RUPTURED SMOOTH HIGH PROFILE GEL IMPLANTS
|The video shows an interesting case with the patient presenting with burning in her right breast. Her implants are approximately 14 years old. They were experimental style 45 smooth 400 cc Allergan gel implants. The patient presents to the office with increasing pain with a sloshy feeling in her right breast. An MRI would have been useful; however, it was obvious on clinical examination that there was complete rupture of the implant and you can feel softening of the right lower pole of the breast with complete collapse of the upper pole. Intraoperatively, notice on the video that the implant is completely dissolved of the shell of the anterior surface and that by pulling the implant out there is a yellowish tint to the silicone associated with increased chronic protein which creates a darker yellowish appearance to the implant.
Ruptured silicone implant surgery should only be performed by Board Certified Plastic and Reconstructive Surgeons with experience of the chest anatomy to maintain good vascular blood supply and reconstruct the breast in a standard that is consistent with the American Board of Plastic and Reconstructive Surgery.