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8 - MRI after breast augmentation

Published online by Cambridge University Press:  05 March 2012

Jeremy Price
Affiliation:
The Canberra Hospital, Canberra, Australia
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Summary

Chapter outline

  • Historical background

  • Implant types and terminology

  • Fibrous capsule formation and contracture

  • The evolution of silicone implants

  • Normal MRI features of silicone implants

  • MRI appearances of implant complications

  • Cancer incidence and detection in women with implants

  • Tissue breast reconstructive surgery

  • Augmentation by direct injection procedures

Historical background

Over the last hundred or so years, attempts at breast augmentation have been documented using an astonishing variety of materials including ivory, glass beads, ground rubber, gutta percha and ox cartilage [1]. The range of injectable substances used includes paraffin oil, petroleum jelly, glazier’s putty, beeswax, shellac and epoxy resin [1]. Not surprisingly, complications were frequent, often relating to foreign body reactions with tissue necrosis, fistula formation and infection. With the advent of synthetic polymers, new concepts were trialled in the form of polythene chips, polythene tape or strips wound into a ball-shape, polymer sponges, Terylene wool, silastic rubber and polypropylene string, but none of these materials gave a particularly natural cosmetic effect.

Type
Chapter
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Publisher: Cambridge University Press
Print publication year: 2011

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References

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