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Galactocele After Aesthetic Breast Augmentation with Silicone Implants: An Uncommon Presentation

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  • Breast Surgery
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Abstract

Background

Breast augmentation is one of the most frequently performed esthetic operations. Galactorrhea and galactocele formation are both very rare complications. The real cause still remains unknown, but various risk factors have been well reported in the literature. This report concerns a case of postoperative galactocele following bilateral breast augmentation via the inframammary approach with dual-plane insertion of implants, which is usually considered a protective approach in terms of risk factors for induction of postoperative galactorrhea.

Methods

The patient had no significant surgical, gynecological or medical history, including galactorrhea or hyperprolactinemia, and did not present any chest wall abnormalities. There has been no use of oral contraceptives or any other drugs. After the surgical procedure, the patient presented with infection-like symptoms, for which galactorrhea or galactocele was initially not considered, mainly for the absence of specific risk factors.

Results

After antibiotic and bromocriptine therapy, her breast returned to normal, with no pain, inflammation, enlargement or esthetic alterations. After 6 months of follow-up, the patient did not present any abnormality and she was satisfied with the result.

Conclusion

With our report, we want to underline that galactorrhea and galactocele cannot be ruled out, even in patients with no risk factors and with procedures considered as “protective.” With a fast diagnosis and a specific therapy, implants and final result can be rescued.

Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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References

  1. Cosmetic Surgery National Data Bank: Statistics 2013 (2014) Aesthet Surg J 34:1S–22S

    Article  Google Scholar 

  2. Adams WP Jr (2008) The process of breast augmentation: four sequential steps for optimizing outcomes for patients. Plast Reconstr Surg 122:1892–1900

    Article  CAS  PubMed  Google Scholar 

  3. Basile FV, Basile AR (2015) Diagnosis and management of galactorrhea after breast augmentation. Plast Reconstr Surg 135(5):1349–1356

    Article  CAS  PubMed  Google Scholar 

  4. Acarturk SA, Gencel E, Tuncer I (2005) An uncommon complication of secondary augmentation mammaplasty: bilaterally massive engorgement of breasts after pregnancy attributable to postinfection and blockage of mammary ducts. Aesthet Plast Surg 29:274–279

    Article  Google Scholar 

  5. Yang EJ, Lee KT et al (2012) Treatment algorithm of galactorrhea after augmentation mammoplasty. Ann Plast Surg 69:247Y249

    Google Scholar 

  6. Ayestaray B, Dudrap E, Chaibi A (2011) Galactorrhea after aesthetic breast augmentation with silicone implants: report of two cases and management of postoperative galactorrhea. Aesthet Plast Surg 35:408Y413

    Article  Google Scholar 

  7. Chun YS, Taghinia A (2009) Hyperprolactinemia and galactocele formation after augmentation mammoplasty. Ann Plast Surg 62:122Y123

    Article  CAS  Google Scholar 

  8. Muhlenstedt D, Schneider HPE (1976) Chronic recurrent mastitis associated with galactorrhea: case report. Geburtshilfe Frauenheilkd 36:1102Y1104

    Google Scholar 

  9. Karimi H, Nourizad S, Momeni M, Rahbar H, Momeni M, Farhadi K (2013) Burns, hypertrophic scar and galactorrhea. J Inj Violence Res 5:117–119

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgment

None of the authors has anything to disclose. No funding was received for this article.

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Correspondence to Luca Codolini.

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Guerra, M., Codolini, L., Cavalieri, E. et al. Galactocele After Aesthetic Breast Augmentation with Silicone Implants: An Uncommon Presentation. Aesth Plast Surg 43, 366–369 (2019). https://doi.org/10.1007/s00266-018-1266-z

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  • DOI: https://doi.org/10.1007/s00266-018-1266-z

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