TY - BOOK AU - Greenwalt, Ian AU - Ko, Kyungmin AU - Tsiapali, Ekaterini TI - Free Silicone Injections to the Breast: Delayed Complications and Surgical Management of Sequelae SN - 2169-7574 PY - 2020/// KW - IN PROCESS -- NOT YET INDEXED KW - MedStar Medical Group KW - MedStar Washington Hospital Center KW - Pathology KW - Case Reports N2 - This case describes a healthy 37-year-old woman who presented with bilateral breast pain and nodules years after receiving free silicone injections to her breasts. Mammogram revealed extremely dense breasts with innumerable bilateral masses of various sizes. Ultrasound was non-diagnostic due to poor penetration and artifact from silicone. Histologic examination revealed vacuolated histiocytes and innumerable cystic spaces containing material consistent with silicone. Patient underwent bilateral nipple-sparing mastectomy with immediate reconstruction using tissue expanders. This case highlights the potential for serious complications developing years after free silicone injections as well as our team's surgical management of these complications. Copyright (c) 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons UR - https://dx.doi.org/10.1097/GOX.0000000000003208 ER -