Summary
Constrictive fibrosis is a frequent and often grave complication of mammary augmentation with Silicone implants. In addition to tension or pressure, which lead to local callus formation and the rare apathogenic infection which is followed by tissue reaction, constrictive fibrosis is initiated by phagocytosis of Silicone particles from the surface of the implants.
Shape, position, and consistency of the augmented breasts, which have been impaired by constrictive fibrosis, can be restored by capsulotomy, and if necessary even by repeated capsulectomies.
Further development, selection, and manufacture of more suitable plastic material may prevent constrictive fibrosis in the future.
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References
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Wilflingseder, P., Propst, A. & Mikuz, G. Constrictive fibrosis following silicone implants in mammary augmentation. Chir Plastica 2, 215–229 (1974). https://doi.org/10.1007/BF00265651
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DOI: https://doi.org/10.1007/BF00265651