Ruptured Silicone Gel Textured Implant
This is an excellent example of a reconstructive patient with ruptured silicone gel textured implants and an isolated capsule from the parenchyma of the breast. This is a 72-year-old Russian patient presenting from the USSR with specifically severe ruptured silicone Baker IV capsular contracture and a double-bubble breast deformity.
Upon entering into the breast pocket, the entire implant was notably isolated with the capsule and was detached from the parenchyma of the breast tissue. Notice the white capsule attached to the silicone gel implant. This is more likely in textured silicone cases. Why there was no longer contiguity of the capsule with the breast tissue is unknown. In any case, this is an interesting case of a free-floating silicone textured implant with the capsule completely isolated freely and mobile in the breast pocket. Capsules are made out of three components. Notice the white glistening of the capsules made out of high collagen levels, fibroblastic tissues and blood vessels. This extremely thick capsule was most notably interesting because of its contiguity with the silicone implant and its free-floating nature within the pocket.
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