Silicone implant leakage with capsular calcification after breast augmentation: a case report and literature review
10.3760/cma.j.cn114453-20250301-00045
- VernacularTitle:隆乳术后硅胶假体渗漏伴包膜钙化1例并文献复习
- Author:
Qiannan WANG
1
;
Jinkui WANG
1
;
Menglin WANG
1
;
Hongzhi QIN
1
Author Information
1. 大连医科大学附属第一医院整形外科，大连 116011
- Publication Type:Journal Article
- Keywords:
Breast implants;
Breast augmentation;
Silicone prosthesis leakage;
Capsular calcification;
Complication
- From:
Chinese Journal of Plastic Surgery
2025;41(6):607-611
- CountryChina
- Language:Chinese
-
Abstract:
Silicone implant leakage and capsular calcification are potential complications following breast augmentation with silicone implants. This article presents a case of silicone implant leakage accompanied by capsular calcification following breast augmentation surgery. A 51-year-old female presented with self-reported breast hardening over 21 years after undergoing bilateral silicone implant augmentation mammoplasty and sought medical attention at the Department of Plastic Surgery, the First Affiliated Hospital of Dalian Medical University in 2019. Physical examination revealed eggshell-like hardening of the implants with Baker grade Ⅱ capsular contracture. CT scans demonstrated capsular calcification, leading to bilateral explantation and capsulectomy. Intraoperative findings showed calcified capsules with gelatinous material adherent to the surface. Postoperative compositional analysis confirmed calcium phosphate deposits in the calcified lesions. During the 6-year follow-up, the patient remained asymptomatic without breast pain, new masses, or impaired upper limb mobility. The incisions healed well with no sensory abnormalities. Literature review suggested that implant leakage may result from either long-term mechanical irritation secondary to capsular calcification or occult silicone leakage.
