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| COHESIVE GEL BREAST IMPLANTS |

However, these excellent results were short-lived. The polyurethane dissolved in the body. The underlying breast implant shell was thin, and it couldn’t hold the relatively soft silicone gel in a specific shape. The silicone gel used in them was too soft and were not form stable. Gravity called the gel to fall to the bottom of the shell. It lost vertical height and so the upper breast became underfilled and concave. The lower breast became relatively overfilled. The initial shape became lost. Folds inevitably occurred from the collapse as can be seen in the picture. Just like a folded newspaper in a drawer becomes weak along longstanding folds, so too does a breast implant shell weaken along folds. So the shell went on to have a high rupture rate. The relatively non-cohesive gel would then leak out and migrate. This could stimulate an inflammatory reaction around the implant, and the normally thin and soft scar tissue around the implant became thicker and harder (capsular contracture). Before long, the initial great result would often be lost.
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