Unnecessary explantation of IDEAL IMPLANT Structured Saline breast implants prompted byradiologic misdiagnosis of rupture Journal Article


Authors: Boston, R. S.; Hamas, R. S.; Mango, V. L.; Nichter, L. S.
Article Title: Unnecessary explantation of IDEAL IMPLANT Structured Saline breast implants prompted byradiologic misdiagnosis of rupture
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. © 2024 Wolters Kluwer Health, Inc.
Keywords: adult; middle aged; case report; device removal; diagnostic errors; diagnostic error; breast endoprosthesis; breast implants; sodium chloride; breast augmentation; unnecessary procedures; unnecessary procedure; breast implantation; prosthesis design; prosthesis failure; adverse event; procedures; silicone gel; silicone gels; humans; human; female; saline solution; ideal implant; breast implant imaging; structured saline implant; prosthesis complication
Journal Title: Annals of Plastic Surgery
Volume: 92
Issue: 6
ISSN: 0148-7043
Publisher: Lippincott Williams & Wilkins  
Date Published: 2024-06-01
Start Page: 621
End Page: 624
Language: English
DOI: 10.1097/sap.0000000000003921
PUBMED: 38717197
PROVIDER: scopus
DOI/URL:
Notes: Article -- MSKC Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- Source: Scopus
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  1. Victoria Lee Mango
    62 Mango