Robert Whitfield MDAmerica's Breast Implant Illness Expert™

Ruptured Breast Implants #bii #explant #breastimplantremoval #breastimplantillness

15 Mar 2023 · 1 min

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Dr. Robert Whitfield narrates an explant surgery of silicone gel breast implants. He reports one implant is completely ruptured with gel leaking posteriorly and outer shell failure, leaving remnants of the inner lumen; the contralateral implant sits upside-down in the pocket, appears intact but has slick surface material suggesting possible micro-tears or bleeding. He notes capsule thickness varies between sides and that the ruptured implant was handled without issue.

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Hey, it's Dr. Whitfield. We're going to go ahead. We just did an explant. The patient had a set of silicone gel implants. And I know these are ruptured, so I'm just going to show you all this set. Kind of a thickened capsule over here. You can see there's gel leaking into the space. It was ruptured and leaking posteriorly. We handled that without any issue. Here you can see everything pretty plainly. And the whole outer shell has failed. And here is what's left of the inner lumen. And so we'll move to this side. This is a thinner capsule. Doesn't mean much in this setting. This one is actually upside down in the pocket. We'll lift it up. This one appears to be intact, but has a bunch of slick stuff on it. I'd be concerned this has just little micro tears or it's bleeding somehow, based on the nature of this one. So that's what we have. Completely ruptured, leaking implant over here containing the capsule. And this one's integrated.