MRI:Rt Breast-small zone of posterior contained intracapsular implant rupture,subcentimeter area.No evidence for parenchymal silicone or gel bleed.Medial capsular contracture & water density infiltration but no rupture.Left Breast-Definite positive keyhole findings of contained intracapsular implant rupture w/out evidence for parenchymal silicone deposition. Both-No evidence for implant collapse.What is potential of en-Bloc removal w/no breakage,fully clean area&replace w/new silicone implants?
Silicone Breast Implants Done in 1972. Recent MRI Completed - Remove or Leave Alone?
Doctor Answers 24
Is it possible to remove a ruptured silicone implant which is confined to the capsule without silicone contamination of tissues.
Silicone implant failure
Failure of the implant is an indication to have it removed and replaced. For extracapsular rupture, this is a more pressing issue. Intracapsular rupture can cause capsular contracture, breast distortion, and can progress to extracapsular rupture. Removing all of the implant material requires careful capsulectomy. The capsule is removed with the implant and material contained within the capsule.
Read my blog post below for more details on silicone implant rupture.
Dr. York Yates - Utah.
What to do with ruptured 38 year old implants
Given their age of over 38 years, there is no doubt that these silicone implants need to be removed - along with the surrounding capsule and any free silicone (as much as possible). Depending on your specific situation, either new implants can be placed at that time or at a later date.
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Removal of the broken implants, the scar capsule and any loose silicone will make a big improvement
The implants made in the 70s were very thin walled and had very liquid silicone gel. Essentially all of them have failed and need to be removed with the over lying scar and any loose silicone or silicone granulomas. The good news is that this should be relatively easy from your description of your breast. Along with this you could have a breast lift or new and much better implants or both. Interestingly my patients like you feel so much better after surgery because their breast are again soft and don't hurt.
Leaking Silicone Breast Implants SHOULD be Replaced or Removed
Worn silicone gel breast implants, remove or not
After 30 years, it can be expected that most silicone gel breast implants will have developed a leak in the outer shell, and the silicone gel inside will leak into the scar capsule formed around the breast implant. The MRI may help you reach a decision, however the result is hardly a surprise. The implant can be replaced when you are 'ready' though as the gel contacts the capsule you may experience a drawing sensation and firming of the implant. Over time the capsule will calcify. The best choice is implant removal and replacement. Often complete capsule removal is required but the condition can be determined at the time of replacement. En bloc if a fancy word for in one piece, and the incision may be larger than what you had prior. As long as all gel is washed clear you should do well.
Best of luck,
Intracapular rupture of silicone implants
Although an intracapsular silicone implant rupture will not necessarily result in silicone leaking through out your body, it is recognized that silicone rupture will result in silicone molecules in the capsule promoting capsule thickness that will eventually deform your breast. It is a good idea to remove any ruptured implants as soon as possible.
Old ruptured silicone gel implants
It is advisable to have the implants removed, and replaced if desired, if they are ruptured. old implants were of poorer quality and often had liquid silicone inside them rather than the semi-cohesive silicone now used.
Often, if women have gained weight over the years and their breast size is larger, it is possible to remove the implants completely and perform a breast lift.
Ruptured Silicone Implants
The potential for en-bloc removal of the implants is higher if they were placed above the muscle. Nonetheless, whether or not en bloc removal is possible, if there is a diagnosis of silicone implant rupture you should have the implants removed.
Hope that helps and good luck!
Dr. Babak Dadvand
Silicone Breast Implants Done in 1972. Recent MRI Completed - Remove or Leave Alone En bloc
In simple terms the possiblity of removing the vast majority (but not 100%) of the silicone remains an option. However, please realize that a ruptured implant should be identiifed and removed.
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.