The rupture of the pocket, vulnerable to the loss of the silicone, which in some cases can trigger siliconomas represents a hazard to the use of silicone breast implants. That risk still remains poorly evaluated. Results from a Danish study help to fill that void. Without being alarmist, they urge caution .
The only way to properly assess this risk is monitored annually by MRI. Patients who received implants at least three years ago has placed an initial MRI . At that time, 317 prostheses were still intact. Two years later, 280 of them were in place, among which, 33 ruptures proved (10%) and 23 possible (7%) were identified. Thus, some 5.3 ruptures are likely to occur for 100 implants each year . The age of the implant was indeed the most important predictive factor: the risk is multiplied by three for 6-7 years prostheses compared with implants of 3 to 5 years .
The authors note, however, the progress of manufacturing . Indeed, those with double envelope is minimal risk compared to others. Thus, the absence of failure for most modern implants posed three years ago would be about 98% at five years and 85% at 10 years.
In conclusion, between the third and tenth year after implantation, 15% of prostheses are likely to break . In addition to surgeons that advertise a life of 10 years, better follow the recommendations of the French Agency for Safety of Health Products (AFSSAPS) to conduct a sustained and careful monitoring with one every five years minimum .
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