Expert games in silicone gel breast implant litigation

The IDEAL IMPLANT® Structured Breast Implant is a dual lumen saline-filled implant with capsular contracture and deflation/rupture rates much lower than single-lumen silicone gel-filled implants. To better understand the implant’s mechanical properties and to provide a potential explanation for these eight-year clinical results, a novel approach to compressive load testing was employed. Multi-dimensional strains and tangent moduli, metrics describing the shape stability of the total implant, were derived from the experimental load and platen spacing data. The IDEAL IMPLANT was found to have projection, diametric, and areal strains that were generally less than silicone gel implants, and tangent moduli that were generally greater than silicone gel implants. Despite having a relatively inviscid saline fill, the IDEAL IMPLANT was found to be more shape stable compared to gel implants, which implies potentially less interaction with the capsule wall when the implant is subjected to compressive loads. Under compressive loads, the shape stability of a higher cross-link density, cohesive gel implant was unexpectedly found to be similar to or the same as a gel implant. In localized diametric compression testing, the IDEAL IMPLANT was found to have a palpability similar to a gel implant, but softer than a cohesive gel implant.

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A Rare Case of a Woman Presenting with Axillary Silicone Lymphadenopathy Accompanied by Extracapsular Siliconoma and Thickened Capsule after an Implant-based Augmentation Mammaplasty

Journal of Surgery Open Access ◽

10.16966/2470-0991.236 ◽

2021 ◽

Vol 7 (2) ◽

Author(s):

Kim JH

Keyword(s):

Rare Case ◽

Breast Implant ◽

Augmentation Mammaplasty ◽

Current Case ◽

Silicone Gel ◽

Systemic Disorder

According to a review of literatures, silicone-induced lymphadenopathy occurs in association with rupture or silicone leakage. It has been reported to cause inflammation, neuropathy or systemic disorder. It should therefore be detected both correctly and promptly. The author experienced a rare case of a 38-year-old woman presenting with axillary silicone lymphadenopathy due to rupture of a silicone gel-filled breast implant. The patient received primary augmentation mammaplasty using a breast implant at other hospital; the current case highlights the importance of an ultrasoundassisted diagnosis of silicone lymphadenopathy before reoperation in a patient with rupture.

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The Silicone Gel Breast Implant Controversy—A Chronology of Recent Regulations and Decisions

The American Journal of Cosmetic Surgery ◽

10.1177/074880689301000203 ◽

1993 ◽

Vol 10 (2) ◽

pp. 89-93

Author(s):

Howard A. Tobin

Keyword(s):

Drug Administration ◽

Breast Implant ◽

Breast Implants ◽

Press Coverage ◽

Silicone Breast Implants ◽

Consumer Activism ◽

Silicone Gel ◽

Congressional Investigations ◽

Regulatory Actions

This article summarizes the regulatory actions of the Food & Drug Administration as related to gel-filled silicone breast implants. It also relates the actions to the influences of outside forces such as press coverage, congressional investigations, and consumer activism.

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