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- Tests to see if a breast implant is broken or ruptured
- The only certain way to know if a silicone gel breast implant is broken is to do an operation and look. This is not acceptable to many patients so other tests are used. These can help the patient and the surgeon decide about the need for surgery.
- The most reliable test is an MRI scan which has a greater than 95% accuracy of predicting rupture. Unfortunately this is expensive and is used in circumstances where other tests are less reliable or a decision is essential.
- Mammograms are not very reliable unless there is leak outside the capsule surrounding the implant.
- Ultrasound is a difficult technique to perform but in the hands of an expert can show rupture inside the capsule in about 60-70% of patients.
- There are no reliable blood tests to detect rupture of a gel implant.
- Examination of the patient may suggest a rupture if there has been any change in the size, firmness or shape of the breast.
- It is not clear if an older implant is more likely to break or leak but if it is more than ten years old or has been subjected to a closed capsulotomy you should discuss this with your plastic surgeon.
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