Magnetic resonance imaging (MRI), mammography, ultrasonography (US) and exceptionally computed tomography (CT) have all been used to diagnose silicone breast implant rupture. However, physical examination fails to diagnose implant rupture in more than 50% of cases. , the most common symptom in breast implant rupture is contour deformity (44%), followed by displacements (20%), mass formations (17%), pain (13%) and inflammation (3%). Breast pain on the clinical examination of implants is a strong predictor of rupture, but the absence of pain does not exclude rupture. However, clinical evaluation may fail to detect breast implant rupture that occurs over time without loss of breast volume and misshapenness. If implant rupture is accompanied by loss of the shape of the breast, the diagnosis of breast implant rupture at physical examination is feasible. Free silicone from ruptured implants has in rare cases spread to distant body regions, giving rise to symptoms. Ĭlinical diagnosis is difficult, being based solely on nonspecific findings such as palpable nodules, asymmetry or tenderness. The incidence of rupture increases with implant age the average incidence is approximately 2 implant ruptures per 100 implant-years, with an estimated probability of being intact after 5 and 10 years of implantation of 98% and 83–85%, respectively. Most implant ruptures occur 10 to 15 years after implantation. ![]() Implant rupture can have various causes, but most ruptures have no obvious traumatic origin and sometimes occur in asymptomatic patients. Implant rupture is the main cause of implant removal. An increasing number of patients have breast implants for cosmetic augmentation of the breast, reconstruction after mastectomy or correction of congenital malformations.
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