scholarly journals Punctual Breast Implant Rupture following Lipofilling: Only a Myth?

Breast Care ◽  
2020 ◽  
pp. 1-4
Author(s):  
Andres Rivera ◽  
Carlota González-Pozega ◽  
Gorka Ibarra ◽  
Borja Fernandez-Ibarburu ◽  
Ángela García-Ruano ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Breast Implant ◽  
Capsular Contracture ◽  
Clinical Signs ◽  
Fat Graft ◽  
Implant Rupture ◽  
Fat Deposits ◽  
Autologous Fat Graft ◽  
Clinical Chart ◽  
Breast Implant Rupture

<b><i>Background:</i></b> Lipofilling techniques are widespread in clinical practice as a complement to breast reconstruction, despite posing some risk. Punctual implant rupture following a fat transfer is one of the possible complications, which has not been properly reported yet and is probably being underdiagnosed. The aim of this paper is to report key facts for appropriate diagnosis of this clinical chart.<i></i><b><i>Case Report:</i></b><i></i>We present the case of a 47-year-old woman with a bilateral prosthetic breast reconstruction who was treated with autologous fat graft for upper pole enhancing and scar improvement. The patient developed an early unilateral breast capsular contracture after the fat graft procedure, with normal radiological exploration. Surgical findings showed intraprosthetic fat deposits and a punctual implant rupture. <b><i>Conclusions:</i></b> Punctual breast implant rupture is a possible complication of lipofilling that is usually not suspected at first consultation and might be underdiagnosed based on radiological findings, so investigating clinical signs should necessarily be a prerequisite to diagnosis.

scholarly journals Thoracic migration of silicone gel after breast implant rupture: a case report and literature review

2021 ◽  
Author(s):  
Benedetta Fanelli ◽  
Marco Marcasciano ◽  
Stefano Lovero ◽  
Luca Codolini ◽  
Donato Casella ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Biological Membrane ◽  
Breast Implant ◽  
Granulomatous Inflammation ◽  
Breast Implants ◽  
Silicone Implants ◽  
Axillary Lymph ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

AbstractNowadays silicone is a widespread material for medical devices. In particular, it is commonly used for implants manufacturing, for that patients undergoing breast augmentation or breast reconstruction after mastectomy. However, the use of silicone implants is not free from risks. Ruptures of silicone breast implants are uncommon, in general post-traumatic or iatrogenic, and usually related to implant’s wall weakness of unknown origin but probably due to biochemical reactions that cause wall rupture. As a consequence of a rupture, silicone gel from damaged implants may have a continuity migration to the chest wall, axillae, and upper extremities, resulting in granulomatous inflammation or siliconoma, or a lymphatic migration to axillary lymph nodes. In this regard, silicone thoracic migration is extremely rare, and nowadays a leakage is unlikely to happen with more modern cohesive silicone gel implants. Nevertheless, procedures such as thoracic surgery and thoracotomies may be responsible for accidental breast implant rupture, capsular discontinuity, and eventually intrathoracic silicone migration, especially when dealing with older generations of breast implants. We report a rare case of a 75-year-old woman presenting with pleural silicone effusion, 18 years after a right breast reconstruction for breast cancer, followed by right upper lobe resection for a lung carcinoma. A combination of muscular flap and DTI pre-pectoral breast reconstruction with biological membrane (ADM) has been used for treatment. Literature was reviewed for cases of breast implants free silicone localization in the chest cavity, focusing on previous surgeries, anamnestic relevances, and surgical management.Level of Evidence: Level V, risk/prognostic study.

scholarly journals BellaGel breast implant: 6-Year results of a prospective cohort study

2020 ◽  
Vol 47 (3) ◽  
pp. 235-241
Author(s):  
Joon Seok Oh ◽  
Jae Hoon Jeong ◽  
Yujin Myung ◽  
Jeongseok Oh ◽  
Shin Hyeok Kang ◽  
...  
Keyword(s):  
Cohort Study ◽  
Clinical Study ◽  
Breast Reconstruction ◽  
Breast Implant ◽  
Capsular Contracture ◽  
Breast Implants ◽  
Asian Women ◽  
Safety And Efficacy ◽  
Implant Rupture ◽  
Cohesive Silicone Gel

Background This is the first clinical study conducted among Asian women using breast implants manufactured by an Asian company. Four-year data regarding the safety and efficacy of BellaGel breast implants have already been published, and we now report 6-year data.Methods This study was designed to take place over 10 years. It included 103 patients who underwent breast reconstruction or augmentation using BellaGel breast implants. The rates of implant rupture and capsular contracture were measured and analyzed to evaluate the effectiveness of the breast implant.Results At patients’ 6-year postoperative visits, the implant rupture and capsular contracture rates were 1.15% and 2.30%, respectively. The implant rupture rate was 3.77% among reconstruction cases and 0% among augmentation cases. The capsular contracture rate was 5.66% among reconstruction cases and 0.83% among augmentation cases.Conclusions The 6-year data from this planned 10-year study suggest that the BellaGel cohesive silicone gel-filled breast implant is an effective and safe medical device that can be used in breast reconstruction and augmentation.

Management of Capsular Contracture in Cases of Silicone Gel Breast Implant Rupture with Use of Pulse Lavage and Open Capsulotomy

2019 ◽  
Vol 43 (5) ◽  
pp. 1173-1185 ◽  
Author(s):  
Martin C. Lam ◽  
Gisela Walgenbach-Brünagel ◽  
Alexey Pryalukhin ◽  
Jens Vorhold ◽  
Thomas Pech ◽  
...  
Keyword(s):  
Breast Implant ◽  
Capsular Contracture ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Pulse Lavage ◽  
Breast Implant Rupture

Effects of Capsular Contracture on Ultrasonic Screening for Silicone Gel Breast Implant Rupture

1997 ◽  
Vol 39 (4) ◽  
pp. 337-341 ◽  
Author(s):  
Marianne Medot ◽  
George H. Landis ◽  
Cindy E. McGregor ◽  
Karol A. Gutowski ◽  
Mary C. Foshager ◽  
...  
Keyword(s):  
Breast Implant ◽  
Capsular Contracture ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

scholarly journals BREAST IMPLANT RUPTURE AS A COMPLICATION OF HEART SURGERY IN MEDIAN STERNOTOMY

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
G. Nisi ◽  
M. Campana ◽  
L. Grimaldi ◽  
C. Brandi ◽  
R. Cuomo ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Heart Surgery ◽  
Breast Implant ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Open Heart ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

The authors report a case of a woman who underwent heart surgery in median sternotomy after breast reconstruction using prosthesis in 1984. After this open heart surgery in 2008, she developed an injury at right breast implant with intra and extra capsular silicone gel spread out the prosthesis.

The sonographic appearances of breast implant rupture

2013 ◽  
Vol 68 (8) ◽  
pp. 851-858 ◽  
Author(s):  
E. Lake ◽  
S. Ahmad ◽  
R. Dobrashian
Keyword(s):  
Breast Implant ◽  
Implant Rupture ◽  
Breast Implant Rupture

RE: Prosthetic Breast Implant Rupture: Imaging—Pictorial Essay

2017 ◽  
Vol 41 (6) ◽  
pp. 1478-1480 ◽  
Author(s):  
M. Marcasciano ◽  
A. Conversi ◽  
J. Kaciulyte ◽  
L. A. Dessy
Keyword(s):  
Breast Implant ◽  
Implant Rupture ◽  
Pictorial Essay ◽  
Rupture Imaging ◽  
Breast Implant Rupture
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