Figures at a glance

Figure 1

Figure 2

FIGURE 1

Figure 1 (a,b): Histology of the fibrous capsule at optical microscopy (OM) without (a) and with (b) polarized lenses. A 53 years-old female with breast implant for 7 years. OM showed a fibrotic wall with foreign body type reaction with giant cells, histiocytic reaction with synovial metaplasia without atypia (green #), and discrete nonspecific focal lymphocytic infiltrate without atypia (red *). At polarized lenses, non-polarized refringent material was observed inside these vacuoles, compatible with silicone (yellow arrows)

FIGURE 2

Figure 2 (a,b): Histology of the fibrous capsule at optical microscopy (OM) without (a) and with (b) polarized lenses. Another patient with capsular contracture with the same findings. Foreign body type reaction with giant cells, histiocytic reaction with synovial metaplasia without atypia (green #), and discrete nonspecific focal lymphocytic infiltrate without atypia (red *). At polarized lenses, non-polarized refringent material compatible with silicone (yellow arrows)