Breast augmentation (also known as augmentation mammaplasty) for cosmetic enlargement has been performed for well over a century. Below is a brief summary of its history.

Breast augmentation was first attempted in the 19th century, when in 1895, Czerny transplanted a patient’s lipoma to her breast to fill out a defect caused by the removal of an adenoma.

In 1904, paraffin injections, often a combination of petroleum jelly and olive oil, were used. This, unfortunately, resulted in the formation of hard masses or paraffinomas from foreign body reactions, as well as inflammatory reactions, tissue necrosis, and draining sinus tracts. More serious complications included pulmonary embolism and blindness due to cerebral embolism.

As a result of the complications related to paraffin, a search for an alternative substance resulted in the use of liquid silicone injections. Overall these were not well tolerated and produced silicone granulomas resulting in painful nodularity and inflammation of the surrounding breast tissue. Other complications from silicone injections included skin slough, migration of silicone along fascial planes, granulomatous hepatitis, embolism, and even death. Silicone injections were never approved by the Food and Drug Administration (FDA) for use in the breast.

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