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Dr. Linder's Blog

DOW CORNING RUPTURED IMPLANTS

Posted On: May 19, 2014 Author: The Office of Dr. Stuart Linder Posted In: Breast Implants, Breast Revision, Breast topics, Uncategorized

photo-79 SEVERE DOW CORNING BILATERAL RUPTURED 
SILICONE BAKER IV CAPSULAR CONTRACTURE
SILICONE CALCIFIED GRANULOMAS

The patient presents to the operating room today with bilateral 510 cc Dow Corning Silicone Gel Implants placed approximately 22 years ago.  The implants were completely dissolved with the shell and piecemeal calcifications and silicone calcified granulomas notable throughout the entire breast.  The patient desired to have the implants cleaned out.  All silicone implant, implant material and calcifications and capsules were removed as well as a replacement with high profile saline implants.

Notice on her preoperative photo the right implant is disfigured severely with constriction of the bag showing displacement midline even over the parasternal ridge extending to the left breast.  The patient in the operating room was found to have severe encapsulation, complete ruptured silicone gel implant and implant material.

Notice these photographs of the intraoperative implants as they were taken out and removed, the silicone is now yellow in appearance as it has had increased proteinaceous build up over the last several years.  She also has the textured Dow Corning silicone shell which is scarred and show severe hardening.
There is also a patch that is notable, showing a 510 cc Dow Corning gel implant.  This patient has just undergone her surgical procedure with Dr. Linder and the implants were replaced with 500 cc filled to 570 cc saline.  The implants show excellent symmetry at midline.

There is no longer touching with the implant allowing for some lateral release and normal shape to her breast.Patients with Dow Corning silicone implants should have them removed as soon as possible, as these implants have completely dissolved, ruptured and calcified with both intra- and extracapsular translocation of the silicone material with possible spread to lymph nodes.