Mondor's disease is probably the culprit

Francisco Canales, MD answers: Surgery for silicone breast implant complication?

I had Silicone Breast Implants 6 months ago, and everything was okay until ten days ago. I felt pain like electric shocks in my left breast, and when I lift it up, I see what looks like a vertical vein that is rock-hard when I touch it. It extends downward for 3-4 cm from my scar line. My doctor said I need steroid injections, but when I took one, it didn't help with the pain. He said that I might need surgical intervention. Is it really likely that I need surgery for this?

Francisco Canales, MD
14 months ago

The symptoms described are most consistent with Mondor's disease or Mondor's thrombophlebitis.

Thrombosis of a superficial vein leads to a cord-like structure in the vicinity of the fold incision. We have seen this in a handful of patients, but usually we see within one month of surgery.

Seeing it as late as 6 months is possible but less likely. Either way, treatment should be conservative with anti-inflammatories and compresses. Each and every case we have seen resolved fairly quickly with the above therapy. No surgery has been needed by my patients, although I have heard of surgeons who like to excise the thrombosed vein.

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