Unnecessary Explantation of IDEAL IMPLANT Structured Saline Breast Implants Prompted byRadiologic Misdiagnosis of Rupture

Ann Plast Surg. 2024 Jun 1;92(6):621-624. doi: 10.1097/SAP.0000000000003921. Epub 2024 May 6.

Abstract

The unique dual-lumen and baffle design of the IDEAL IMPLANT Structured Saline breast implant gives it specific advantages over both silicone gel-filled and the original saline-filled implants. This internal baffle structure also gives it an appearance on various radiologic imaging studies that may be misinterpreted as a rupture because of similarities to the well-known radiologic appearance of a ruptured silicone gel implant. Patients may present with various misinterpreted imaging studies, highlighting the need for plastic surgeons and radiologists to be familiar with the normal appearance of the intact IDEAL IMPLANT and be able to distinguish it from a ruptured IDEAL IMPLANT. The radiology findings must be correlated with the clinical findings, or an intact IDEAL IMPLANT misdiagnosed as ruptured, may cause unnecessary patient worry, and may prompt unnecessary surgery for removal or replacement.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Breast Implantation / adverse effects
  • Breast Implantation / methods
  • Breast Implants* / adverse effects
  • Device Removal*
  • Diagnostic Errors*
  • Female
  • Humans
  • Middle Aged
  • Prosthesis Design
  • Prosthesis Failure*
  • Saline Solution
  • Silicone Gels
  • Unnecessary Procedures