Intracapsular Rupture in Silicone Breast Implants - What You Should Know

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Breast augmentation surgical operation is an very favorite procedure, with over 1% (about 1-2 million) of American women having had breast implant surgical operation during their lifetimes. Women elect to endure breast augmentation surgical operation for any estimate of reasons, along with for curative and for purely aesthetic ones.

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One of the most favorite types of materials used for breast augmentation is the silicone gel breast implant (Sgbi).

There are essentially two types of Sgbi:

a. Single lumen: this variety consists of a silicone shell (either textured or smooth) which contains free silicone gel

b. Double lumen: the Double lumen variety has a saline-filled outer shell and a silicone gel-filled inner shell

Two Locations For Placing An Implant In The Body

Implants can commonly be located in one of two places in the body. The first, called the subglandular implant, involves placing it just in front of (anterior to) the pectoralis muscle. It is the easiest to carry out surgically and may be less likely to rupture down the road.

In the case of the second type - called the subpectoral implant - the implant is located just behind (posterior to) the pectoralis muscle. This location is more complicated to carry out surgically, and subpectoral implants may be more likely to rupture. However, the subpectoral implant offers some benefits, along with a lower incidence of capsular contracture (see below) and a less visible scar.

The Formation Of A Capsule colse to The Implant

Regardless of the location of the implant that the physician and outpatient elect to go move send with, in either case it is very likely that a fibrous capsule will form colse to the implant sometime after surgery. This process is called encapsulation. For some women the capsule is soft and malleable, while for others it is hard and resistant.

All Implants Can Leak Eventually

Over time, approximately all implants will eventually leak. In fact, agreeing to a modern total study of women with silicone breast implants, the average lifespan (before rupturing) of a Sgbi is about 16 years.

Intracapsular Rupture In Silicone Breast Implants

There are two main types of rupture or leakages of silicone gel implants: intracapsular rupture and extracapsular rupture.

Intracapsular rupture happens when some or all of the gel leaks past the silicone shell of the implant but stays within the fibrous capture that has formed colse to it.

By contrast, an extracapsular rupture is when the free silicone gel escapes through the capsule and into the breast tissue. In some cases, the gel may migrate into the lymph nodes as well.

Fortunately, there are no recorded cases or conclusive curative studies indicating that illness or death has ever resulted from leaked silicone gel. Thus, while inconvenient, leakage is not something to be worried about from a curative perspective.

Detection And treatment After Intracapsular Rupture

How can you tell if your implant has leaked? Most women will notice that one or both implants look deflated or feel distinct to the touch than they used to. This can be a possible sign of leakage. To confirm either your implant has leaked, it is best to seek an exam from your doctor. Examinations are usually performed using Mri, ultrasound, computed tomography (Ct) scanning, or mammography.

If a doctor's exam indicates that one or both of your implants have leaked, your best option for rectifying the situation is to endure another implant surgery. In such a procedure, the physician removes the leaked silicone and ruptured shell. And, if the outpatient desires it, the physician can also insert a fresh pair of implants.

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