Clinical and morphological results after breast augmentation

In 85 patients, breast augmentation mammaplasty (often bilateral) was performed in the course of 5 1/2 years when the breast was too small or after subcutaneous mastectomy. In two women, a very painful deformation and pronounced hardening of the breast clinically simulating cancer and a foreign body reaction of irregular density appeared histologically in association with severe capsular fibrosis. In two further women, enlarged lymph nodes simulating metastases were observed in the axilla with a similar foreign body reaction. Prior performance of lymphography could be excluded with certainty in each case. In one of these cases, a scirrhous carcinoma on the implant capsule occurred in the residual parenchyma after subcutaneous mastectomy.