Locoregional silicone spread after high cohesive gel silicone implant rupture

A 45-year-old patient had routine cosmetic bilateral breast augmentation 6 years previously using cohesive gel implants. She presented 4 years later with a breast lump and multiple axillary lymph nodes. Exploration revealed that the breast implant had a large tear at the posterior wall of the shell...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2006-01, Vol.59 (8), p.885-886
Main Authors: Lahiri, Anindya, Waters, Ruth
Format: Article
Language:English
Subjects:
Axilla
Biological and medical sciences
Breast Implantation
Breast Implants
Female
Foreign-Body Migration
Granuloma, Foreign-Body - etiology
Granuloma, Foreign-Body - surgery
Humans
Lymphadenitis - etiology
Lymphadenitis - surgery
Medical sciences
Middle Aged
Prosthesis Design
Prosthesis Failure
Rupture
Silicone Gels
Silicone granuloma
Silicone lymphadenitis
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Textured implant
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Description
Summary:A 45-year-old patient had routine cosmetic bilateral breast augmentation 6 years previously using cohesive gel implants. She presented 4 years later with a breast lump and multiple axillary lymph nodes. Exploration revealed that the breast implant had a large tear at the posterior wall of the shell with intra-capsular leakage of silicone. The axilla had eight enlarged lymph node—all were removed. Histology showed silicone granuloma in the capsule and silicone lymphadenitis. High cohesive gel implants may not be as safe as is commonly believed and all implant ruptures, irrespective of the cohesiveness of the silicone gel, should be investigated thoroughly.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2005.12.014