Late recurrent capsular hematoma after augmentation mammaplasty: case report

Late capsular hematoma after the implantation of silicone breast prostheses for augmentation mammaplasty is an extremely rare complication. The case of a patient in whom two late intracapsular hematomas occurred two times after augmentation mammaplasty with textured silicone implants is reported. Magnetic resonance imaging clearly showed fluid accumulated within the capsule. No identifiable etiology could be demonstrated, although the breakdown of an eroded capsular artery is suspected, caused by friction between the rough surface of the textured prosthesis and the fibrous capsule. Two hematomas in a single patient have not been described previously in the literature.