Silicone breast implant-associated scarring dystrophy of the arm

Suzanne S Teuber, L. K. Ito, M. Anderson, M. Eric Gershwin

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Background: Breast implants have been known to rupture after trauma or closed capsulotomy with spread of the gel down the arm or abdominal wall. Nodular foreign-body granulomatous reactions have been reported in these cases. We report the unique occurrence of significant overlying scarring and ulceration following silicone gel migration down the affected arm. Observations: A 47-year-old woman experienced rupture of her right silicone gel implant with migration of the silicone down her arm 10 years before our examination. Skin changes with atrophic hidebound scarring andulceration slowly progressed over the last 7 years. Radiographs and magnetic resonance imaging scans demonstrated material consistent with silicone in the soft tissues. Conclusions: Silicone is not an inert substance and can rarely result in devastating local tissue destruction where migration has occurred. The possibility of significant silicone gel migration should be considered during evaluation of patients with ruptured implants.

Original languageEnglish (US)
Pages (from-to)54-56
Number of pages3
JournalArchives of Dermatology
Volume131
Issue number1
DOIs
StatePublished - 1995

Fingerprint

Silicone Gels
Breast Implants
Silicones
Cicatrix
Arm
Rupture
Foreign-Body Reaction
Abdominal Wall
Gels
Magnetic Resonance Imaging
Skin
Wounds and Injuries

ASJC Scopus subject areas

  • Dermatology

Cite this

Silicone breast implant-associated scarring dystrophy of the arm. / Teuber, Suzanne S; Ito, L. K.; Anderson, M.; Gershwin, M. Eric.

In: Archives of Dermatology, Vol. 131, No. 1, 1995, p. 54-56.

Research output: Contribution to journalArticle

@article{3bad633e71404a8c904793c926ec76c3,
title = "Silicone breast implant-associated scarring dystrophy of the arm",
abstract = "Background: Breast implants have been known to rupture after trauma or closed capsulotomy with spread of the gel down the arm or abdominal wall. Nodular foreign-body granulomatous reactions have been reported in these cases. We report the unique occurrence of significant overlying scarring and ulceration following silicone gel migration down the affected arm. Observations: A 47-year-old woman experienced rupture of her right silicone gel implant with migration of the silicone down her arm 10 years before our examination. Skin changes with atrophic hidebound scarring andulceration slowly progressed over the last 7 years. Radiographs and magnetic resonance imaging scans demonstrated material consistent with silicone in the soft tissues. Conclusions: Silicone is not an inert substance and can rarely result in devastating local tissue destruction where migration has occurred. The possibility of significant silicone gel migration should be considered during evaluation of patients with ruptured implants.",
author = "Teuber, {Suzanne S} and Ito, {L. K.} and M. Anderson and Gershwin, {M. Eric}",
year = "1995",
doi = "10.1001/archderm.131.1.54",
language = "English (US)",
volume = "131",
pages = "54--56",
journal = "JAMA Dermatology",
issn = "2168-6068",
publisher = "American Medical Association",
number = "1",

}

TY - JOUR

T1 - Silicone breast implant-associated scarring dystrophy of the arm

AU - Teuber, Suzanne S

AU - Ito, L. K.

AU - Anderson, M.

AU - Gershwin, M. Eric

PY - 1995

Y1 - 1995

N2 - Background: Breast implants have been known to rupture after trauma or closed capsulotomy with spread of the gel down the arm or abdominal wall. Nodular foreign-body granulomatous reactions have been reported in these cases. We report the unique occurrence of significant overlying scarring and ulceration following silicone gel migration down the affected arm. Observations: A 47-year-old woman experienced rupture of her right silicone gel implant with migration of the silicone down her arm 10 years before our examination. Skin changes with atrophic hidebound scarring andulceration slowly progressed over the last 7 years. Radiographs and magnetic resonance imaging scans demonstrated material consistent with silicone in the soft tissues. Conclusions: Silicone is not an inert substance and can rarely result in devastating local tissue destruction where migration has occurred. The possibility of significant silicone gel migration should be considered during evaluation of patients with ruptured implants.

AB - Background: Breast implants have been known to rupture after trauma or closed capsulotomy with spread of the gel down the arm or abdominal wall. Nodular foreign-body granulomatous reactions have been reported in these cases. We report the unique occurrence of significant overlying scarring and ulceration following silicone gel migration down the affected arm. Observations: A 47-year-old woman experienced rupture of her right silicone gel implant with migration of the silicone down her arm 10 years before our examination. Skin changes with atrophic hidebound scarring andulceration slowly progressed over the last 7 years. Radiographs and magnetic resonance imaging scans demonstrated material consistent with silicone in the soft tissues. Conclusions: Silicone is not an inert substance and can rarely result in devastating local tissue destruction where migration has occurred. The possibility of significant silicone gel migration should be considered during evaluation of patients with ruptured implants.

UR - http://www.scopus.com/inward/record.url?scp=0028906433&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028906433&partnerID=8YFLogxK

U2 - 10.1001/archderm.131.1.54

DO - 10.1001/archderm.131.1.54

M3 - Article

C2 - 7826097

AN - SCOPUS:0028906433

VL - 131

SP - 54

EP - 56

JO - JAMA Dermatology

JF - JAMA Dermatology

SN - 2168-6068

IS - 1

ER -