Breast Implant Ruptures

A saline implant rupture results in quick deflation and is easily removed. Recent FDA approved studies show rupture/deflation rates of 3-5% at 3 years and 7-10% at 5 years. Older studies depended on clinical exams to determine rupture rates.

Recent reports have determined these exams aren't adequate to evaluate rupture rates. One study reported ruptures in asymptomatic patients are correctly detected by experienced plastic surgeons 30% of the time. This is compared to a detection rate of 86% by MRIs.

The FDA currently recommends MRIs be used to screen for ruptures beginning three years after implantation and continuing every two years thereafter.

Other countries consider MRIs useful only in cases of suspected ruptures and to confirm ultrasound or mammographic studies suggesting a rupture.

Silicone implant ruptures rarely result in deflation. The silicone leaks into the space around the implant. This indicates the need for removal of the implant. The risk and treatment of extracapsular leakage is controversial. It's agreed the gel is difficult to remove, but theres disagreement about the health effects.

The majority of MRI data for silicone gel implants indicates after 11 years, most women had at least one ruptured implant with silicone leakage outside the capsule of 21% of the women. The available long term data deals with 3rd and 4th generation implants and shows a 15-30% risk of silent rupture. MRI evaluation of the 5th generation implants implies improved durability. A rupture rate of 1% or less at an average age of six years is reported. Read more...

Breast Augmentation - Not A New Idea

Breast augmentation isn't new. It's not even a twentieth century idea. Women have been trying to improve on nature for centuries. It was only a matter of time before women turned to science and medicine for aid.

In 1889, paraffin injections were tried. The results of this were disastrous. 1895 is the earliest known use of implants. The first one was done by the German surgeon, Vincenz Czerny. He used the adipose tissue (the fatty tissue) from the woman's back. This benign growth or a lipoma, seemed appropriate because they're comprised of fatty tissues, soft to the touch and moveable.

Between 1895 and the early to mid-1900's many other substances were tried. Glass balls, ox cartilage, ivory, Terylene wood, polyethylene chips, ground rubber, polyester, Silastic rubber and Teflon-silicone prostheses were some of the choices.

In 1945 and 1950 attempts were made to rotate the woman's chest wall tissue into the breast to add volume. Different synthetics were used during the 1950s and 1960s. An estimated 50,000 women received injections of silicone. In some of these women, hardening of the breasts and development of silicone granulomas (small nodules) were so severe, mastectomies were needed for treatment. 30 years after these treatments, women are still seeking medical services from complications resulting from these injections.

Today's implants are much safer and the instances of complications have been greatly reduced. Hopefully, medical science will be able to keep up with women's attempts to improve on their natural gifts. Read more...

What Is Breast Augmentation?

Women have been trying to improve on what nature provided them for as long as men have noticed. The early methods consisted of padding inside the clothing. This only worked as long as the clothes remained on.

In 1895 the first implant was performed. The substances used for these early implants left much to be desired. It wasn't until 1961 that silicone implants were developed. The saline implants followed in 1964. There have been other substances developed, but none as common today as saline and silicone.

According to the American Society of Plastic Surgeons, breast augmentations are the most common type of cosmetic surgery performed in America. 329,000 breast augmentations were done in 2006.

The breast augmentation surgery typically lasts one to two hours. The visits between patient and surgeon before the surgery are usually spent discussing the type of procedure which will be used. The differences are in the type of implant, the incision that's required and where it will be placed. Also discussed is where the placement of the actual implant will be made. These factors have an impact on the final appearance as well as possible complications.

Within a week of the surgery, normal work or school routines are able to be resumed by most implant patients. Of course this does somewhat depend on the level of activity these routines require. The incision scar from the surgery will probably last six weeks or longer. The scars should start fading within a few months. Read more...