A method to measure gel bleed from intact silicone gel-filled breast i
mplants was developed. This nondestructive technique permits accurate
and reproducible serial measurements of silicone bleed from smooth wal
l breast implants (n = 10) under simulated physiologic conditions in v
itro. Gel bleed rates from new low bleed gel-filled implants and intac
t explants (unbarriered, low bleed, double lumen) were determined. The
se results demonstrate the reliability of this method to quantify sili
cone gel bleed and may permit a meaningful comparison of bleed rates f
rom implants in the future.