Explant Capsules: Silicone Granuloma! These ruptured implants were causing my patient a lot of pain

This is crazy. This is silicone that's ruptured and extravasated or leaked into the tissue. Here you can see the really old implant inside. And that extravasated tissue. We're going to flip it over now. You can see the capsule on the backside. Look at all that tissue. Crazy. Here we have an example of an extra capsular rupture where the actual gel leaked out into the tissues, formed a separate pocket, then walled itself off. The shell's not intact. You can see that kind of yellowish tinge to it. So that's when it's lost the integrity of its shell. It's leaking. It's causing this re in the tissue here. I'm holding all the extravasated silicone in this big ball of tissue, and you can see the calcified inside of it up against the shell. And that represents the firmness she would feel on exam, and possibly what she was feeling in terms of pain.