Silicone breast implants are
widely used in both aesthetic and reconstructive breast surgery. Within the
rare complications that can appear in patients with this type of implant there
is the formation of local and peripheral siliconomas, due to the diffusion of
the silicone gel contained within the implant, that can appear
in case of both damaged and intact implants.
The use of new generation breast
implants (double lumen envelope and content of cohesive gel) has considerably
lowered, but not eliminated, the risk of rupture and the possible formation of
siliconomas.
The reported case regards a
patient who, affected by Poland Syndrome, underwent breast augmentation surgery
in order to correct the defect at the age of 18. A P.I.P. implant (Poly Implant
Prothese, France) was positioned and, after 10 years, at the diagnostic exams
revealed a nodular mass of the thoracic wall compatible with siliconoma without
evident rupture of the implant.
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