What type of surgical techniques are not appropriate for plastic surgeons to use in breast augmentation surgery for risk of implant shell rupture?

The filling of saline breast implants with anything other than saline, bathing saline breast implants in iodine solution, penetration of the saline breast implant shell during injection, utilizing more than one saline breast implant per side, attempts at reshaping the saline breast implant can all compromise the integrity of the saline breast implants’ shells and lead to rupture or leak.