External photographs and breast MRI. A) Facial swelling, erythema, and glabellar and periorbital masses, and (B) left upper extremity masses at the time of presentation, C) Breast MRI (T2-weighted) demonstrating the “linguine” sign, a low-signal-intensity curvilinear lines seen within the implants bilaterally, D) insert: magnified image of the “linguine” sign, E) Eight months after surgical removal of the implants, there is dramatic improvement in facial and periorbital masses and swelling.