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Augmentation Mammoplasty (breast enhancement) and Ruptured Implants

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We have already discussed briefly about the risk of rupturing an implant after augmentation mammoplasty. A ruptured implant can pose a serious health risk, especially if the filler used is silicone, something that the body is not used to.

We have also discussed how saline solution implants pose a lesser health risk in this aspect than silicone gel implants. The body can absorb the saline solution, as it is already used to its presence. The same cannot happen for a silicone gel implant. Ruptures usually require the implant to be removed and replaced with another one.

In this article, we will discuss a little more about ruptured implants.

Why do Implants Rupture Post Augmentation Mammoplasty?

Since rupturing is a very realistic threat or risk after an augmentation mammoplasty, it pays to know why and how a rupture may occur. An implant may rupture a short while after the augmentation mammoplasty has been performed to insert it, or it may happen a long time after the procedure has been done. When it happens depends on a number of factors.

An implant can rupture because of a number of reasons. An implant rupture may happen because of problems during the augmentation procedure itself (careless handling of the surgical equipment or excessive handling of the implant itself during the procedure), damage during any other surgical procedure being performed on the breast, capsular contracture, wear and tear due to aging, inserting multiple implants in the same area, incorrect filling during the surgical procedure, excessive compression in the breast region (e.g. while undergoing a mammogram) and also any trauma in the implant area.

Ruptures in Augmentation Mammoplasty Involving Saline Solution Implants

In saline solution implants, a rupture can cause rapid deflation of the implant itself. This is because the saline solution usually gets absorbed in the body, thereby causing a reduction in the implant size. This is turn causes the breast to appear shrunken, in a space of one or two days.

The damage due to saline solution implant ruptures is not too much, though the remedy usually is replacement of the shrunken implant.

Ruptures in Augmentation Mammoplasty Involving Silicone Gel Implants

Silicone gel implant ruptures are not as simple as saline solution ruptures. There are two kinds of silicone gel ruptures – intracapsular and extracapsular.

The higher density of silicone gel ensures that it doesn’t spill outside the capsule. This means that there is no physical evidence of the rupture having occurred for some time. Such a rupture is called an intracapsular rupture or silent rupture, and requires an MRI for detection.

The other type of rupture, extracapsular rupture is characterized by the silicone gel actually leaking outside the capsule and moving to different body parts. It is also called a symptomatic rupture, as the patient shows symptoms of rupturing, unlike in the case of intracapsular ruptures. The symptoms generally include loss of sensation in the affected area, a burning sensation sometimes, swelling, or even tingling.

Symptomatic or extracapsular ruptures should be treated as early as possible, as delays can cause the silicon gel to move to different parts of the body and form lumps there, called granulomas.

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