Can endoscopy tell “gel bleed” from a gel leak?
It has been discovered that the silicone of “gel bleed” does not remain on the surface of the implant that is in contact with the scar tissue capsule, but apparently continues on through the capsule, leaving the surface of a non-leaking implant clean and free of endoscopically-visible silicone. If silicone gel is endoscopically visible on the external capsular surface of an implant, that is not “gel bleed”, and that represents an abnormality, most likely a small hole in the implant.
