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Tag Archives: mammogram

If an MRI Shows a Leak, What Happens Next?

 

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

 

 

 

 

 

 

 

 

★★★★★  Ratings: 4.74 -118 Reviews

San Francisco, California-In 1992, the FDA placed a ban on silicone breast implants except for; research studies, reconstruction and breast revision surgeries where silicone was previously used. The FDA feared there may have been a connection to a variety of diseases including lupus and cancer. Studies for the next 14 years failed to show any evidence that silicone breast implants were the cause of any diseases.

Therefore, in 2006 the FDA determined silicone breast implants were safe and once again they became available for breast augmentation surgery. The FDA did stipulate, however, that a woman must be 22 years of age in order to have silicone implants. In addition, after 3 years they recommend that women have Magnetic resonance imaging (MRI) and then every two years after that to make sure that there is not a silent leak. Note that this is a recommendation, not a requirement.

Even with the added stipulation, 72% of women are choosing silicone implants over saline implants, according to a report by the American Society of Plastic Surgeons. The main reason for choosing silicone over saline is the more natural feel of the implant.

Dr. Delgado explains to his breast revision patients that an MRI is different than a mammogram in that there is not any use of radiation; instead it uses a powerful magnetic field, radio frequency pulses and computer imaging of the breast. It is not a painful procedure and it usually takes about 30 minutes. An MRI should not take the place of a mammogram but should be done in addition  if it is recommended.

Breast Revision Before and After

This is a 61-year-old, female resident of Santa Rosa, California who presented to the Novato office in Marin County for evaluation for revisional breast surgery. She has had her silicone implants for over twenty-four years. The silicone implants have ruptured on her left side with bilateral capsular contractures, or hardening. She underwent complete capsulectomies on both sides with removal of silicone material and replacement with 250 cc, silicone breast implants in the sub-muscular position. Her procedure was performed at Marin Cosmetic Surgery Center in Marin County, California. Note the more natural appearance of the breasts postoperatively.

With all the recent changes with medical insurance, it is hard to know if an MRI will be a covered test under any particular policy; it is advised that you check with your insurance company. If medical insurance doesn’t cover the MRI, it can be quite expensive, from about $1,500 to $2,000 or even more. Therefore, most surgeons tell their patients if they have any unusual symptoms or concerns they should be seen, and their surgeon will help them determine if an MRI may be appropriate.

If you discover you have a silent leak, Dr. Delgado will discuss your options of having your implants removed and/or replaced. If your original surgery was less than 10 years ago, the manufacturer will contribute to your breast revision surgery. Implants have a lifetime guarantee and will be provided at no charge if they are ruptured.

If you are having any issues with your breast implants, Dr. Delgado invites you to call (415 898-4161) or email (info@dr-delgado.com) for a consultation.

How Long will Breast Implants Last?

Implant deflation

San Francisco, CA – A 22 year old resident of Sacramento, CA presented to the Union Square San Francisco office for breast revision surgery. Her normal saline implant on the left side was a complete deflation. She had replacement of her normal saline implants with 420cc silicone implants under the muscle.  The lower pole of the breasts are stretched showing signs of bottoming out. She did not want correction of this deformity.

When contemplating breast augmentation surgery, many Marin County women ask Dr. Miguel Delgado how long breast implants will last. There is no way to know how long as it is different for everyone. There isn’t an expiration date on them. Implants are not biodegradable, they are designed to last forever, and technically they could. However, other factors such as the age of the woman and the condition of her skin and muscles and the ensuing sagging of the breast will determine when the implants may need to be exchanged. Some women may need a breast lift when they have breast revision surgery.

If you are not having a problem with your implants, they do not need to be replaced; however, you should be prepared to have breast revision surgery at least once in your life, and maybe more.

Basically, all breast implants have the same design. They are made up of a silicone envelope and filled with either saline or silicone gel. Breast implants can develop a tear or hole. Ruptures or deflations can happen if there is a severe blow to the chest. If implants are old, it is possible that they can rupture during a mammogram. Saline implants have a valve. If the valve is defective, or breaks, it will deflate, as pictured above.

Recent advancements for breast implants have made them safer and longer lasting than ever. Breast implant manufacturers stand behind their products and give them a lifetime replacement guarantee. They also extend a ten year warranty for reimbursement of some of the surgical costs, if breast revision surgery becomes necessary.

If you are having issues with your breast implants, you are encouraged to call (415 898-4161) or email (info@dr-delgado.com)for a consultation with Dr. Delgado.