Silicone Breast Injection. I had an ultrasound and have silicomas in my lymph nodes. What shall I do? Are they dangerous?

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.

Thank you for sharing your story. What you're going through is very real and understandably frightening, especially as a parent. When silicone/biopolymers are injected directly into the breast, the body often reacts by forming granulomas, chronic inflammatory nodules where the immune system tries to wall off the foreign material. If your imaging showed granulomas in your breast and lymph nodes, this means some of the material may have migrated into nearby tissues and lymphatic drainage areas. The immune system has responded by creating localized inflammation, which can look and feel aggressive. Not all granulomas are life-threatening, but they can become dangerous over time due to chronic inflammation (persistent pain, swelling, and tissue damage). They can also migrate to distant areas. This is not something to ignore, especially if it’s progressing or affecting your health. The next step is to find a surgeon experienced in silicone/biopolymer removal. Not all plastic surgeons deal with this. It is of utmost importance to look for a surgeon who has extensive experience excising foreign material and granulomas, especially from the breasts and lymph nodes. An MRI with silicone-specific sequences can help map the extent and location of material. MRI is the best imaging for any disorder of the soft tissues. While granulomas can be benign, it's wise to rule out malignancy and confirm the diagnosis histologically, especially since it has been years since the injections. Based off of your MRI results, you may need surgical excision of the granulomas and affected nodes (surgical excision is the best, most effective route of silicone/biopolymer removal). Removing the bulk of the foreign material can greatly reduce inflammation and long-term risks. It's important to document any new symptoms (fevers, fatigue, breast changes or skin issues).

You mentioned worrying about your life being cut short because of a past mistake and that guilt is understandable, but it’s also important to remember that many women were misled or not fully informed about the dangers of these injections. Seeking treatment now is brave, and you're doing exactly what your kids need: protecting your health so you can be there for them.

I am a board-certified plastic and reconstructive surgeon with a specialized focus on silicone and biopolymer removal. Over the years, I have dedicated my practice to safely addressing complications arising from these materials. Recognizing the unique challenges they pose, I developed a removal and reconstruction technique that is designed to ensure the most complete removal possible while minimizing risks and optimizing patient outcomes. I'd be happy to see you for a clinical evaluation whether it be a complimentary virtual consultation or an in-office appointment to discuss your options. Please note – insurance can cover these procedures if your plan holds out of network coverage. My Silicone Coordinator can look into existing coverage during your initial call. (516) 279-2616

Best of luck on your silicone removal journey. We're here to help if you need us!

Thank you for your question regarding what to do with your silicone injections to the breasts. Also, regarding what to do with silicomas in your lymph nodes, I highly suggest you have the silicone and the scar tissue removed from both breasts as soon as possible. In addition, I highly recommend you have the lymph nodes removed. This can be done at the same time. Silicone injections to the breasts are very dangerous. They can cause granulomas and siliconomas and, over time, progress to breast cancer. Also, silicone injections can migrate throughout the body. In your case, they are already migrating to your lymph nodes. Therefore, I would again suggest removing silicone and associated scar tissue and lymph nodes from the breasts as soon as possible. Usually breast reconstruction can be done at the same time. Please seek an experienced board Certified plastic surgeon.