CASE 917: ABSCESSES post FILLING of BREAST AUGMENTATION for 24 years, Dr PHAN THANH HẢI, Dr JASMINE THANH XUÂN, Dr VÕ THỊ PHƯƠNG TRINH, Dr LÊ HỮU LINH, MEDIC MEDICAL CENTER and Dr NGUYỄN PHAN TÚ DUNG, VIETNAM.

A 48 year-old with two huge breasts due to filling breast augmentation by artificial fat liquid for 24 year in oversea. She got painful breast for one month.

X-ray saw no breast abscess.

Ultrasound detected  intricate fluid into breasts which were not like abscess fluid.

Because MRI with breast coil could not fit with the huge breast, MSCT was done in note the  filling fluid was not silicone.

WBC: 16,3×10^9/L

Emergency surgery was done in the same day to remove the breast complex contents which were amount # 2.5 liters each breast.

In surgery, many granulomata inside the breast fields were many amorphous nodules into breast fluid on ultrasound. 

Specimen was the inflamed tissue with reaction  of foreign body phagocytosis of macrophages.

The female patient remains well and discharges after two days in hospital. 

Major medical regulators like the FDA strongly warn against using any liquid injectable fillers (including silicone, hydrogels, or facial dermal fillers) for breast augmentation due to severe safety risks:  

• Product Migration: Free liquid fillers can travel into other parts of the body, causing chronic pain, hard lumps (granulomas), and severe inflammation.  

• Vascular Occlusion: Injected fluid can enter blood vessels, leading to tissue death (necrosis) or life-threatening embolisms.  

• Mammogram Interference: Foreign liquid materials obscure breast tissue, making early detection of breast cancer extremely difficult.

• Removal Difficulty: Unlike solid breast implants, free fluid cannot simply be "taken out" if something goes wrong; it bonds with natural tissue and often requires destructive surgery to excise.