Ruptured implant after many complications. What should I do?

Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon

I'm sorry to hear of the numerous issues you've had with your implants! If your implant has ruptured it is best to remove it along with the capsule. I encourage you to visit with a board certified plastic surgeon about your situation to discuss possible reasons for your problematic history. Perhaps it was the size of the implant? The technique used? Were you a smoker? If the potential reason can be uncovered perhaps it will give you some comfort going forward.

Hello!
Well this is a complicated history. You should undergo treatment to address the ruptured implant. I would recommend you see a board certified plastic surgeon who specializes in breast surgery. Infection should not be an issue in an upcoming revision. To be on the safe side you should find out which bacteria was responsible for last infection and pretreat. The implant replacement will be covered with the rupture as long as you stick with the same company.
Best of luck to you!

Hello @katiebianchi, thank you for your question. It depends on priorities. Implant rupture has 2 options: to remove the implants for good or replace them. However, ruptured implants must be removed. My suggestion is a definitive total Explantation with the removal not only of the implant but also the capsules and the reconstruction of the breast tissue to reconfigure it. Due to the experience of so many explantation surgeries practiced in these 21 years I consider that the L-shaped incision is the minimum and smallest scar possible in this surgery. I link to a video about asymmetry with breast prostheses rupture that will shed some more light. To obtain more information and recommendations, it is best to consult one or more board-certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Ruptured implants should be remove and/or replaced. In cases where there has been problems with the implant remaining well supported by the IMF (or breast fold) it can be helpful to re-inforce the IMF or inframammary fold with an internal bra, such as ALLODERM or galaFLEX.