12 Days After Explant. 25 Yr Silicone Ruptured/1 Side Had Bad Leak Extracap/found Hard LUMP. Normal? (photo)

Question

12 days post -op. Started massage on breasts. One side feels right - the other side has the caved in nipple where the ps took all the tissue because of silicone leak outside the capsular. History:Had trauma to capsular/implant landing on it from fall off horse. PS said that breast/silicone was everywhere. Now I found a hard mass lump bigger than gumball and longer. Can't move it and it is separate from scar below breast. Located where tape is in pic. Hard mass. Thanks

Joseph Mele, MD · Answer

You should get the lump checked out. With the amount of trauma your breast has recently sustained, the lump you are feel may very well be normal; however, you need to bring it to the attention of your plastic surgeon.

Kenneth Hughes, MD · Answer

A hard mass after silicone extravasation and implant removal could be scar or residual silicone granuloma or calcific area. At 12 days that would be hard to sort out. Hopefully, the imaging done before the surgery ruled out any other masses.

Michelle Spring, MD, FACS · Answer

Without knowing what happened in surgery, it is very difficult to give advice. I would recommend that you talk with your plastic surgeon about this and he or she can examine you and decide on the best course of action.

Camille Cash, MD · Answer

I'm sorry to hear of the issues you are experiencing.  Your surgeon should be contacted about the hard mass that you are feeling after your surgery.  Further evaluation is needed.

Jeffrey Zwiren, MD · Answer

It is difficult to say if this is a breast lump or a silicone granuloma. You should point this area out to your plastic surgeon. You may need a mammogram to differentiate between the two conditions.

Steven Wallach, MD · Answer

Without an exam, it is difficult to say what the hard lump is. It is best to be examined by your surgeon.

Tom J. Pousti, MD · Answer

I'm sorry to hear about the unfortunate experiences you have had with breast implants. Given your history of recent surgery, as well as the presence of “free silicone”, the “lump” that you feel may be comprised of scar tissue, blood/fluid, or may be additional silicone material.

	 Of course, your plastic surgeon will be your best resource for precise diagnosis and treatment recommendations.

	Best wishes.

Stuart B. Kincaid, MD, FACS (in memoriam) · Answer

Thank you for the picture. Being that its only 12 days post-surgery it can be scar tissue. This situation needs to be address with your primary or PS.

12 Days After Explant. 25 Yr Silicone Ruptured/1 Side Had Bad Leak Extracap/found Hard LUMP. Normal? (photo)

Answers (8)