Routine check-ups by means of magnetic resonance imaging after breast augmentation with silicone breast implants no longer recommended by the FDA. So far check-ups with magnetic resonance imaging were recommended by the American Ministry of health after breast augmentation with silicone gel implants (FDA) years after 3,5,7,9. End of August now again include this recommendation in the American Ministry of health were discussed. There was consensus that kernspintomografische no longer routinely checks patients with breast implants should be recommended after years of 3,5,7,9 now. After the implantation of silicone gel breast implants require regular follow-up of patients. Checkups of the breast are useful: on cancer screening (as in women without implants) to evaluate the implant changes such as such as ruptures.
Which study options are available now for a control examination of the breast after augmentation available? Of course first of all the keys off Chest: The value of this investigation method (performed regularly by women themselves or within the framework of the preventive medical examinations by the doctor) should not be underestimated: women with breast implants have Yes, typically a small breast. This means that node formations are often early palpable (due to tumor or rupture of breast implant) and can thus be detected. The investigation can be performed even regularly by palpation of the patient, it is free and not burdensome (not painful, no radiation). Also ultrasound examinations of the mammary gland can provide valuable information concerning the mammary gland, as well as with regard to breast implant with implant wearers. Mammography finds virtually no application in contrast with breast implant wearers. Sure, the magnetic resonance imaging (MRI) today represents the widest and most precise investigation of the breast in women with breast implants. Also known as “silent ruptures” enables you to which the patient not even noticed, be detected.
For this reason the American Ministry of health (FDA) recommends a kernspintomografische control of silicone gel implants 3, 5, 7 routinely, 9 years after the breast augmentation. See also: patient information-breast augmentation late August 2011 now held a discussion about silicone gel implants in the United States Department of health. The Chief Scientist of the FDA, Dr. Wiliam Maisel then among other things said in a statement: “Silicone breast implants are safe”. This news was not surprising. It was much more interesting, though, that the Committee agreed that no longer should be recommended patients, three years after a breast augmentation and then after each two years routinely a magnetic resonance imaging to get. The kernspintomografische study (just as a routine measure) is expensive. In Germany, a magnetic resonance imaging of the breast will cost several hundred dollars. These costs are payable by the implant wearer himself. In addition sure to right noted that this very differentiated procedures (MRT) will occasionally over-interpreted and false positives are described. That’s why was consensus that regular, no longer should be recommended routine testing by MRI in women with breast implants made of silicone gel from the FDA. Finally is but again pointed out: regular check-ups after breast augmentation surgery are generally required. Breast implants do not last a lifetime. It is to be expected, that they must be replaced someday or removed. The magnetic resonance imaging remains the gold standard for the study of “silent implant ruptures”. Justified suspicion of a rupture of breast implant an MRI should be made still. Prof. Dr. med. Peter Graf medical specialist for plastic and aesthetic surgery