Sepsis With Multiple Abscesses After Massive Autologous Fat Grafting for Augmentation Mammoplasty: A Case Report
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Autologous fat grafting to the breast for breast reconstruction and cosmetic breast augmentation has gained much attention recently. However, its efficacy and the severities of its associated complications are of concern. The authors experienced one case of multiple breast abscesses after augmentation mammoplasty by autologous fat grafting.
A 42-year-old woman presented to the authors’ emergency department reporting tenderness, swelling, and a sensation of heat in both breasts. The patient had undergone augmentation mammoplasty by autologous fat grafting 7 days previously. Abscess formation was suspected based on the patient’s history, physical examination, laboratory findings, and image study.
Incision and drainage were performed immediately with the patient under general anesthesia, and 500 ml of a foul, brown, turbid, purulent fluid containing necrotic fat debris was drained from each breast. Empiric antibiotics were started on the first hospital day, and betadine and saline-irrigation were administered daily for 2 weeks. Incisions were closed on hospital day 19 when laboratory data and local infection signs had improved. At the patient’s 9-month follow-up assessment, breast contours were found to be well preserved, and scarring was minimal.
Immediate complications such as edema, hematoma, and infection require serious consideration after autologous fat grafting in the breast. In particular, infection probably is the most serious complication because the volume of the fat injected is large and can induce systemic infections such as sepsis and distort the contours of the breast. To avoid such infections, systemic and multicenter studies are required to determine how fat grafting should be performed to minimize the risks of fat necrosis and infection.
- Neuber GA (1893) Fett transplantation. Verh Dtsch Ges Chir Long Vern 22:66
- Bircoll M (1987) Cosmetic breast augmentation utilizing autologous fat and liposuction technique. Plast Reconstr Surg 79:267–271 CrossRef
- Coleman SR (1997) Facial recontouring with lipostructure. Clin Plast Surg 24:347–367
- Spear SL, Wilson HB, Lockwood MD (2005) Fat injection to correct contour deformities in the reconstructed breast. Plast Reconstr Surg 5:1300–1305 CrossRef
- ASPRS Ad-Hoc Committee on New Procedures (1987) Report on autologous fat transplantation. Plast Surg Nurs 7:140–141
- Missana MC, Laurent I, Barreau L, Balleyguier C (2007) Autologous fat transfer in reconstructive breast surgery: indications, technique, and results. Eur J Surg Oncol 33:685–690 CrossRef
- Castello JR, Barros J, Vazquez R (1999) Giant liponecrotic pseudocyst after breast augmentation by fat injection. Plast Reconstr Surg 103:291–293 CrossRef
- Hyakusoku H, Ogawa R, Ono S, Ishii N, Hirakawa K (2009) Complications after autologous fat injection to the breast. Plast Reconstr Surg 123:360–370 CrossRef
- Fulton JE (2003) Breast contouring with “galled” autologous fat: a 10-year update. Int J Cosmet Surg Aesthet Dermatol 5:155–163 CrossRef
- Coleman SR, Saboeiro AP (2007) Fat grafting to the breast revisited: safety and efficacy. Plast Reconstr Surg 119:775–785 CrossRef
- Valdatta L, Thione A, Buoro M, Stefania T (2001) A case of life-threatening sepsis after augmentation by fat injection. Aesthet Plast Surg 25:347–349 CrossRef
- Petkovsek Z, Elersic K, Gubina M, Zgur-Bertok D, Starcic Erjavec M (2009) Virulence potential of Escherichia coli isolates from skin and soft tissue infections. J Clin Microbiol 47:1811–1817 CrossRef
- Moet GJ, Jones RN, Biedenbach DJ, Stilwell MG, Fritsche TR (2007) Contemporary causes of skin and soft tissue infections in North America, Latin America, and Europe: Report from the SENTRY Antimicrobial Surveillance Program (1998–2004). Diagn Microbiol Infect Dis 57:7–13 CrossRef
- von Heimburg D, Lemperle G, Dippe B, Krüger S (1994) Free transplantation of fat autografts expanded by tissue expanders in rats. Br J Plast Surg 47:470–476 CrossRef
- Carpaneda CA, Ribeiro MT (1994) Percentage of graft viability versus injected volume in adipose autotransplants. Aesthet Plast Surg 18:17–19 CrossRef
- Sepsis With Multiple Abscesses After Massive Autologous Fat Grafting for Augmentation Mammoplasty: A Case Report
Aesthetic Plastic Surgery
Volume 35, Issue 4 , pp 641-645
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- Augmentation mammaplasty
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- 1. Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine, Woncheon-Dong, Yeongtong-Gu, Suwon, Gyeongi-Do, 443-721, Korea
- 2. Department of Plastic and Reconstructive Surgery, Ajou University School of Medicine, Woncheon-Dong, Yeongtong-Gu, Suwon, Gyeongi-Do, 443-721, Korea