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JAMA Dermatology Clinicopathological Challenge
August 28, 2019

Atrophic Annular Plaques on the Breasts Following Augmentation Surgery

Author Affiliations
  • 1Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
JAMA Dermatol. 2019;155(10):1187-1188. doi:10.1001/jamadermatol.2019.2245

A white woman in her 50s without significant medical history underwent breast augmentation surgery with saline implants without postoperative complications. Five years later, she underwent a bilateral augmentation mammoplasty with removal and replacement of silicone gel implants and major mastopexy with capsulotomy. Although the patient’s surgical course was uncomplicated, several months postoperatively she noted persistent asymptomatic rough areas that she assumed were scars. Seven years after the second surgery, she was referred to dermatology for improvement of the areas for cosmetic reasons.