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Silicone spills into chest cavity after 22 years of "plastic surgery"

Experts recommend that after 15 years, women who have had breast implants should consider replacing or removing them. However, many people are subjective, letting them last for more than 20 years. Recently, a 50-year-old woman discovered that her silicone implant ruptured 22 years after surgery.

Báo Nhân dânBáo Nhân dân31/07/2025

Breast implants after surgery removal.
Breast implants after surgery removal.

Previously, the patient had no abnormal symptoms for more than 20 years. Magnetic resonance imaging (MRI) results determined that the patient's left breast implant was torn about 3 mm, the bottom of the implant was effusion, and the breast implant capsule was degenerated.

Dr. Hoang Thi Phuong Lan, Plastic Surgery Clinic - Department of Orthopedics and Traumatology, Tam Anh General Hospital , Hanoi, uses a central suction system to completely remove silicone and mucus. Then, the surgeon removes the entire breast implant, peels off the fibrous capsule, and takes tissue samples for pathology to avoid tissue inflammation and granulomas (silicoma) that erode healthy tissue.

After surgery, the patient was alert, had no fever, the surgical wound was dry, the drainage was removed after 4 days, his health was stable and he was discharged. At the same time, the patient was instructed to closely monitor and take good post-operative care, change the bandage every other day, keep the surgical wound dry, and remove the stitches after 10 days.

Patients are instructed to wear a chest shaping bra 24/7 for the first month to help stabilize the healing tissue; avoid strenuous exercise, lifting, leaning on arms, and stretching.

Doctor Lan said that cases of ruptured breast implants that come to Tam Anh General Hospital in Hanoi for treatment account for more than 50% of customers who are repairing the consequences of cosmetic surgery, most of whom have had breast implants for 7-20 years.

According to Dr. Lan, the average lifespan of a breast implant is about 10-15 years, depending on the type of implant and the patient's constitution. After this time, the implant may degenerate, leak or rupture, and the silicone may spill into the chest cavity.

At this time, the patient may have an immune response disorder, swollen lymph nodes, redness, and even a tumor may form around the bag, more seriously, deformity and abscess in the chest area.

Doctors advise that modern breast implants are strong and durable, but they do not last forever. After 10 years, people with implants need to have regular ultrasound and MRI checks to detect early the risk of rupture or fibrous capsule inflammation.

In particular, some cases like the female patient above, although there are no obvious symptoms, if not detected and treated promptly, can lead to serious consequences such as chronic inflammation, breast deformities, or deep tissue infections that are difficult to treat.

Dr. Lan noted that after 10 years of breast implants, women should have regular check-ups 1-2 times/year by ultrasound or MRI. After 15 years, they should consider replacing or removing the implants, especially if signs of degeneration, fibrosis, or abnormal fluid are detected.

Breast implant patients should not delay examination even if they have no symptoms. Breast implant rupture can develop silently for many years. It is necessary to choose a medical center with a cosmetic surgery department, fully equipped with imaging equipment and a standard operating room system for thorough and safe treatment.

Source: https://nhandan.vn/silicon-tran-ra-khoang-nguc-sau-22-nam-dao-keo-post897721.html


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