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- ArticleGoin JM.Plast Reconstr Surg. 1978 Dec;62(6):891-5.A case is reported in which a closed compression capsulotomy for fibrous capsular contracture was followed by rupture of the implant bag with the immediate appearance of silicone gel in the axilla. A possible mechanism, analogous to that of high-pressure injection injuries of the hands, is hypothesized.