers (12)

More Breast Implant Removal Questions

Will my nipples’s sensitivity go back to normal after removing my 365 cc implants?

Scar tissue at bottom of pec muscle. Is there a fix?

Breast implant removal at 3 months after getting implants. Do I need to have the capsule removed? My PS said no

Saline deflation in office?

46 year old with 13 year old implants. Moderate to severe Pain (Photo)

Breast implant deflation - what is the cost?

WE SEND PRETTY
EMAILS