Dangers Of Breast Implants:

Three percent of all breast implants have leakage within three years of surgery, causing a deflated breast implant. Occasionally, breast implants can break or drip. The saline fill is actually salt water and will be assimilated by the body without major ill effects. Older breast implants that have silicone can also leak. If breaks or leakage occurs one of two things may happen:

• If breakage of the implant shell with a contracture scar around it, then it may not feel like anything has happened at all.
• In the event the shell breaks then there is not a contracture scar, next leakage into the surrounding tissue results in a experience that the implant is actually deflating.

The leaking gel may gather in the breast and a brand new scar may form around it. In other instances gel can migrate through the lymphatic system to a different area of the body. Breaks ofter require the woman to undergo another surgery for replacement of the particular leaking implant. In the case that the silicone the gel has migrated, it may not be possible to remove all of the silicon gel. Some experts say that this silicon gel is related to the initiation of connective tissue disorders in the body.

Breast Implants

Some causes of break or deflation in plastic gel and saline-filled breast implants include:

• damage by surgical instruments during surgery
• site injury to the breast
• overfilling or under filling of the implant with saline solution (this is specific only to saline-filled breast implants)
• closed capsulotomy
• capsular contracture
• placement through umbilical incision
• stresses such as trauma or intense physical manipulation
• excessive compression during mammographic imaging
• normal aging of the breast implant
• unknown and/or unexplained reasons

The FDA has completed a retrospective study on the rupture of silicone gel-filled breast implants. This study was performed in Birmingham, Alabama and included women who had undergone their first breast implant prior to 1988. Women with silicone gel-filled breast implants had a MRI examination of their breasts to determine the status of their current breast implants.

The 344 women who received a MRI examination had a total of 687 implants. Of the 687 implants in the study, at least two of the three study radiologists agreed that 378 implants were ruptured (55%). This means that 69% of the 344 women had at least one ruptured breast implant. Of the 344 women, 73 (21%) had extracapsular silicone gel in one or both breasts. Factors that were associated with rupture included increasing age of the implant, the implant manufacturer, and submuscular rather than subglandular location of the breast implant.

The most common complication of breast implants is capsular contracture, which is the tightening of scar tissue that the body naturally produces around the implant as a natural part of the healing process. Additional surgery may be required either to remove the scar tissue or to remove-and perhaps replace-the implant.

In a prospective clinical study of saline-filled breast implants conducted by Mentor, the cumulative, 3-year, by patient rates of a first occurrence of capsular contracture Grades III and IV were 9% for the 1264 augmentation patients and 30% for the 416 reconstruction patients. In a prospective clinical study of saline-filled breast implants conducted by McGhan, the cumulative, 3-year, by patient rates of a first occurrence of capsular contracture Grades III and IV were 9% for the 901 augmentation patients and 25% for the 237 reconstruction patients.

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