Background: The silicone granuloma was first described in the literature in 1964. During the course of clinical practice, the plastic surgeon will encounter a silicone granuloma in a breast augmentation or reconstruction patient. This review addresses the clinical significance associated with silicone granulomas. Clinical implications and indications for intervention are discussed, and a reasonable management algorithm is proposed.

Methods: A review of the literature relating to silicone granulomas and their clinical implications was performed.

Results: Although case series have been reported, there is no consensus regarding the treatment of silicone granulomas.

Conclusions: This important clinical entity warrants investigative attention to better understand its clinical implications and prevention. An algorithm for treatment is proposed.

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http://dx.doi.org/10.1097/PRS.0b013e31828bd642DOI Listing

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