Silicone Breast Implant—Associated Scarring Dystrophy of the Arm

Suzanne S Teuber, Lloyd K. Ito, Mark Anderson, M. Eric Gershwin

Research output: Contribution to journalArticle

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 and ulceration 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)57-62
Number of pages6
JournalArchives of Dermatology
Volume131
Issue number1
DOIs
StatePublished - 1995

Fingerprint

Silicone Gels
Silicones
Cicatrix
Breast
Arm
Rupture
Foreign-Body Reaction
Breast Implants
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, Lloyd K.; Anderson, Mark; Gershwin, M. Eric.

In: Archives of Dermatology, Vol. 131, No. 1, 1995, p. 57-62.

Research output: Contribution to journalArticle

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