The rupture of breast augmentation implants can be determined by palpation of hard nodules, imaging examination, morphological abnormalities, local pain, leakage manifestations, and other methods. The rupture of the prosthesis may be related to external force damage, material aging, improper surgical operation, infection, prosthesis folding, and other factors. It usually manifests as breast deformation, tenderness, skin redness, prosthesis displacement, local swelling, and other symptoms.

1. Palpation of induration
After the prosthesis ruptures, silicone may infiltrate the surrounding tissue to form capsule contractures, and local induration or lumps of the breast can be detected during palpation. This situation needs to be confirmed by ultrasound examination. If it is diagnosed with capsule contracture accompanied by prosthesis leakage, surgery is usually required to remove the prosthesis. Common clinical repair methods include prosthesis replacement or capsule resection, and postoperative vigorous exercise should be avoided to prevent further injury.
2. Imaging examination
Ultrasound or magnetic resonance imaging can clearly display the integrity of the prosthesis, and magnetic resonance imaging has a high diagnostic accuracy for silicone leakage. Imaging shows characteristic features such as discontinuous capsule of the prosthesis and silicone extravasation. If rupture is found during examination, medical attention should be sought promptly to avoid complications such as granulomas caused by silica gel diffusion. It is recommended to undergo routine screening every two years for image re examination.
3. Abnormal morphology [SEP]: The rupture of the prosthesis may lead to asymmetric breast volume, changes in contour, or displacement of the prosthesis. After the rupture of silicone implants, breast collapse may occur, while the rupture of saline implants is characterized by a rapid decrease in volume. Discovering morphological changes should be sought medical attention as soon as possible, and doctors may recommend the use of Manto or Natori implants for replacement surgery.
4. Local pain

The rupture of the prosthesis may stimulate surrounding tissues and cause persistent dull pain or stabbing sensation, which may be accompanied by burning or tenderness in some patients. The pain may be related to the inflammatory response caused by silicone leakage. Ibuprofen sustained-release capsules can be used to alleviate symptoms, but the fundamental solution requires surgical removal of the ruptured prosthesis. During the postoperative recovery period, cefaclor dispersible tablets can be used according to medical advice to prevent infection.
5. Leakage manifestations
The rupture of saline implants may result in rapid absorption of fluid, leading to breast shrinkage, while the rupture of silicone implants may be accompanied by lymph node enlargement. When silicone leaks into axillary lymph nodes, it needs to be confirmed by pathological biopsy. In severe cases, acetate prednisone tablets should be used to control the inflammatory response. All cases of leakage require surgical treatment, and delaying treatment may increase the difficulty of tissue removal. Regular professional examinations should be conducted after breast augmentation surgery to avoid severe collisions or compression of the chest. Choosing a reputable medical institution for implant surgery can reduce the risk of rupture, and it is recommended to wear specialized supportive underwear after surgery. Avoid high temperature environments in daily life to prevent accelerated aging of prosthetic materials. If abnormal changes in the breast are found, timely medical attention should be sought, and prosthesis replacement surgery should be performed as early as possible after rupture to reduce tissue damage.

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