Breasts Breast implant rupture- Removal and capsulectomy
Ruptured implants and the need for their removal are conditions that may occur years after breast augmentation. Although modern silicone implants are of high quality and designed for long-term durability, in some cases rupture may occur or removal may be required for medical or aesthetic reasons.
Implant rupture is often detected through changes in breast shape or size, the appearance of asymmetry, firmness, or palpable areas, while in many cases it is discovered incidentally during imaging examinations. This condition is not usually considered urgent; however, it requires evaluation by a qualified plastic surgeon.
Management includes implant removal and, when appropriate, replacement with new implants. In cases where complications such as Breast Implant Illness (BII) or Breast Implant–Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) are suspected, a capsulectomy—removal of the fibrous capsule surrounding the implant—is performed simultaneously.
The surgical approach is tailored to each patient’s needs, aiming to ensure safety, restore function, and achieve a harmonious aesthetic outcome.
Photo gallery / before & after
Photo gallery / before & after
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Why implants may rupture?
Breast augmentation remains one of the most frequently performed procedures in Plastic Surgery. The first silicone breast implants were introduced in 1960. Since then, implant technology has evolved significantly. Today, fifth-generation silicone implants with cohesive gel and stable shape are used. These devices are safer and more reliable than ever; however, a small risk of rupture still exists. This risk is estimated to increase by approximately 1% for each year after implantation.
The exact causes that may lead to implant rupture are not fully understood. Contributing factors may include the manufacturing process, the strength of the implant shell, folding within the capsule, or technical factors related to the surgical procedure. After thorough research at the THEOPLASTICS clinic, we have chosen to use breast implants from a single manufacturer with very low rates of rupture and micro-rupture.
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How does implant rupture present?
Rupture of silicone breast implants, particularly those of newer generations, may not be immediately noticeable. Over time, mild or more pronounced asymmetry may develop and should always be investigated. Implant rupture is not associated with pain or skin redness. However, axillary lymphadenopathy may occur on the affected side, presenting as firm, enlarged, and painless lymph nodes.
Clinical examination by a Plastic Surgeon or Breast Surgeon is very important; however, the diagnosis is confirmed through imaging, with magnetic resonance imaging (MRI) being the modality of choice.
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HOW WE ARE DEAL WITH A POSSIBLE RUPTURE?
Although implant ruptures are not considered emergency or life-threatening conditions, it is important that they are addressed without unnecessary delay. Silicone released within the capsule can lead to the formation of reactive tissue and aseptic inflammation, while the shape of the breast gradually begins to change.
Management depends on the patient’s expectations. Removal of the implants, silicone granulomas, and the capsule is always recommended. Placement of new implants is an option and is feasible in the majority of cases. In patients who wish to avoid the use of implants again, breast lift combined with fat transfer may be performed.
