Inadvertent Rupture of a Silicone Breast Implant during Fat Grafting: Surgical and Radiological Findings

Abstract

Summary: Autologous fat grafting is a common, relatively safe procedure for breast augmentation and reconstruction. The most commonly reported complications tend to be fat necrosis and oil cysts. The incidence of rare events, such as breast implant rupture, is likely underreported. Here we present the case of a patient who underwent fat grafting and sustained implant rupture with injection of fat within the silicone implant. She complained of her implant changing shape and magnetic resonance imaging (MRI) showed classic signs of implant rupture (linguini sign). At the time of surgery however, fat was surprisingly found to be within the implant itself. To our knowledge this finding has yet to be reported. Here we review the radiologic and surgical findings of implant rupture following fat grafting and present some suggestions to prevent this occurrence and ensure safe, aesthetically pleasing outcomes.

Assessment of Risk Factors for Rupture in Breast Reconstruction Patients with Macrotextured Breast Implants

“…It can take many forms which include surgical instrument damage. Autologous fat transfers (AFT) represent some of these instances, where infiltration cannulas may result in the accidental BI puncture [ 48 ]. AFT is commonly performed in reconstructive patients, either as adjunct procedure to correct implant-related deformities such as waving and rippling, or to mitigate the outcomes of radiotherapy[ 49 , 50 ].…”