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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