Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

Mechanical irritation by protruding bone: A possible cause of breast implant rupture

  • Aitzetmuller, Matthias Michael (Department of Plastic Surgery and Hand Surgery, Klinikum Rechts der Isar, Technical University Munich) ;
  • Haslhofer, David Johannes (Section of Plastic, Aesthetic and Reconstructive Surgery, Medcampus III, Kepler University Hospital) ;
  • Wenny, Raphael (Section of Plastic, Aesthetic and Reconstructive Surgery, Medcampus III, Kepler University Hospital) ;
  • Schmidt, Manfred (Section of Plastic, Aesthetic and Reconstructive Surgery, Medcampus III, Kepler University Hospital) ;
  • Duscher, Dominik (Department of Plastic Surgery and Hand Surgery, Klinikum Rechts der Isar, Technical University Munich) ;
  • Huemer, Georg Michael (Section of Plastic, Aesthetic and Reconstructive Surgery, Medcampus III, Kepler University Hospital)
  • Received : 2017.08.11
  • Accepted : 2017.10.18
  • Published : 2018.09.15
Download PDF
⟨ Previous Next ⟩

Abstract

Although breast implants have been in clinical use for almost 6 decades and have undergone considerable development during this time, implant rupture is still a dreaded long-term complication. Some obvious external factors, such as trauma, can lead to implant rupture, but many studies have reported a high rate of "spontaneous" implant rupture. Herein, we present two cases with the aim of raising awareness of a new possible cause of "spontaneous" implant rupture: mechanical irritation by bony protrusions.

Keywords

References

  1. Handel N, Garcia ME, Wixtrom R. Breast implant rupture: causes, incidence, clinical impact, and management. Plast Reconstr Surg 2013;132:1128-37. https://doi.org/10.1097/PRS.0b013e3182a4c243
  2. Doren EL, Pierpont YN, Shivers SC, et al. Comparison of allergan, mentor, and sientra contoured cohesive gel breast implants: a single surgeon's 10-year experience. Plast Reconstr Surg 2015;136:957-66. https://doi.org/10.1097/PRS.0000000000001675
  3. Hillard C, Fowler JD, Barta R, et al. Silicone breast implant rupture: a review. Gland Surg 2017;6:163-8. https://doi.org/10.21037/gs.2016.09.12
  4. Holmich LR, Vejborg IM, Conrad C, et al. Untreated silicone breast implant rupture. Plast Reconstr Surg 2004;114:204-14. https://doi.org/10.1097/01.PRS.0000128821.87939.B5
  5. Andersen B, Hawtof D, Alani H, et al. The diagnosis of ruptured breast implants. Plast Reconstr Surg 1989;84:903-7. https://doi.org/10.1097/00006534-198912000-00006
  6. de Camara DL, Sheridan JM, Kammer BA. Rupture and aging of silicone gel breast implants. Plast Reconstr Surg 1993;91:828-34. https://doi.org/10.1097/00006534-199304001-00012
  7. Holmich LR, Friis S, Fryzek JP, et al. Incidence of silicone breast implant rupture. Arch Surg 2003;138:801-6. https://doi.org/10.1001/archsurg.138.7.801
  8. Balk EM, Earley A, Avendano EA, et al. Long-term health outcomes in women with silicone gel breast implants: a systematic review. Ann Intern Med 2016;164:164-75. https://doi.org/10.7326/M15-1169
  9. Brown SL, Silverman BG, Berg WA. Rupture of silicone-gel breast implants: causes, sequelae, and diagnosis. Lancet 1997;350:1531-7. https://doi.org/10.1016/S0140-6736(97)03164-4
  10. Feng LJ, Amini SB. Analysis of risk factors associated with rupture of silicone gel breast implants. Plast Reconstr Surg 1999;104:955-63. https://doi.org/10.1097/00006534-199909020-00009
  11. Veiga DF, Filho JV, Schnaider CS, et al. Late hematoma after aesthetic breast augmentation with textured silicone prosthesis: a case report. Aesthetic Plast Surg 2005;29:431-3. https://doi.org/10.1007/s00266-004-0098-1
  12. Hsiao HT, Tung KY, Lin CS. Late hematoma after aesthetic breast augmentation with saline-filled, textured silicone prosthesis. Aesthetic Plast Surg 2002;26:368-71. https://doi.org/10.1007/s00266-002-2003-0
  13. Song F, Jiang D, Wang T, et al. Mechanical stress regulates osteogenesis and adipogenesis of rat mesenchymal stem cells through PI3K/Akt/GSK-3beta/beta-catenin signaling pathway. Biomed Res Int 2017;2017:6027402.