What is the Rate of Gel Bleeding in Current Silicone Implants?

First we had Dow Corning gel implants some with patches or tabs on them, then saline implants, then low bleed implants. Now you are told the gel bleed problem has been solved. Because I've seen many implants and many promises about implants that later proved to be incorrect my opinion is as long as there is gel inside a shell it can and will likely at some time, some place get out side the shell and cause problems. I base this opinion on past experience over many years and the common sense statement that nothing lasts forever. I have rarely removed silicone implants that have been in place 20 years or more that do not show good evidence of silicone outside the implant shell. Silicone outside the shell can and will migrate into and through the capsule and often causes an inflammatory reaction that leads to late capsular contracture and not uncommonly and egg shell like calcification of the implant capsule. To know for sure there will NEVER be ANY gel bleed I think a longer and more rigorous period of testing is needed. Do we have long term proof that even microscopic molecules of silicone are never found outside the implant shell? The silicone implants are much more expensive than saline implants that have a long record of good results and safety. Do we have enough long term evidence to prove the others are enough better to justify the greater expense? Until I have more long term results, my preference is the saline implant with a longer record of good results and safety. Best wishes.

Gel bleeding has been eliminated in the newer silicone gel implants.  This was an issue prior to 1992.