Delayed Hematoma after Silicone Implant Forehead Augmentation

We report the case of a 48-year-old female who presented to our clinic 8 years after silicone implant forehead augmentation with complaints of brow swelling, tenderness, and periorbital edema. Imaging revealed non-rim enhancing fluid collection and underlying bony ridges. Ensuing medical management included antibiotics which lead to resolution of the majority of her symptoms. The patient was then taken for elective removal of the implant with subsequent human acellular tissue matrix reconstruction. In this case report, we describe our decision making process as well as our intraoperative findings and review some of the literature regarding silicone implant complications. We believe this is the first case described of this complication with regard to alloplastic forehead augmentation.