Migration of silicone gel into breast parenchyma following mammary prosthesis rupture

The case report of a patient with a ruptured gel mammary prosthesis complicated by migration of the gel into the breast parenchyma is presented. It is felt that the constant massage of the prostheses in an attempt to avoid fibrous contracture after closed capsulotomy is the etiology for this migration. The prosthesis and extruded gel were removed by sacrificing breast parenchyma. Repeated prosthesis massage after closed capsulotomy exposes the patient to significant potential complication if the prosthesis has been ruptured.