When dealing with a ruptured silicone implant. This couls be intra-capsular or Extra-capsular.
Intracapsular rupture, one tries to remove the ruptured implant en-block, so there is no contamination of the breast tissue.
In extra-capsular rupture of silicone implants, one tries to remove all the free floating silicone and washing the cavity completely so as to remove all the silicone. It is not necessary to remove breast tissue. if there are silicone granulomas, one needs to remove them and with that some of the tissue is removed in spite of all attempts to remove as little as possible, yet remove the granulomas.
Samir Shureih MD.FACS