Chronic Rupture – Saline Breast Implant
This is an excellent case example of a patient who left her saline implant in her chest for over two years. For some reason she declined to have the implant replaced until now that it has become painful. This is an obvious rupture on clinica examination. Mammogram also showed scar tissue contracture with complete deflation of the left saline implant.
I recommend that these implants be replaced within four weeks after a rupture in order to reduce scar tissue contracture that will certainly occur.
In any case, the patient underwent surgery through a previous periareolar incision. The implant was removed. Scar tissue was then completely released and exenterated through an open capsulectomy, releasing scar tissue circumferentially around the pocket and the implant was then reconstructed using a style 68 high profile Natrelle 400 cc saline implant.
Patients with ruptured saline implants simply should have them replaced, no different than a blown out tire on a car, this needs to be replaced as soon as possible in order to reduce scar tissue which will make it more difficult to regain a symmetric appearance in the future.