BÁO CÁO CASE LÂM SÀNG: ĐẶT TÚI NGỰC LẦN 2 THEO ĐƯỜNG MỔ HÌNH OMEGA NGƯỢC VÀ BÓC TÁCH MÔ TUYẾN HÌNH NAN HOA MÔ TUYẾN VÚ Ở BỆNH NHÂN TỰ VỠ TÚI NGỰC

Abstract

Background: Silicone breast implants have a finite lifespan, with rupture risk increasing significantly after 10-15 years. This case report describes a 50-year-old woman who experienced spontaneous bilateral breast implant rupture 15 years after primary augmentation. Case Presentation: The patient underwent breast augmentation at age 35 using 350 cc silicone implants via inverted omega periareolar incision with submuscular placement. Ultrasound screening at year 14 showed intact implants, but one year later, the patient noticed breast shape changes and ptosis. Subsequent imaging revealed bilateral intracapsular rupture with capsular thickening. Surgical Management: A single-stage procedure was performed including bilateral implant removal, total capsulectomy, and reimplantation of same-volume implants. The surgery utilized the previous inverted omega incision around the nipple-areola complex combined with radial spoke-pattern glandular dissection to access the submuscular pocket while preserving the neurovascular pedicle. Outcomes: Postoperative recovery was uneventful with good aesthetic results and bilateral symmetry. The only complication was temporary areolar hypopigmentation due to superficial epidermal injury during dissection. Conclusion: This case highlights the importance of patient counseling regarding implant longevity and regular surveillance. The inverted omega periareolar approach with radial glandular dissection offers favorable scar concealment, reliable access for revision surgery, and effective management of late complications.