Is it possible for silicone in high cohesive gel implants to leak and migrate beyond the implant capsule?

USS has indicated ruptured implant (Allergan high-cohesive gel teardrop implants, positioned under the muscle in 2007). When I had the original augmentation I was led to believe that if the implants ruptured the gel would simply split (like a gummy bear) as opposed to ooze out. I'm currently awaiting an MRI to confirm intra/extra capsular leak, as the USS radiographer was unable to tell from the images. Does anyone have any experience of this?

Doctor Answers 1


MRI is the test of choice to diagnose the rupture of the silicone implant.  If they are highly cohesive implants, the material should stay inside the implant.  In older implants, the material could ooze out of the implant shell, but still stayed in the breast implant pocket capsule.

Napa Plastic Surgeon

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.