Silicone in the lymph nodes

Hello,

Silicone in lymph nodes itself is not a major medical problem in itself. If the implant is leaking, you might want it removed / replaced. If there is a concern with swollen lymph glands, the main issue is to exclude any other causes for this.

Check with your surgeon about obtaining an MRI to help confirm a rupture in your implant. It is the most sensitive test for this. The enlarged nodes could be a reaction from a number of processes. You may need a biopsy of one of the nodes to confirm a diagnosis. Remember that ultrasounds, MRIs, and scans like these are only images and are not always accurate. A rupture is likely present, but other diagnoses should be considered.

I'm sorry to hear about the complication you have experienced.  Although I cannot give you precise medical advice without direct examination ( and full consultation)  some general advice may be helpful to you.Most likely, urgent (if any) surgical intervention will not be required. If the involved lymph node is enlarged and symptomatic (pain, signs of infection, aesthetic concerns...), I would suggest that it be removed.  In my opinion, it is unlikely that removal of a single lymph node would lead to  lymphedema of  the extremity.   On the other hand, if the lymph nodes are completely asymptomatic, removal may not be necessary.

I would suggest in-person consultation with the well experienced board-certified plastic surgeons in your area.  I think that in situation like yours, individualized care (based on careful history and physical examination) is best.Best wishes. 

Thank you for the question, and I know it can be very concerning to receive results like this.  First of all, this is not an urgent matter - many, many people have bleed or leakage of their silicone gel implants unknowingly for years.  Silicone is inert, and the body has a minimal reaction to it as well.  The most common reaction is local inflammation and/or hardening around the gel.  Secondly, there is no concern that the silicone is traveling through your body and going other places.  I recommend that you consult with a plastic surgeon at your convenience and discuss your options, and plan for removal with or without replacement around your schedule.  And, in general, removal of leaking/ruptured implants is covered by medical insurance (but not placement of new implants).  Hope that helps and have a blessed weekend.

Having three pockets of silicone in your axilla is of concern especially if you have implants that are old and possibly ruptured.  I have seen patients with silicone in lymphnodes who had ruptured implants removed in the past (years before I saw them) and those ln's could be left alone.  On the other hand if your collections of silicone reflect a grossly ruptured old (or even recent) silicone implant, the implant needs evaluation and exchange.  Until this is sorted out I'd recommend that you avoid any chest pressure or trauma.  Old implants become very fragile and some generations of implants from the 80's and earlier can weaken over time and grossly rupture.  This can be dealt with but shouldn't be delayed too long IF present.  Best wishes,