Leaking Silicone Implants in 4month Pregnancy?

Question

Dear Sir, I have problem, I have silicone implants for 10 years and I had biopsy month ago of left brest. I noticed that my breast is more weak and i think it was deflated during biopsy. Iam 15 week pregnant and i dont know what to do. Please help me, is that safe for my baby? Also silicone insert from right side on ultrasonography shows different echology ( the silicone liquid is more concentrated ) i have silicone pads placed under muscle. What reserch i can do to confirm rapture??

Vincent N. Zubowicz, MD · Answer

The capsule around a failed silicone gel implant will contain all silicone. Removal may be done electively. An MRI scan is the best way to evaluate the integrity of the implant.

Kenneth Hughes, MD · Answer

While the ultrasound is not the most specific or sensitive test for rupture, diagnosing rupture at this point with an MRI may not be indicated given the pregnancy.

Alberto Di Giuseppe, MBBS · Answer

I strongly recommend a magnetic reasonance scan to be carried out ASAP to assess what the problem is. In case of rupture, implants need to be removed urgently and replaced. This procedure can be performed under local anaesthesia, provided that you are fit and your gynaecologist agrees to the procedure.

Robert Whitfield, MD · Answer

In the short term there is nothing emergent about the leaking device.  If you were not pregnant and had a ruptured device it would be recommended to have it removed and replaced.

Patrick C. Wilson, MD · Answer

The implant capsule will contain the silicone from spreading in your body. I would delay any treatment until after pregnancy. After delivery, if the breast is symptomatic (capsular contracture), then I would do a capsulectomy with placement of a new implant. Doing a diagnostic workup during pregnancy is unnecessary because surgery should be delayed regardless.

Leaking Silicone Implants in 4month Pregnancy?

Answers (7)