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Case Reports
. 2015 Sep-Dec;48(3):317-20.
doi: 10.4103/0970-0358.173139.

Management of asymptomatic silicone-injected breast with reduction mammoplasty

Theddeus Octavianus Hari Prasetyono  1 , Patricia Marcellina Sadikin  1
Affiliations
Case Reports

Management of asymptomatic silicone-injected breast with reduction mammoplasty

Theddeus Octavianus Hari Prasetyono et al. Indian J Plast Surg. 2015 Sep-Dec.

Abstract

Even though Silicone injection for breast augmentation has been related to disastrous long-term effects and complications, some patients do not develop significant symptoms at all (asymptomatic). Unfortunately, the management of asymptomatic Silicone-injected breast is still unclear and has never been reported exclusively. We present two cases of asymptomatic patients with a history of liquid Silicone injections who refused to have a mastectomy. They were concerned with the breast ptosis and chose to undergo reduction mammoplasty to improve the appearance of the breasts. Magnetic resonance imaging may be useful as an additional screening tool to confirm the diagnosis and exclude the presence of malignancy in breasts with injected Silicone. We believe that breast reduction may be the alternative option for women with a history of liquid Silicone injection who have no symptoms but desire to preserve their breasts and improve their aesthetics.

Keywords: Breast; Silicone; magnetic resonance imaging; mammaplasty; mastectomy.

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Figures

Figure 1
Figure 1
Preoperative view. It shows ptotic large breasts without any visible deformity apart from a notch in the left areola (black arrow) due to uneven distribution of the Silicone masses. (a) Anterior view (b) lateral view
Figure 2
Figure 2
Mammography image. It revealed the presence of diffuse multiple nodules in both breast parenchymas, in various sizes; however, the presence of stellate lesion and micro-calcification was unclear. Mediolateral oblique view of the right breast (a) and the left breast (b)
Figure 3
Figure 3
Magnetic resonance imaging image. It showed diffuse multiple nodules in both breasts with intermediate signal intensity on the T1-weighted image (a) and high signal intensity on the T2-weighted image (b). Skin, nipple areola complex and axillary lymph nodes of both breasts were within normal limits
Figure 4
Figure 4
Twenty-two-month postoperative view. One year after surgery, the patient gave birth and gained 10 kg since the surgery. She was satisfied with the result; hypertrophic scar formation was treated with silicone gel. (a) Anterior view (b) lateral view
See this image and copyright information in PMC

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