Silicone Breast Injection

In 1998 I had silicone injected straight into the breast. I now have three children and am very aware of huge lumps in my breasts, I had an ultrasound and they have said that they are silicomas. They are in my lymph nodes. What shall I do? Are they dangerous? I do not want my life with my kids to be cut short because of a stupid mistake!

Doctor Answers 9

Lumpectomy or mastectomy for silicone injected into breasts

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Silicone should NEVER be injected into the breast or butt region. Unfortunately, there are practitioners and even non-medical personnel that perform this on unsuspecting patients. In Florida, we have seen many patients who have received this and unfortunately, some of them have paid the ultimate price- dying when the silicone has moved to their kidneys or lungs. 

You are currently experiencing one of the serious complications that can occur with a silicone injection.

You should receive a consultation by a board certified plastic surgeon who can review your options with you and may suggest a lumpectomy or partial mastectomy to remove these silicomas.

Please take care of yourself, your children, and best of luck with this unfortunate situation.

Silicone injections into breasts

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Thanks for your question -

Injecting free silicone into the breasts can cause significant long term problems including inflammation and pain. It also can create a problem with differentiating it from breast cancer.

I recently had a patient that we removed freely injected silicone. Part of the tissue we sent demonstrated breast cancer. It is unclear if there was an association with the silicone and breast cancer. However, in your case, it may make detection of breast cancer difficult.

You should consider having the silicone removed.

Find a board certified plastic surgeon that does these procedures.

I hope this helps.

Lumpectomy or mastectomy may help

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Over the last few years I saw few patients who had silicone injected either into their breast or buttock. The breast is much more sensitive because of cancer detection concerns. For mild cases, some sort of lump excision might work. The ultimate treatment in some patients that I have seen was bilateral mastectomy and reconstruction. I hope that helps!

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 19 reviews

Silicone mastopathy is an unfortunate situation

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When people have liquid silicone injected into their breasts, it makes hard lumps that cannot be differentiated from breast cancer. It also seriously clouds the mammograms in attempting to detect breast cancer.

I have seen several patients over the years who have had to undergo mastectomies and reconstructions to treat this entity which is called silicone mastopathy. It might be possible nowadays to use MRI's to evaluate your breast but it may still be necessary to meet with an expert breast surgeon to determine the proper course for you. What we wouldn't want is for you to develop breast cancer and not have it detected until it is beyond curable.

Silicone Breast Injections

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Thank you for the question.

I'm sorry to hear about your experience;  unfortunately, it is a difficult problem to remedy.

The best option is a visit with several well experienced board-certified plastic surgeons to see if the silicone is well localized enough to be excised.  If it has been injected diffusely throughout the breasts excision ( without doing a mastectomy)  is probably impossible.

The “safest option” will depend on your age, physical examination, and goals;  all of which will be better assessed after in person consultation.

Best wishes.

Silicone breast injections

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Liquid silicone is unsafe, please do not use it ever. The autoimmune response could be triggered by this substance, if you look around on the Internet, you will find patients that have a lot of problems with this product. The use for lips and other areas is off label. 

It is unfortunate the fact you have this substance injected into your breast tissues. Yes, it is dangerous,even medical literature shows that patients could develope different kinds of breast cancer after breast liquid silicone injections. The conduct is to perform mastectomy and eventually manage the axillary nodes. Finally, a reconstruction with tissue expanders or flaps can be performed.

Biopolymers (liquid silicone, Poly Acrylamide Gel, PMMA, Macrolane, etc), ALWAYS should be
removed, because you could present at any time Iatrogenic Allogenosis and probably A.S.I.A.
syndrome. Please remember to be aware, do not let any permanenrt filler to be injected into your face, breast, buttocks, calfs, genitalia, etc. The safest way to increase buttocks is through your own fat injections or through silicone implants.

I hope the information was usefull, have a nice day! Dr Carlos Rios.

Silicone injections and silicone lumps in the breast and lymph nodes

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Silicone injections into the breast are difficult to treat, although my personal experience has shown that surgical removal can be acheived in some cases. I have followed several patients for some time who have developed silicone nodularity after silicone injections. In all cases, patients cannot assume that a lump in the breast is a result of a siliconoma or silicone nodule. A thorough workup must be obtained to rule out concomitant carcinoma. We frequently consult on patients who have undergone silicone injections to their body in Mexico or Tijuana. There are a fair number of doctors still injecting silicone in the breast. However, the overall safety profile for these treatments is poor.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Silicone Mastitis - Definitive Treatment is Mastectomy

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Unlike a silicone breast implant, which is confined within a shell, liquid silicone injected into an area gets incorporated into the tissue.

While it initially adds volume, over time it creates an inflammatory reaction and can cause tissue hardening, skin ulceration, pain, and granulomas – little pockets of inflammation – which will then distort the breast. 

When this has occurred, the best treatment is a mastectomy with simultaneous breast reconstruction.  For very small, focal or localized areas, a lumpectomy type treatment will suffice. 

Buttock or breast enlargement can be done with silicone implants, from your own fat, or with illegal foreign substances, such as free silicone. It is the injection of foreign substances that is the most worrisome, causing irreversible damage. The bottom line - If you are interested in adding volume, make sure you consult with an appropriately licensed practitioner who offers FDA-approved products. This may save you from irreversible damage.

Neil Tanna, MD, FACS
New York Plastic Surgeon

Remove liquid silicone while its not infected

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Silicone injections in various parts of the body has been done quite frequently all over the country.  The difficulty with silicone injections begins with the quality of the silicone itself.  I have seen many cases where industrial grade silicone has been injected inside the human body.  This can be a tremendous disaster.  Problems can include infections, granulomas, cellulitis, and persistent skin infections, disfigurement and skin dimpling.  It is very easy to have silicone injected, but very difficult to have it removed.  The removal can frequently be very complex and involved lengthy surgery. Multiple operation is not uncommon.   It is not uncommon to expect scars in locations that would otherwise be undesirable.  If you do have silicone, or are having problem with silicone that was injected by a non-healthcare provider then you should certainly seek medical attention.  Some solutions include IV antibiotics, oral antibiotics and surgery after the inflammation has subsided.  Removing the silicone is not just a cosmetic issue but also an issue of better health.  Depending on the type of silicone injected concerns with autoimmune diseases and infections are foremost.  Taking medications such as ibuprofen or cortisone is only a temporary measure.  The real solution is surgery.  Not all plastic surgeons are willing to operate on patients who have had silicone injected in their body.  Many of these cases are not covered by insurance because they were performed for cosmetic reasons.  My recommendation to anyone that has had silicone injections and wishes to have it removed, is to seek a board certified plastic surgeon who is likely willing to do more than 1 operation as well as willing to do some of these operations in a hospital setting. I have had patients visit me for removal of silicone and the discussion to proceed is never an easy one.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.