Advertisement

Aesthetic Plastic Surgery

, Volume 19, Issue 4, pp 361–367 | Cite as

Residual silicone detection using mri following previous breast implant removal: Case reports

  • Christina Y Ahn
  • William W. Shaw
  • Krishna Narayanan
  • David P Gorczyca
  • Nanette D. DeBruhl
  • Lawrence W. Bassett
Article

Abstract

The current controversy surrounding the safety of silicone gel breast implants has resulted in an increasing number being removed. Although previous reports have suggested that remnants of the implant capsule are reabsorbed after explantation surgery, the persistence of the capsule in fact may be associated with implant fragments and silicone gel leakage. In this study we have used magnetic resonance imaging (MRI) to identify residual silicone gel and silicone granulomas following the removal of silicone gel breast implants. Four representative clinical case reports are presented. These patients, who had residual silicone present in their bodies, presented to us with breast pain, palpable masses, or abnormal calcific mass densities apparent on a mammogram. High-resolution MRI images were found to be helpful in identifying local and remote collections of silicone gel, silicone granulomas, and residual capsules that were incompletely removed from previous explantation surgery. MRI breast images demonstrated high resolution and provided the accurate anatomical locations of residual silicone gel and silicone granulomas in all the regions of breast parenchyma, chest wall muscles, and axillae. Patients with persistent local symptoms following explantation surgery may benefit from an evaluation of the breast using MRI.

Key words

Breast implants Silicone gel Implant Removal Silicone Granulomas MRI studies 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Alm CY, Shaw W, Narayanan K, et al: Definitive diagnosis of breast implant rupture using M.R.I. (Magnetic Resonance Imaging). Plast Reconstr Surg 90:1, 1992Google Scholar
  2. 2.
    Baldwin CM, Kaplan EN: Silicone-induced human adjuvant disease? Ann Plast Surg 10:270, 1983Google Scholar
  3. 3.
    Foster WC, Springfield DS, Brown KLB: Pseudotumor of the arm associated with rupture of silicone-gel breast prosthesis J Bone Joint Surg65:48, 1983Google Scholar
  4. 4.
    Schneider E, Chan TW: Selective MR imaging of silicone with the three-point Dixon technique. Radiology 187:89, 1993Google Scholar
  5. 5.
    Sergott TJ, Limoli JP, Baldwin CM, Laub DR: Human adjuvant disease, possible autoimmune disease silicone implantation: a review of the literature, case studies, and speculation for the future. Plast Reconstr Surg 78:104, 1986Google Scholar
  6. 6.
    Spiera H: Scleroderma after silicone augmentation mammoplasty. J Am Med Assoc 260:236, 1988Google Scholar
  7. 7.
    Uretsky BF, O'Brien J, Courtiss EH, Becker MD: Augmentation mammoplasty associated with severe systemic illness. Ann Plast Surg 3:445, 1979Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1995

Authors and Affiliations

  • Christina Y Ahn
    • 1
  • William W. Shaw
    • 1
  • Krishna Narayanan
    • 1
  • David P Gorczyca
    • 1
  • Nanette D. DeBruhl
    • 1
  • Lawrence W. Bassett
    • 1
  1. 1.Los Angeles, California and PittsburghUSA

Personalised recommendations