Removal and Replacement of Ruptured PIP Implants8th February 2012
Removal and Replacement of Ruptured PIP Implants with free silicone around the implant surgery video, performed by Uk leading plastic Surgeon Adrian Richards at Aurora clinics in Buckinghamshire. The Ruptured PIP implants are replaced with 240cc Nagor Implants which are UK manufactured, high quality 4th grade silicone implants. For more information on PIP Replacement or removal surgery, please call our FREE office number 0800 328 5743 and book a free consultations with our highly experienced and recognised plastic surgeons.
So we’re going to be operating now on a lady who’s got PIP implants in place. She doesn’t know what size they are, but she knows they’re PIP and she thinks they may be ruptured. So I’ll be taking you through each stage of the operation.
This is our patient today. She’s got PIP implants placed behind the muscle. She thinks they’re ruptured. She’s got quite a lot of pain in both breasts and some auxiliary lymph nodes, and I’m going to be removing the implants in a minute.
So, our patients got a four and a half centimetre incision. It’s a little bit wide. So I’m going to take out the incision, out the old scar so we’re back to fresh tissue, and then I’ll go down to the implant.
This is just the bit of scar I removed there, so we’re back to fresh tissue so we get a better scar, and now I’m going to go down onto the implant.
So I’ve gone down onto the implant. Can you see all this fluid coming out now? Can you see all this fluid coming out from around? This fluid, see, can you see it? It’s like puss around the implant. Can you see?
This is quite common, all this fluid around the implant. There’s normally about 10 to 20 mils. We’re just going to remove it all there. So this lady has got issues with her . . . even if they’re not ruptured, she’s got a lot of fluid which shouldn’t be there. She’s got pussy, horrible fluid, and we’ll take a specimen of that.
So can you see all this fluid that’s coming out around the implant? You don’t see this around normal implants. I don’t know if really you can see it. It’s just pouring out here. It’s sort of browny, horrible fluid. I think that’s what’s making the patient feel bad and unwell. It’s probably a result of it’s poor quality silicone. I don’t know whether you can see that. It’s still coming out there.
So, we’ll collect all this and send it off to be analysed. So this is just some of the fluid that was lying round this lady’s implant. This shouldn’t be there. It’s sort of pussy fluid. I’ve hardly ever, ever see this around any other types of implants. Only really see it around PIP implants.
So this is the implant. I’ve just removed it, and I’ve seen very much this pattern before on a lot of implants. The shell breaks. The silicone inside there, it’s bad. It’s industrial silicone. That makes all the fluid around it. I’ve never seen an implant like this, which has just almost exploded. Absolutely exploded, letting all that silicone free. I’ve never, ever seen any other implant other than PIPs rupture in this way.
Our patient today has decided to have a Nagor 240cc implant. So, that PIP was 250cc. Our patient would like to go a bit smaller. So I’ve gone for 240 Nagor, which I’m just going to insert now.
So, I’m just coming up onto the capsule here. I’m just going to incise it again here. Yeah, again, can you see all that fluid again, coming out? Can you see it all? Just pouring out? So could we take a specimen? Can you see it?
Again, what seems to happen with these PIP Implants, this one was put in, in 2005. That’s a very bad time for these implants. I think they really ruptured a lot, and when they do rupture, you’ve got this horrible silicone sitting in there, causing all this fluid. Can you see it all there?
When you ask, should you have your PIPs removed, I mean this lady had a lot of symptoms. I don’t think there’s any argument that if there’s a question like this, I’d want mine removed. Can you see all that fluid that was just lying around the implant? Can you see the free silicone there? Just coming out. Everything’s a real mess in there.
We’re going to send this fluid off separately from the left side. I’m going to clean everything out.
This one has done pretty much the same thing. It’s a different pattern of rupture, so it’s not quite as ruptured. But can you see? It’s gone around the base plate here, and inside you’ve got this horrible silicone. So it’s not quite as ruptured as the other one, but they all seem to rupture in the same sort of pattern.
So this lady was 2005. It’s seven years later, and I think that’s been ruptured for some time.
So we’ve just done the operation here. We’ve got some fluid, which were going to send off to the laboratory. I don’t know whether you can see that there, for both sides.
I’ll show you the implants. Here, this is the right one. As you see, completely exploded, with the silicone there. So it was quite badly split that one. And the left one, not quite as badly split, but still going that way. So both implants really not in good shape at all.
And as I mentioned, it is quite characteristic of these PIP implants, particularly around this time, 2005 to 2006, 2007, I’m finding a lot of them in this sort of state.
Thank you for watching the video. If you are considering having your PIP implants assessed, please contact us. We can arrange a scan, ultrasound, or an MRI. If necessary, give you advice on the best way forward for you.