Biocel Silicone Textured Silimed Ruptured Implant
Patient presents recently with a 25-year-old ruptured Silimed silicone implant notable on MRI is extravasation of both intra and extracapsular rupture. Patient presents clinically with painful breast deformity, Baker IV capsular contracture, double-bubble breast deformity with ruptured silicone mastitis.
The video shows the patient’s implant being removed with the silicone material as loose globular amounts of small droplets of silicone rather than a smooth viscous silicone liquid. These implants are 25 years old and are no longer available in America. The Silimed Biocel textured implants in my experience have a high rupture rate. Notice the textured coating of the silicone shell with the calcifications and white plaque shown throughout the shell. Notice half of the implant has lost its integrity and that the free silicone is identifiable throughout the breast. Patients who present with ruptured Biocel silicone textured implants should have them removed. Notice open capsulectomy silicone material exenteration is required and reconstruction with either silicone or saline implants can be performed. These Allied Biocel Silimed textured implants are rare and I only see these a few times a year in my busy revision reconstructive practice due to its rarity.