Breast Augemntation with gel implants. Monitoring with MRI

Procedure Details

This 47 year old woman lost volume in her breasts after childbirth. She wanted to have restoration of the fullness that she had before pregnancy and even liked here breast size during pregnancy. She decided upon silicone gel augmentation . She underwent bilateral submuscular placement of Allergan Style 15 339 cc implants. She was very pleased with her full C cup breasts and enjoys a wider array of clothing and bathing suits . All implants have known failure rates. None are expected to last a lifetime. The newer generations of gel implants have been made better than those manufactured in the 1980s but still have a known failure or leakage rate. Rupture rates in the first 5- 6 years for all manufacturers is very low ( usually less than 2%) but by 10 years , rupture rates range between 9% to 17% depending on the implant type , manufacturer and reason for placement ( augmentation vs reconstruction or revision) The majority of ruptures are felt to be silent ( or asymptomatic) and found during routine testing such as US, MRI or even mammograms. The FDA recommends MRi screening for silicone gel implant rupture at 3 years post implantation and every two years thereafter. This means you would have had 4 MRIs by ten years. Unfortunately most insurance companies don't cover MRI for routine screening and the cost of an MRI can be prohibitive. Ultrasound is cheaper, but not as accurate. It is important to keep regular check ups with your surgeon to provide advice about monitoring.


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