Leakage and osmotic shifts in PIP Hydrogel® implants Leakage and osmotic shifts in PIP Hydrogel® implants. A case demonstrating increase and decrease of implant volume in the same patient  J.K. O'Neill, H. Rigby, J.M. Kenealy  Journal of Plastic, Reconstructive & Aesthetic Surgery  Volume 61, Issue 9, Pages 1122-1123 (September 2008) DOI: 10.1016/j.bjps.2008.05.008 Copyright © 2008 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions

Figure 1 On examination, there was asymmetry, with the left breast larger than the right by at least 2–3 cup sizes. Journal of Plastic, Reconstructive & Aesthetic Surgery 2008 61, 1122-1123DOI: (10.1016/j.bjps.2008.05.008) Copyright © 2008 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions

Figure 2 a) At operation it was found that both implants were marked as PIP 350cc implants although the right implant was now smaller than the left. b) The left implant had a small split in the shell and appeared swollen. c) The turbid yellow fluid that was found surrounding the left implant. d) A capsule of moderate thickness with ‘granulomatous’ nodules on the surface was excised on the left side. Journal of Plastic, Reconstructive & Aesthetic Surgery 2008 61, 1122-1123DOI: (10.1016/j.bjps.2008.05.008) Copyright © 2008 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions