Ultrasounds in general have a very high false positive rate for IC rupture i. This is because sometimes there are normal folds in the implant shell which under an ultrasound may mimick the appearance of an IC rupture.
Extracapsular EC rupture on the other hand is much more easily and accurately diagnosed with an ultrasound. This is where the silicone has broken through the tissue capsule that the body has formed around the implant. This can be associated with palpable lumps or irregularities around the implant; sometimes specific pain or discomfort at a particular site of the breast.
It could also be, like IC ruptures, completely asymptomatic. What happens if you leave the ruptured implants in? An IC rupture will eventually become an EC rupture. This open sore can become a track for infection to the underlying implant. This is often a very late stage, and can be seen in patients who has had radiotherapy to their chest wall for breast cancer. The most concerning thing about leaking silicone from an implant rupture is that it may affect breast screening for breast cancers.
Silicone deposits in breast tissue look like opaque white irregular lumps on mammograms and sometimes may hide underlying breast cancers. Learn more about autologous reconstruction.
Create a profile for better recommendations. Breast implant illness BII is a term that some women and doctors use to refer to a wide range Sign up for emails about breast cancer news, virtual events, and more. Subscribe to our podcast for conversations on the issues that matter most. Join our online community to connect, share, and find peer support. Was this article helpful? Can we help guide you? How does this work?
Hi, really interesting article. I had a breast augmentation 15 years ago, and last month found out my left implant has a rupture. Because of covid and other factors all plastic surgeons are giving appointments between 6 and 12 months from now. And I would prefer not to wait that long for an answer to my situation. Thank you. If you are currently pregnant then you should wait since anesthesia is not recommended during pregnancy.
If you are not yet pregnant then I would have a replacement and seek treatment. Last year I took a terrible fall and landed on my breasts. Numerous soft tissue nodularities throughout the visualized inferior half of the right breast our suspicious for silicone granulomas from breast implant rupture. This is new from previous exam. Partially visualized left breast implant appears intact with no surrounding soft tissue nodules in the fatty tissue of the left breast.
I have implants that are 40 yrs old. Back then it was thought that silico e would last forever, and there was no mention of having them checked periodically. I just recently learned that I have a rupture in the left. I have no pain, or other symptoms. I am 3 months post op with cohesive gummy implants.
I was assaulted 4 days ago and punched in my left breast and she grabbed it as hard as she could. Now my breast looks slightly uneven from my right. Should I worry or just leave it alone. I recommend an evaluation by a surgeon and a high resolution ultrasound to evaluate the integrity of the implant.
After mastectomy, I had silicone rt breast implant In Jan, I had coronary bypass surgery and approx. In March hospitalization they removed silicone implant due to a silent rupture. I was on IV antibiotics for many months I am still having some pain in rt axillary area, rt pectoral area and lots of extra tissue under arm. Is it possible that not all the the silicone has been removed? Can scar tissue be formed where implant was, causing discomfort? Plastic surgeon says not recommended to have further reconstructive surgery but I look quite bad and now need to wear prosthesis.
I would recommend evaluation at a University program that specializes in breast reconstruction. You are a complicated case and require a specialized care. Good Luck! When a silicone implant ruptures, the gel will often stay inside the implant or surrounding scar tissue.
Because of this, ruptured silicone implants often go unnoticed. When symptoms are present, they can include:. Rippling occurs when the implant develops wrinkles or ripples.
Palpability refers to the ability to feel these ripples when you touch your breast. In some cases, these changes can also be seen through the skin.
Gravity is still going to take its toll. Weight gain and loss can also cause stretching and sagging of the breasts. You may also notice that one breast hangs lower than the other, or that your nipples point in different directions than before. Any qualified plastic surgeon can remove your breast implants. During an initial consultation, the surgeon you choose will evaluate the state of your current implants and discuss your surgical options.
Because of this, your doctor may recommend replacing your implants with implants of a different size or shape. Depending on the specifics of your procedure, you may be able to return home the day of your surgery. Recovery time differs for everyone.
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