Rupture of a silicone bag-gel breast implant by closed compression capsulotomy: case report

Area of Science:

• Plastic Surgery
• Biomaterials Science

Background:

• Closed capsulotomy is a procedure used to treat breast implant contracture.
• Silicone bag-gel breast implants are widely used in reconstructive and aesthetic surgery.

Observation:

• A previously unreported complication involving silicone implant rupture during closed capsulotomy was observed.
• This complication resulted in the formation of silicone granulomas.

Findings:

• The study presents a case of silicone bag-gel breast implant rupture following closed capsulotomy.
• Silicone granuloma formation was a consequence of the implant rupture.

Implications:

• The findings suggest a potential risk associated with closed capsulotomy in patients with silicone bag-gel breast implants.
• The pathophysiology may involve implant gel cohesiveness, with less cohesive gels potentially posing a higher risk.