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Pain and Swelling from Breast Implant

Pain and Swelling from Breast Implant

  • 28-year-old female presented with left breast pain, swelling, and hard feeling of her breast implant two years after augmentation mammoplasty.
  • Figure 1. Bilateral mammogram in craniocaudal projection.
  • Figure 2. Bilateral mammogram in mediolateral oblique projection.
  • Figure 3. US transverse image reveals normal right breast implant.
  • Figure 4. US transverse image reveals normal right breast implant.
  • Diagnosis: Left breast implant contracture
  • Multiple anechoic septated collections around the implant more at the upper inner part opposite 10 o’clock region A (measuring about 5.3x2.1 cm).
  • When any type of breast implant is inserted, the body reacts by forming a protective lining around it.
  • In some women, for reasons we don't understand completely, the capsule has a tendency to shrink, squeezing the implant.
  • The cause of a "silent" capsular contracture — that is, one without an obvious precipitating event such as trauma, hematoma or radiation — is unknown.
  • Other factors that may increase the risk of developing capsular contracture include postsurgical complications, like hematoma.
  • On mammography, silicone implants appear as dense oval masses in either a subglandular or subpectoral position.
  • Sometimes the marked increase in the consistency of the implant makes ultrasound examination harder. Fluid collection and exudate from shearing effect up on the implant surface.

Case History: 28-year-old female presented with left breast pain, swelling, and hard feeling of her breast implant two years after augmentation mammoplasty.

Comments

Ruptured left breast implant.

John @

Autoimmune processes?

Jason @

Why did you perform a mammogram in a 28y female? Is there an indication for that?

Linda @

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