Risky to Wait Before Removing Ruptured Silicone Breast Implants?

I've had Silicone breast implants for two years, unfortunately as shown in the MRI, one is ruptured and the other one is leaking. I already saw a plastic surgeon and I'm planning on having them explanted; but I can't do it until in three months. I'm also developing rashes in different parts of my body. The itching comes and goes.It seems like an allergic reaction.

Will there be any health risk if I wait for 3 months before having my implants removed? Thanks for your advice.

Doctor Answers 5

Leaking implants

There should be no association wtih rashes and leaking implants. However, leakage of silicone is associated wtih thickenning of your breast capsule which will distort your breasts. You should have them as soon as it is convenient for you.

Orange County Plastic Surgeon
4.9 out of 5 stars 65 reviews

It is not risky

If a rupture is suspected based on an MRI, then it is generally a good idea to remove it as soon as possible. However, there is no health risk associated with waiting 3 months. In fact, I have had patients who have had ruptured silicone implants for over 6 months without a problem.

It is unlikely that the rash is related to the silicone implants. It is a good idea to see a dermatologist just in case there is some other problem.

John Diaz, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 34 reviews

No specific health risks

Hi, you should not be at risk for any general health problems if your implants are ruptured. It is unlikely that the rash you are experiencing is secondary to your implants, but I would recommend that you see a dermatologist for evaluation to determine if there is aother source of your reaction. I would agree with your surgeon, however, that your implants should be replaced, as your breast tissues are at risk for developing scar tissue from the irritation caused by the ruptures. Good luck.

Nina S. Naidu, MD, FACS
New York Plastic Surgeon
4.7 out of 5 stars 13 reviews

Timing of management of a ruptured silicone implant

First there is about a 10-15% chance that the MRI is wrong.

However, assuming it is correct and the implant is a relatively new cohesive gel style implant and that the rupture is relatively recent, it is unlikely that any significant problems will result from delaying treatment.

In the meantime, I would avoid vigorous massage or manipulation of the breast which could result in a capsular rupture.

If the rupture is intracaspsular, it is a relatively easy procedure.

If the rupture is extracapsular, it is more involved surgery

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Removing leaking implants

It would be safer for you to have them removed as soon as possible, however if you have to wait for 3 months then it shouldn't be too big of a health risk. Your surgery may be just a little more intensive, as the silicone may have spread out a little further than it is now.

The itching is most likely not associated with your implants. Please consult a dermatologist regarding this concern. Best of luck.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 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.