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ALLOPLASTIC MATERIALS IN PLASTIC SURGERY

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Local reaction to silicone<br />

Injected liquid silicone oil-<br />

• Granulomatous reaction locally and<br />

regional lymph nodes.<br />

• Chronic infection, tissue breakdown and<br />

extrusion.<br />

• Impurities ? Reported in medical grade.<br />

• Liquid silicone not recommended.<br />

Local reaction to silicone<br />

Silicone gel-<br />

• Breast implant bleed or rupture – increase<br />

capsular contracture – Si in capsule.<br />

• Ab. Found in serum - after rupture.<br />

• Siliconomas – granulomas after rupture or<br />

bleed.<br />

Histology – phagocytic cells – silicone.<br />

Chronic inflammatory reaction, foreign body<br />

reaction.

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