Ruptured saline implants may cause small lumps or ripples in the affected breast. Those ripples are actually the implant itself, deflated and sometimes folded over on itself. For women who experience a silicone breast implant rupture, ripples and lumps may become noticeable in and around the breast itself or in the armpit area.
But remember, because silicone implant ruptures occur slowly, these lumps and bumps may not be immediately noticeable. At Brucker Plastic Surgery, we care about the overall well-being of each of our patients. If you have had a breast augmentation and think you may be experiencing a breast implant rupture, contact my office and make an appointment to see me. You can reach us in the La Jolla area at Request A Consultation. Brucker … I had terrible complications from surgeries with other surgeons and Dr.
Brucker performed a miracle. My results are so natural and so elegant and Dr. Brucker has a very gentle and compassionate bedside manner. Board-certified plastic surgeon, Dr. Brucker, offers every La Jolla patient a high level of individualized attention.
With more than 19 years of experience, he is highly skilled in procedures for the face, breasts, and body. With his extensive training and an artistic eye, he will exceed your expectations and provide you with the beautiful changes you seek. Call Us Directly: The term rupture is used for all types of breast implants, but the term deflation is only used for saline-filled implants. You will notice that your implant loses its original size or shape.
The following surgical procedures are not recommended for FDA-approved saline-filled breast implants because they are known to cause rupture and deflation:. The photograph below shows a year-old woman whose left saline-filled breast implant deflated. The implant is thought to have deflated due to a particular design, which is no longer used by the manufacturer. Silicone breast implants can rupture at any time after your implant surgery, but the longer an implant is in place, the greater the possibility an implant may rupture.
If a silicone gel-filled breast implant ruptures, it is not likely that you or your doctor will immediately notice because most silicone implant ruptures are without symptoms, "silent ruptures". A silent rupture doesn't change the way an implant looks or feels, and your surgeon or health care provider may not be able to detect a silent rupture by a physical examination alone.
Magnetic resonance imaging MRI is the most effective method for detecting silent rupture of silicone gel-filled breast implants. However, occasionally when a silicone gel-filled implant ruptures, a woman may notice a decrease in breast size, change in breast implant shape, hard lumps over the implant or chest area, an uneven appearance of the breasts, pain or tenderness, tingling, swelling, numbness, burning, or changes in sensation. Generally, when silicone gel-filled implants rupture, the silicone gel escapes through a tear or hole in the implant shell but remains confined within the scar tissue capsule around the implant, called an intra-capsular rupture.
If the gel migrates beyond the scar tissue around the breast implant, it is called an extracapsular rupture. Sometimes, after a rupture, the gel may move to other distant areas around the body, which is called extracapsular rupture with gel migration. It may be difficult to remove silicone gel after a rupture. The FDA has not detected any association between silicone gel-filled breast implants and connective tissue disease, breast cancer, or reproductive problems.
However, the FDA has received reports of systemic symptoms see below by some patients with both saline and silicone gel-filled breast implants. In order to fully understand these complications, studies would need to be larger and longer than those conducted so far.
Symptoms such as fatigue, memory loss, rash, "brain fog," and joint pain may be associated with breast implants. Some patients may use the term "breast implant illness" BII to describe these symptoms. Researchers are investigating these symptoms to better understand their origins. These symptoms and what causes them are poorly understood.
In some cases, removal of the breast implants without replacement is reported to reverse symptoms of breast implant illness.
Please include the following information:. Some women who undergo breast augmentation can successfully breastfeed and some cannot.
Women who undergo mastectomies and then have breast implant reconstruction surgeries may not be able to breastfeed on the affected side due to loss of breast tissue and the glands that produce milk.
At this time, it is not known if a small amount of silicone may pass through from the breast implant silicone shell into breast milk during breastfeeding. Although there are currently no established methods for accurately detecting silicone levels in breast milk, a study measuring silicon one component in silicone levels did not indicate higher levels in breast milk from women with silicone gel-filled implants when compared to women without implants.
In addition, concerns have been raised regarding potential damaging effects on children born to mothers with implants. Two studies in humans have found no increased risk of birth defects in children born to mothers who have had breast implant surgery. Although low birth weight was reported in a third study, other factors for example, lower pre-pregnancy weight may explain this finding.
Complication Description Asymmetry The breasts are uneven in appearance in terms of size, shape or breast level. These can be mistaken for cancer during mammography, resulting in additional surgery. Capsular Contracture Tightening of the tissue capsule around an implant, resulting in firmness or hardening of the breast and squeezing of the implant if severe. Chest Wall Deformity Chest wall or underlying rib cage appears deformed.
Deflation Leakage of the saltwater saline solution from a saline-filled breast implant, often due to a valve leak or a tear or cut in the implant shell rupture , with partial or complete collapse of the implant. Delayed Wound Healing Incision site fails to heal normally or takes longer to heal.
Extrusion The skin breaks down and the implant appears through the skin. Hematoma Collection of blood near the surgical site.
The liquid silicone gel implants sold in the United States prior to are more likely to leak beyond the capsule of scar tissue surrounding the implant if a rupture occurs. The liquid silicone gel can spread to other parts of the body, such as the lymph nodes or the lungs. Your body may react to the silicone by forming more scar tissue, which might be uncomfortable or cause a distorted breast shape.
In relatively rare cases, lumps called silicone granulomas can form in the arm, armpit, chest area, or elsewhere in the body. Starting in , the silicone implants sold in the United States have had thicker shells and a more cohesive gel filler. Signs that your silicone implant has ruptured can include changes in breast shape and size, and increasing pain, firmness, and swelling over a period of weeks. Rupture can also cause capsular contracture.
If at any time you think your implant may have ruptured, have your plastic surgeon check it. An imaging test, such as an ultrasound or MRI, can help determine whether an implant is leaking. An MRI with equipment designed specifically for imaging the breast is widely considered the most accurate imaging test for this purpose.
When a saline or silicone gel-filled implant has ruptured, the implant should be surgically removed. In some cases, your plastic surgeon will also remove the capsule of scar tissue surrounding the implant or just cut open the capsule by making small incisions.
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