Bilateral Areoleor Depigmentation After Augmentation Mammoplasty: A Case Report and Literature Search

Abstract

Breast augmentation is by far one of the most common aesthetic procedures performed by plastic surgeons, and silicone implants are the most common prostheses used. Complications arising from the procedure are broadly categorized as either surgery or prosthesis related. Most of the complications are well known and have been documented, but areolar depigmentation after silicone gel prosthesis has not been reported to date.

Adverse reactions to injectable soft tissue fillers

“…190 Local reactions at the sites of injections include pain, erythema, ecchymosis, hyperpigmentation and hypopigmentation of the overlying skin, induration and inflammatory nodules, also named ''siliconomas,'' which are sometimes resolved with dystrophic scars. 121,178,[191][192][193][194][195][196][197][198] The diagnosis is not always clinically suspected, because these reactions may develop many years after the tissue augmentation. Granulomas have also been described in the skin at the point of entry of acupuncture and venepuncture needles coated with silicone and particles of silicone have been detected in macrophages with radiographic microanalysis.…”