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Plastic Surgery blog

What happens if a breast implant ruptures?

2/18/2025

 
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Breast implants are a popular cosmetic procedure for women looking to enhance their natural appearance. However, like any medical device, breast implants can encounter complications over time. One such issue that many women may worry about is implant rupture. Understanding the consequences of a ruptured breast implant, how it can affect your health, and what steps to take next is crucial for any woman who has undergone breast augmentation.

In this article, we will explore what happens when a breast implant ruptures, the difference between saline and silicone implants, the risks involved, and what steps you should take if you suspect your implant has ruptured.

What is a Breast Implant Rupture?A breast implant rupture occurs when the outer shell of the implant breaks or tears. This can happen for various reasons, such as trauma, aging of the implant, or an undiagnosed defect. When an implant ruptures, the materials inside—either saline or silicone—may leak into the surrounding tissue.
Saline and Silicone Breast Implants Saline implants are filled with a sterile saltwater solution. If a saline implant ruptures, the saline solution is absorbed by the body without causing harm. The breast will noticeably lose volume, leading to deflation. While this isn't dangerous to your health, it can be a cosmetic concern, requiring immediate attention for replacement.
On the other hand, silicone implants are filled with a gel-like substance. When a silicone implant ruptures, the gel may stay within the implant shell or leak into the surrounding breast tissue. Unlike saline implants, a ruptured silicone implant can pose a health hazard. The silicone gel can cause complications, including inflammation and discomfort, and may require ruptured breast implant removal.
What Are the Symptoms of a Ruptured Breast Implant?Recognizing the symptoms of a ruptured implant is crucial for prompt treatment. Symptoms can vary depending on whether you have a saline or silicone implant.
Signs of a Ruptured Saline Implant
  • Deflation: The breast will lose its firmness and volume.
  • Visible changes in shape: The breast may appear asymmetrical or flatter.
Signs of a Ruptured Silicone Implant
  • Changes in breast shape or size: You may notice subtle changes or asymmetry.
  • Pain or tenderness: Some women experience discomfort or pain in the affected breast.
  • Hardening or firmness: The breast may feel firmer than usual due to silicone leakage.
  • Breast lump: A palpable lump may form from silicone gel in the breast tissue.
It’s important to consult with your plastic surgeon as soon as you notice any of these symptoms.
How Long Can You Go with a Ruptured Breast Implant?If you suspect that your breast implant has ruptured, you may wonder how long you can wait before seeking treatment. The answer depends on the type of implant and the severity of the rupture.
  • For saline implants, since the saline is absorbed by the body, there’s less urgency. However, cosmetic concerns such as breast deflation will require timely replacement.
  • For silicone implants, you should seek medical attention as soon as possible. A ruptured silicone implant can cause health complications, including inflammation and scarring, and may even impact your overall breast health if left untreated.

What Happens if a Ruptured Breast Implant is Not Removed?Ruptured breast implant removal is essential for your health, especially if you have silicone implants. Failing to remove a ruptured implant can lead to various complications, such as:
  • Capsular contracture: A condition where the scar tissue around the implant tightens, causing discomfort and distortion.
  • Infection: Bacteria can enter the breast tissue, leading to infections.
  • Chronic pain: Ongoing discomfort or tenderness may persist if the rupture is left untreated.
  • Silicone granulomas: If silicone leaks into the tissue, it can form lumps, which can cause discomfort and require more invasive treatments.
If left untreated, these complications can severely affect your health and the aesthetic results of your breast augmentation.
How Urgent is a Ruptured Breast Implant? The urgency of a ruptured breast implant depends on the type of implant and the symptoms you're experiencing. For saline implants, the rupture is not a health emergency, but it should still be addressed promptly for cosmetic reasons. Silicone implants, however, require more immediate attention due to the potential health risks. If you experience any of the symptoms mentioned earlier, it’s important to schedule a consultation with a qualified surgeon to evaluate the situation and decide on the appropriate course of action.
Risks and Complications Breast implants, like any medical procedure, carry some risks. If a rupture occurs, you should be aware of the potential complications:
  1. Infection: Any rupture, especially with silicone implants, increases the risk of infection.
  2. Capsular contracture: The body forms scar tissue around the implant, which can cause the breast to feel hard or misshapen.
  3. Changes in appearance: A ruptured implant can lead to noticeable changes in your breast shape and size.
  4. Health concerns: In rare cases, silicone implant ruptures may cause systemic symptoms, including fatigue and swelling in other parts of the body.
For women living in Portland, OR, these concerns are important to address immediately. Local landmarks such as Tom McCall Waterfront Park and Washington Park offer a peaceful setting for recovery after any necessary treatments or procedures. The Portland area also has many skilled surgeons who specialize in ruptured breast implant removal and can guide you through the process of replacement or repair.
What Are Your Options for Treatment?If you discover that your implant has ruptured, the next step is deciding on treatment. For saline implants, the solution is relatively simple—replace the deflated implant. However, silicone implant ruptures may require more thorough evaluation and potentially a ruptured breast implant removal surgery.
Here are some options for treatment:
  1. Implant replacement: If the implant has ruptured, you can opt for a new implant. Your surgeon will guide you through selecting the best size and type.
  2. Capsulotomy: In some cases, scar tissue may need to be removed.
  3. Explantation: If you decide you no longer want breast implants, explantation surgery will be performed to remove the implants and any surrounding tissue.
Portland Breast Augmentation Surgeons If you're based in the Portland area and are concerned about your implants, consider consulting with experts like Austin Hayes MD. Located at 1200 NW Naito Pkwy #310, Portland, OR 97209, Dr. Hayes offers specialized breast augmentation and ruptured breast implant removal services. His office provides a compassionate and professional approach to patient care, helping you navigate any challenges with breast implants.

While a ruptured breast implant can be concerning, understanding what happens and how to manage it can alleviate some of the stress. If you have saline implants, the rupture is usually not a health concern but still requires attention. For silicone implants, prompt removal is important to avoid complications and safeguard your health.
If you live near Portland or the surrounding areas, consider consulting a local plastic surgeon to address your concerns and explore treatment options. A ruptured implant doesn’t have to derail your confidence, and with the right care, you can continue enjoying the benefits of a beautiful and healthy appearance.
For expert guidance, you can contact Austin Hayes MD at (503) 748-0069 or visit his office at 1200 NW Naito Pkwy #310, Portland, OR 97209 for a consultation.


    Author

    Dr. Austin Hayes is a Board-Certified Plastic Surgeon with offices in Portland.

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