Risk-Reduction Mastectomy for Breast Siliconomas with Immediate Reconstruction

  • Maurizio Nava
  • Alberto Rancati
  • Marcelo Irigo
  • Julio Dorr


At this time in medical history, we often see the complications of industrial silicone injections in patients who have undergone this procedure to augment the size of their breasts. This practice, long considered outside the ethical standards of good medical practice, commonly leads to adverse health effects and the physical and psychological trauma associated with them.

The primary objective of this chapter is to describe how the current authors have elected, in selected cases, to perform a conservative mastectomy, using an inverted “T” mammary-reduction pattern, which allows for immediate reconstruction with implants in ptotic and large breasts. Generally, those who undergo this procedure are young patients who, seeking to enhance their breast size, end up with significant future morbidity as a result of the multiple intramammary and subdermal cysts that are generated which, eventually, not only can fistulize but also migrate.

Concomitant with these cutaneous alterations, breast ptosis sometimes occurs that ranges from moderate to large, as a consequence of the increased weight that is generated. Notably, this cutaneous surplus in the lower pole will be the flap of skin that we will use in our procedure.


Conservative mastectomy Inverted “T” mammary-reduction pattern Risk-reduction mastectomy Snowstorm image Treatment 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Maurizio Nava
    • 1
  • Alberto Rancati
    • 2
    • 3
  • Marcelo Irigo
    • 4
    • 5
  • Julio Dorr
    • 6
  1. 1.Plastic and Reconstructive Surgery UnitFondazione IRCCS, Istituto Nazionale dei TumoriMilanItaly
  2. 2.Oncoplastic Surgery, Henry Moore InstituteBuenos AiresArgentina
  3. 3.University of CaliforniaSan DiegoUSA
  4. 4.National University of La PlataLa PlataArgentina
  5. 5.Pontificia Universidad Católica of ArgentinaBuenos AiresArgentina
  6. 6.Instituto Oncológico Henry MooreBuenos AiresArgentina

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