19330 Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)

Name of the Procedure:

Removal of Ruptured Breast Implant, including Implant Contents (e.g., saline, silicone gel)

Summary

Removal of a ruptured breast implant involves surgically extracting a damaged implant and its contents from the breast. This procedure is often necessary to prevent or treat complications associated with a ruptured implant.

Purpose

The main goal of the procedure is to address the rupture and remove the implant to alleviate symptoms, prevent infection, and restore the breast's appearance and normal function.

Indications

• Symptoms such as breast pain, tenderness, or swelling.
• Noticeable changes in breast shape or size.
• Detection of implant rupture through imaging studies (e.g., MRI, ultrasound).
• Confirmation of implant rupture by physical examination.

Preparation

• Patients may be instructed to fast for a certain period before the surgery.
• Adjustments to medication regimens, particularly blood thinners, as directed by the physician.
• Pre-operative imaging tests (e.g., MRI, ultrasound) to confirm the rupture and plan the surgery.

Procedure Description

1. The patient is administered local or general anesthesia.
2. An incision is made in the breast, typically along the original scar line or in a location minimizing visible scarring.
3. The surgeon carefully removes the ruptured implant along with any leaked saline or silicone gel.
4. The surrounding tissue is then examined and cleaned to remove any residual material.
5. A new implant may be inserted if desired and appropriate.
6. The incision is closed using sutures, and a bandage or dressing is applied.

Duration

The procedure typically takes between 1 to 3 hours, depending on the complexity and whether a new implant is placed.

Setting

The procedure is performed in a hospital, outpatient surgical center, or specialized surgical clinic.

Personnel

• Board-certified plastic surgeon
• Anesthesiologist or nurse anesthetist
• Surgical nurses and technicians

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma
• Scarring or poor wound healing
• Pain or discomfort
• Asymmetry or changes in breast appearance
• Anesthesia-related risks
• Need for additional surgery

Benefits

• Relief from pain and discomfort caused by the ruptured implant
• Prevention of further complications, such as infection or capsular contracture
• Improved breast appearance
• Restoration of patient comfort and confidence

Recovery

• Post-procedure care includes pain management and monitoring for signs of infection.
• Patients are usually advised to avoid strenuous activities for several weeks.
• Follow-up appointments are necessary to monitor healing and discuss further treatment, such as replacement implants.

Alternatives

• Observation and regular monitoring if the rupture is not causing symptoms.
• Removal without replacement if the patient decides against further implants.
• Alternative breast reconstruction methods, such as using the patient's own tissue.

Patient Experience

During the procedure, the patient will be under anesthesia and will not feel pain. Afterward, there may be discomfort or pain in the breast area, which can be managed with prescribed medications. Swelling, bruising, and temporary restrictions on physical activity are common. Most patients can return to normal activities within a few weeks, following the surgeon's advice for a successful recovery.