Abstract
Highly cohesive silicone gel implants are advertised for aesthetic and safety advantages. Our case is the fourth report describing early implant rupture and contralateral migration of siliconoma. Despite the greater degree of gel cohesiveness, a continued vigilance for signs and symptoms of migration is highly recommended.
Highlights
The introduction of highly cohesive silicone gel implants (HCGI) advertised favorable aesthetic and safety advantages over standard cohesive gel implants
Symmetrization of the right side was achieved by performing a superior pedicle mammoplasty and insertion of a Poly Implant Prosthesis (PIP) gel implant
Findings were suspicious for implant rupture and seroma formation, ; a palpable mass of the augmented right breast was noted on examination as well as right axillary lymphadenopathy
Summary
The introduction of highly cohesive silicone gel implants (HCGI) advertised favorable aesthetic and safety advantages over standard cohesive gel implants. These included greater durability of overall shape with regards to the upper-pole volume and a reduction in incidence of outer shell folding. Case presentation An European Caucasian 59-year-old patient had delayed reconstruction with a latissimus dorsi flap and McGhan 410 highly cohesive silicone implant after a modified radical mastectomy of the left breast. Biopsy was performed on both the right breast mass palpable axillary node to rule out malignancy. Final pathology was consistent with siliconoma for both the enlarged lymph nodes and right breast mass
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