Ruptured Silicone Implant
This is a case example of a patient who presents with a ruptured silicone implant who had a breast augmentation only four years ago. She presents with severe Baker IV capsular contracture with a very hardened right breast with severe scar tissue hardening. Interestingly, she denies any incidents of trauma to her breast whatsoever nor heavy workout or exertion. In the operating room, immediately upon opening the incision and entering into the breast pocket through the capsule, loose silicone was identifiable. The posterior portion of the implant was largely torn with loose silicone throughout the pocket.
Patients who undergo silicone implants should simply have MRIs every three years. Often asymptomatic, patients may still have a tear within the shell of the implant that is not obviously identifiable clinically. This patient did have severe scar tissue with a Baker IV capsule which indicated that there may have been some trauma that she however was unaware of, which could have been associated with the posterior rupture of the silicone gel implant. MRIs are very sensitive for ruptured silicone gel implants and should be performed at least every three years per guidelines of the FDA.