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Related Experiment Videos

Silicone breast implant rupture: common/serious complication?

C M Malata1, S Varma, M Scott

  • 1Department of Plastic Surgery, St. Luke's Hospital, Bradford, West Yorkshire, UK.

Medical Progress Through Technology
|January 1, 1994
PubMed
Summary

Breast implant rupture is more common than previously believed, particularly in older implants. This study found a 23% rupture rate in implants over 10 years old, with no serious systemic health effects observed.

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Area of Science:

  • Plastic Surgery
  • Biomaterials Science
  • Immunology

Background:

  • Concerns exist regarding silicone breast implant durability, lifespan, and potential links to connective tissue disease.
  • Assessing these risks requires prospective studies evaluating implant integrity and patient health outcomes.

Purpose of the Study:

  • To prospectively evaluate the incidence of silicone breast implant rupture.
  • To investigate the association between implant duration and rupture.
  • To assess systemic health effects following implant rupture.

Main Methods:

  • A prospective study was conducted over 11 months.
  • 51 patients undergoing revisional breast surgery were screened (biochemical, haematological, immunological).
  • Implant integrity, duration, and patient health markers were analyzed.

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Main Results:

  • A 23% incidence of ruptured implants was observed (19 of 83 breasts).
  • Ruptured implants were all smooth prostheses manufactured over 10 years ago, with a mean in situ duration of 12 years.
  • No systemic complications or elevated blood silicon levels were found; one patient had pre-existing pernicious anemia with elevated autoantibodies.

Conclusions:

  • Silicone breast implant rupture is more common than previously thought.
  • Implant rupture is strongly correlated with in situ duration, especially in older devices.
  • Implant gel leakage in this study was not associated with serious systemic effects.