title: Rupture and aging of silicone gel breast implants.
abstract: This retrospective study evaluated aging and rupture of silicone gel breast implants in 31 women. The implants were removed at a large multispecialty clinic from 1987 to 1990. The implants ranged in age from 1 to 17 years. Of the 51 implants removed, 27 were ruptured, 7 were leaking, and 17 were in good condition. Common reasons for implant removal were discomfort, firmness, or a mass adjacent to a ruptured implant. Injury to the breast (trauma or mammography) led to a removal in only 4 patients. Closed capsulotomies were common in both ruptured and intact groups. The number of intact implants declined over time. All implants older than 10 years were leaking or ruptured. There was a positive correlation between the duration of implantation time and the number of ruptured and leaking implants.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Carle Clinic Association, Urbana, Ill.
authors.forename: D L
authors.initials: DL
authors.lastname: de Camara
authors.forename: J M
authors.initials: JM
authors.lastname: Sheridan
authors.forename: B A
authors.initials: BA
authors.lastname: Kammer
mesh_terms: D005260:Female; D006801:Humans; D016462:Mammaplasty; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D019736:Prostheses and Implants / Q000009:adverse effects*; D011475:Prosthesis Failure; D012189:Retrospective Studies; D012826:Silicone Elastomers / Q000009:adverse effects*
chemical_list: D012826:Silicone Elastomers