Conditions and Treatments

Leaks, Ruptures and Double Bubble

The use of breast implants carries the risks of implant leak, rupture and capsular contracture. Ruptured silicone breast implants can cause breast pain or changes in the shape of the breast. Double bubble occurs when a breast implant shifts down into the breast crease. If you experience symptoms such as pain, soreness or swelling, lumps, or softening or hardening of the affected breast, you should see your doctor immediately.  As a general rule, women with breast implants should be checked annually.


Breast Implant-Associated (BIA) ALCL is a rare lymphoma associated with breast implants. The incidence of BIA ALCL is between 1 in 1000 and 1 in 10,000. It is more closely associated with textured implants.

BIA ACLC takes about eight years to develop, so women have a long time to determine their best course of action. It’s important to get checked regularly and to know that an infection is treatable by removal and replacement of the infected implant.

Surgical treatment

Working closely with Macquarie University Hospital, our doctors are able to refer patients to qualified plastic and reconstructive surgeons with experience in breast implant procedures.

Professors Anand Deva and Karen Vickery developed a 14-point plan, which outlines operative strategies for surgeons to reduce the risk of implant contamination.

14 Point Plan

Based on existing scientific data from best practice around the world, Professor Deva and Associate Professor Karen Vickery, together with colleagues from the University of Texas, SouthWestern,  have published a 14-point plan for surgeons to minimise the risk of breast implant infection.

The plan includes protocols such as specific antibiotic and irrigation regimes, particular incision and dissection techniques, minimal device handling and layered closure methods.

Professors Deva and  Vickery lead Macquarie University’s Surgical Infection Research Group (SIRG). The designated reference biofilm research laboratory is one of a handful of such laboratories around the world and has an active program in breast implant infection  for  nearly 20 years – out of which the 14-point plan emerged.

Any breast implant treatment women receive through Integrated Breast Implant Check Clinic will follow the 14-point plan.