Can you salvage an "exposed" silicone? Is implant removal the only solution? (Photo)

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

If one early closure fails, then bacteria have usually entered around the implant and the implant then needs to be removed, Once healed, a new implant can then be inserted.

Thank you for your question. Exposed implants can be salvaged. However, as you stated, there needs to be no signs of further infection. The implant in the breast pocket need to be handled sterily and thoroughly cleaned. Any wound edges that are not healthy need to be debrided. Unfortunately due to the exposure, you are at higher risk of developing an infection, and capsular contracture over the life time of your implant. This does not mean it is going to happen, but you should understand the risks. Good luck.