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