Since silicone breast implants were reintroduced into the market several years ago, plastic surgeons have debated over screening options. Specifically, should women with silicone implants have an upright MRI?
Doctors are attempting to determine if an upright MRI, in which the patient is standing or sitting up, offers better screening results than the traditional recumbent position. Statistically, most implant leakage occurs at the bottom of the implant due to weight and gravity. By having an upright MRI, some argue, the implant is in a position where weight and gravity are influencing the implant as usual. When lying down, the weight of the implant is redistributed; therefore, minor leaks could be missed.
While the discussion continues, the guidelines remain: women with silicone breast implants should undergo an MRI three years after insertion and every year thereafter to screen for potential leaks or changes to the implant.
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