Exposure of silicone breast implants usually leads to infection and extrusion. According to the literature, implant extrusion rates are not higher than 2%1 and removal of the implant is recommended. 2 During the past 3 years, the authors dealt with eight implant exposures (six women: two cases of bilateral exposure and four cases of unilateral exposure). All the pockets were infected. Patients were offered two alternatives: immediate removal of the implant and reimplantation after a few months or conservative treatment with an effort to close the exposed area after the discharge stopped. All the patients in this study chose the latter alternative. Four out of eight implants were saved. The authors had to remove the other four. The average follow-up of these women was 2 years and there were no signs of capsular contracture or any other problems. According to this series, 50% of eight exposed breast implants could be saved with conservative treatment.
Four of eight exposed Staphylococcus aureus-infected silicone gel breast implants were salvaged by wound care and oral antibiotics alone.
From Department of Plastic and Reconstructive Surgery, Rambam Medical Center, Haifa, Israel.
Received June 29, 2002, and
in revised form Oct 15, 2002.
Accepted Oct 15, 2002.
Address correspondence and reprint requests to Yitzchak Ramon, MD, Department of Plastic Surgery, Rambam Medical Center, P.O. Box 9602, Haifa, Israel.
Presented at the Annual Meeting of Israel Society of Plastic Surgery, November 2001.
Fodor L, Ramon Y, Ullmann Y, Eldor L, Peled IJ. Fate of exposed breast implants in augmentation mammoplasty.