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Related Experiment Videos

Rupture and aging of silicone gel breast implants

D L de Camara1, J M Sheridan, B A Kammer

  • 1Division of Plastic and Reconstructive Surgery, Carle Clinic Association, Urbana, Ill.

Plastic and Reconstructive Surgery
|April 1, 1993
PubMed
Summary

Silicone gel breast implant rupture risk increases with age. Implants over 10 years old were consistently ruptured or leaking, indicating a clear correlation between implantation time and implant integrity.

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Strength of silicone breast implants.

Plastic and reconstructive surgery·1996

Area of Science:

  • Plastic Surgery
  • Biomaterials Science
  • Medical Device Longevity

Background:

  • Silicone gel breast implants are widely used for augmentation and reconstruction.
  • Understanding implant aging and failure modes is crucial for patient safety and surgical outcomes.
  • Previous studies have explored implant durability, but long-term data on rupture and leakage rates are essential.

Purpose of the Study:

  • To evaluate the relationship between the age of silicone gel breast implants and their condition, specifically rupture and leakage.
  • To identify common reasons for implant removal in relation to implant integrity.
  • To assess the impact of implantation duration on the likelihood of implant failure.

Main Methods:

  • Retrospective analysis of 51 silicone gel breast implants removed from 31 women between 1987 and 1990.

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  • Categorization of implants based on condition: ruptured, leaking, or intact.
  • Correlation of implant age (1-17 years) with observed condition and reasons for removal.

    • Main Results:

    • A significant number of removed implants showed signs of failure: 27 ruptured, 7 leaking, out of 51 total.
    • All implants exceeding 10 years of implantation were found to be leaking or ruptured.
    • A positive correlation was observed between the duration of implantation and the incidence of rupture and leakage.

    Conclusions:

    • The longevity of silicone gel breast implants is directly associated with an increased risk of rupture and leakage.
    • Implants older than a decade demonstrate a high probability of failure, necessitating careful consideration of replacement.
    • While trauma played a minor role, implant aging appears to be the primary driver of failure and subsequent removal.