We read with interest the case report ‘Locoregional silicone spread after high cohesive gel silicone implant rupture’.
1
The authors raise concerns about the manufacturer's claim of safety of the mentioned implants after rupture and leakage of silicone into the tissue. However, they claim that they had not come across any published report of cohesive gel implant rupture resulting in silicone spread to axillary lymph nodes. We would like to highlight that an identical case report was published in the British Journal of Plastic Surgery in 2003.2
The recently published article by Lahiri and Waters1
supports the safety concern raised in the original case report by Shaaban et al.2
The conclusion of the two articles challenges the commonly accepted claim that the cohesive gel silicone does not spread into the tissue. We recommend that the risk of rupture of implant and spread of silicone into the tissue should be explained to all patients before surgery.References
- Locoregional silicone spread after high cohesive gel silicone implant rupture.J Plast Reconstr Aesthet Surg. 2006; 59: 885-886
- Leakage and silicone lymphadenopathy with cohesive breast implant.Br J Plast Surg. 2003; 56: 518-519
Article info
Publication history
Published online: August 03, 2007
Identification
Copyright
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
