If a silent rupture occures in a Mentor Cohesive Gel Implant can this new type of silicone travel through the body?

Hi Pectus Girl,No, the cohesive gel does not migrate, unless you hit your steering wheel at 90 mph without a seat belt.  Maybe you can see the video of where they cut the implant in half and the gel just sucks right back into the implant after they squeeze it.  MRI's are super inaccurrate.  I know this is confusing.  Sorry.  Be sure
to see only a board certified plastic surgeon (by ABPS - The American Board of
Plastic Surgery) who is a member of ASAPS (The American Society for Aesthetic
Plastic Surgery) and or a member of ASPS (The American Society of Plastic
Surgeons). Also, ask if they have an established, high volume breast
augmentation practice, performing several hundred breast augmentations each
year. Be sure the PS has been in practice for a while, 20-years or more might
be a good gauge.Does the PS offer all
three incisions?Discuss the implant
type (gel or saline), shaped "gummy bear" or non-shaped, smooth or
textured, implant pocket (over or under the muscle) and the "quick
recovery approach."Ask to see
their before and after photos if you didn’t see any on their website. If
they are experienced, they should have several 100 breast implant patients for
you to view. I would also recommend that your doctor offer you the chance
to talk to past patients who would be happy to discuss their experience with
you. You need to feel comfortable, so make sure the environment is safe
as in an accredited surgery center. Also, ask a prospective surgeon if he or
she has ever published journal articles in professional peer-reviewed journals,
which they can provide you.All the
best, “Dr. Joe”

Hi... thank you for the question... Generally this silicone gel stay inside de capsule that surround the implant... but there have been cases were some silicone  travel to the lymph nodes if the breast sits ruptured

Hello pectusgirl. Thanks for your question. It is possible for some silicone to travel to the lymph nodes if the breast sits ruptured in your pocket for many many years. The likelihood of that happening is small with most silicone breast implant devices. The MemoryShape breast implants in an FDA study had a 6.4% rupture rate at 10 years. You can see before and after photos of these breast implants on my website. If you cannot get comfortable with silicone then choose saline, but be sure you understand that saline breast implants are not perfect either. Best wishes, Dr. ALDO.

Cohesive gel implants are just that, more cohesive than the liquid silicone of decades past.  Even so, if an implant ruptured, theoretically, over time, silicone could migrate to lymph nodes.  However, this occurs much less with the cohesive gel implants and any microscopic silicone in the lymph nodes is not significant.  Your lymph nodes clear materials from your body all the time and this is their function.  

Facts are all implants will eventually leak, even the highly cohesive ones. Also we expect most ruptures will be silent, in that there will be no feeling when a leak happens. Over time however the leaks will cause tenderness in the breast, calcification of the capsule, and capsular contracture. We don't have any evidence that silicone travels through your body, and there are no illnesses caused by breast implants. In short, gel is safe, though unfortunately they will not last forever.