Presentation
Pain, fever, history of gluteal implant.
Patient Data
Bilateral subfascial gluteal silicone implants, which are dense compared to the surrounding fluid. Right implant is malrotated by 180 degrees and surrounded by an enhancing fluid collection. Left implant has a smaller but thicker-walled enhancing fluid collection with surrounding subcutaneous stranding. Asymmetrically dilated left pelvic/gonadal veins.
Case Discussion
Severe complications related to gluteal/buttock augmentation. There is a large seroma surrounding the right implant, with rotation of the implant by 180 degrees; notice how the convex surface is directed toward the gluteal musculature rather than posteriorly like the left implant. The collection surrounding the left implant has a thicker wall with inflammation of the surrounding fat, which is strongly indicative of infection. These implants were surgically removed and the abscesses were drained.