Breast implant rupture 37 years after breast augmentation
Introduction Silicone implants have been used ever since the second half of the 20th century. Over that period several generations of implants have been developed that differed in thickness of the shell and viscosity of the silicone gel. Development of these generations of implants was acco...
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Formato: | article |
Lenguaje: | EN SR |
Publicado: |
Serbian Medical Society
2021
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Materias: | |
Acceso en línea: | https://doaj.org/article/5fdf3cb53b7144689047635aa4110a16 |
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Sumario: | Introduction Silicone implants have been used ever since the second half of
the 20th century. Over that period several generations of implants have been
developed that differed in thickness of the shell and viscosity of the
silicone gel. Development of these generations of implants was accompanied
with different complication rates. The first-generation implants had the
lowest tendency to rupture, but were more prone to capsular contracture and
calcification formation. Case outline An 81-year-old female patient had her
silicone implants placed in 1983. After a chest injury in 2015. on the
lateral aspect of the left breast a tumefaction becomes palpable and she
complains of pain. She denies any subjective problems before the injury.
After pertinent diagnostic procedures and clinical examination, silicone
implant rupture was suspected. Surgical findings confirmed ruptures of both
implants so that they were extracted, capsulectomy was performed and the
surrounding tissue imbibed with silicone removed. Samples were sent for
histopathological examination. Conclusion Implant rupture is one of late
complications of breast augmentation. The incidence of ruptures has changed
with development of newer generations of silicone implants. We believe that
our patient had the first-generation silicone implants, knowing the time
from their placement to the occurrence of symptoms and macroscopic
appearance of the shell after extraction. The fact is that these implants
have proved to be very durable, but regardless of the lack of symptoms,
current guidelines recommend regular screening for rupture, while possible
preventive extraction, particularly in case of so old implants should be
considered. |
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