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Dr. Linder's Blog


Posted On: December 14, 2009 Author: The Office of Dr. Stuart Linder Posted In: Breast Revision

Whenever a patient presents with a ruptured implant, we highly recommend that the implant be removed and replaced as soon as possible.  Ruptured saline implants are usually clinically obvious as one breast will be significantly smaller than the other.  The crack or rupture can occur either from the shall itself, most commonly with textured implants, where they have crease cracks and they develop leakage, or from a valve where the one-way valve becomes bi-directional and fluid leaks through the valve and it’s now no longer unidirectional.  As long as an implant remains in the body, scar tissue will continue form around it and wall off the implant, reducing the size of the pocket and causing increasing encapsulation which may make it more difficult to regain a normal appearance to the breast.

Ruptured Implant Photo  After Breast Revision

Before and After Breast Revision Photos

As a result, whenever a woman has a ruptured saline implant, we recommend having it removed and replaced within the next 7 to 10 days.  The operation should be performed under general anesthesia.  We usually will perform a periareolar incision, remove the implant, irrigate out the pocket and then open up the scar tissue as necessary, either through an open capsulectomy removing the scar tissue or a circumferential open capsulotomy, releasing it, depending upon the thickness or viability of breast tissue surrounding the bag.