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Breast inflation

Because these problems are much more common than IBC, your doctor might suspect infection at first as a cause and treat you with antibiotics.

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Spontaneous autoinflation of saline-filled breast implants is a rare phenomenon; only 20 cases have been reported in the world literature.

Case description

Over the past seven years, three patients have presented with ificant unilateral autoinflation of their smooth, single-lumen, round, saline-filled implants. This developed at various times: progressively over 23 years with a Breast inflation implant; between the ninth and 10th year after augmentation with a leaflet valve implant; and slowly over the first four years with a leaflet valve implant.

The etiology of the autoinflation was shown to be different for the two types of implants. The Simaplast implant had likely been injected with a hypertonic filling solution - one that was twice as concentrated as 'normal saline'. This would have created an osmotic gradient, which would have facilitated autoexpansion by diffusion. The implant solution remained clear and transparent.

In addition, there were no detectable levels of glucose, uric acid or albumin in the fluid.

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By contrast, auto-inflation of the leaflet valve implants likely resulted from mechanical alterations of the valve mechanism. This type of implant is known to have a high deflation rate, with frequent partial deflations.

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It is interesting that one of the patients with the leaflet valve implants presented with an autoexpansion on one side and a partial deflation on the other side. Both implants were from the same lot. The same mechanism that caused partial deflations may have also allowed fluid from the implant pocket to pass through the valve into the lumen of these implants. This could allow glucose, protein and cellular elements to enter into the lumen these would not pass through an intact elastomeric shell which would create an osmotic gradient, allowing water breast inflation enter the elastomeric shell by diffusion.

The fluid in these leaflet valve implants was brownish yellow, very viscous and turbid. It contained elevated levels of glucose and uric acid which would not have passed through the elastomeric shell. Over the past 10 years, four different theories have been proposed in an attempt to explain the etiology of autoinflation.

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However, the findings of the present study indicate that there are only two mechanisms - a hypertonic filling solution and alterations of the valve mechanism. Keywords: Autoinflation; Saline-filled breast implants. Please enable it to take advantage of the complete set of features!

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Abstract in English, French. Figures Figure 1 Case 1 — The appearance…. Figure 1 Case 1 — The appearance of a patient 23 years after subglandular augmentation…. Case 1 — The appearance of a patient 23 years after subglandular augmentation with Simaplast implants. The left breast is larger than the right. Figure 2 Case 1 — The posterior….

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Figure 2 Case 1 — The posterior surface of Simaplast implants removed after 23 years…. Case 1 — The posterior surface of Simaplast implants removed after 23 years in situ. The volume of the right implant was unchanged mL. A filling tube is permanently attached to the posterior surface of the implant and a Teflon plug provides a watertight seal. After filling the implant, the tube is buried into a pocket in the posterior aspect of the implant so that it is concealed.

Figure 3 Case 1 — The anterior….

Figure 3 Case 1 — The anterior surface of the Simaplast implants removed after 23…. Case 1 — The anterior surface of the Simaplast implants removed after 23 years in situ. A thick layer of calcification covers most of the anterior surface of the implants. The calcification is heavier on the left side, where there was a Baker class IV contracture. This could have caused a greater abrasion to the surface, resulting in more extensive calcification than that on the right side. Figure 4 Case 2 — The left….

Note the peripheral scalloping of the implant wall. It was filled with a brownish yellow fluid that breast inflation very viscous and turbid. The right implant had not changed in size. Figure 5 Case 3 — One month…. Figure 5 Case 3 — One month after breast augmentation, the breasts were symmetrical and…. Case 3 — One month after breast augmentation, the breasts were symmetrical and the implants were still quite high.

Figure 6 Case 3 — Four years….

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Figure 6 Case 3 — Four years after augmentation, the right breast had become progressively…. Case 3 — Four years after augmentation, the right breast had become progressively larger, firmer Baker class III result and painful. The left breast had a Baker class I result. Figure 7 Case 3 — At explantation,…. By contrast, the left implant had partially deflated from mL to mL.

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The right implant was filled with a very viscous, somewhat turbid, brownish yellow fluid.