Chronic recurrent, local destructive siliconomas after breast augmentationwith liquid siliconoil

At the beginning of the sixties the injection of liquid silicon oil was fre quently used for breast augmentation. It was thought to be safe, simple and effective. But as complications such as local silconomas, inflammatory rea ctions, induration, foreign body extrusion and foreign body migration were published this procedure was not used anymore. We report about a 45-year-ol d female patient who suffered from late complications, chronic recurrent lo cal destructive siliconomas, which have not been described in the literatur e yet. Because of the destruction forced by the primary siliconimplant a bi lateral subcutaneous mastectomy had to be performed and siliconomas were ex cised at regions different from the original injection site. Several breast reconstructions have been performed but this tissue has also been destroye d by the recurrent and aggressive siliconomas. As there can be a long perio d of latency before the aforementioned complications of liquid silicon inje ctions can occur, we recommend careful follow-up for these patients.