Can an Ideal Implant rupture?
Doctor Answers 9
Can an Ideal Implant rupture?
Ideal Saline Breast Implant
Rupture is Rare with Ideal Implants
An Ideal Implant has essentially the same outer structure as traditional saline breast implants. One difference from saline is that the Ideal Implant has 2 filler valves for the 2 separate chambers within the implant. The rupture rate during the FDA trials with more than 500 patients showed the rupture rate to be lower than silicone implants at 5 years from surgery. There also was a lower capsular contracture rate, and since capsular contracture is a known risk factor for implant rupture, this may have had something to do with the lower rupture rates.
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Ideal Implants and Rupture
The Ideal Implant represents one of the newest innovations in implant technology, but the plastic surgery community is still waiting for a rupture-proof implant. Like the traditional saline-filled implants and silicone gel-filled implants (round and anatomic, cohesive gel or "gummy bear"), the Ideal Implant still has a manufactured silicone polymer shell (two, in fact) that is at risk for rupture over time.
The interesting thing about the Ideal Implant, which does differentiate it slightly from the other implants, is that since there are multiple layers of shells, a rupture in one or the other does not mean that the entire implant volume is reabsorbed (as often happens with the traditional saline-filled implants).
Can an Ideal Implant Rupture
Like all saline implants, it can rupture, but the long-term rupture rate for Ideal saline implants from the new manufacturing facility for the last two years is still unknown.
Although gel implants rupture, you will not know in most cases unless you get an MRI. Rupture rates of gel implants are low for the first 5-7 years, but the FDA update in 2011 showed that at 10 years Allergan Natrelle implants had a 10.1% rupture rate and Mentor had a 13.6% rupture rate at eight years. So this is why it is reasonable to be concerned about the increasing rupture rate of gel implants over time, and to consider using a saline implant so a woman does not have to be disciplined about getting MRI's. The FDA recommends and MRI at three years post op and every two years thereafter. While Memorial Sloan Kettering's study suggested that this may be excessive up to 6-7 years, it is clear from the FDA follow up studies, that gel rupture rates are a concern after that. If the rupture is not detected and the implant removed, it is possible to get gel into tissues adjacent to the capsule, like muscle or soft tissue.
Because the Ideal saline implant feels very close to a gel implant, with its multi-layered internal shells damping the movement of saline, it is a reasonable choice to make for those women seeking an alternative to the high rupture rates of current gel implants, with the needs for MRI monitoring.
See pages 46-47 of the web reference.
Ideal Implants are just Saline implants
This implant is manufactured by a company who's target audience is woman with unreasonable fear of silicone gel implants. There is nothing safer about this implant, and it too will eventually rupture and deflate, or the valve will fail and it will deflate through the valve, something unique to saline implants.
Please keep in mind that silicone gel implants are as safe as saline, intact or ruptured. They are also more durable, and feel better.
Best of luck!