Aesthetic Plastic Surgery

, Volume 29, Issue 4, pp 274–279

An Uncommon Complication of Secondary Augmentation Mammoplasty:Bilaterally Massive Engorgement of Breasts After Pregnancy Attributable to Postinfection and Blockage of Mammary Ducts



Augmentation mammoplasty is one of the most frequently performed aesthetic operations. Galactorrhea and galactocele formation after augmentation mammoplasty, while the patient is experiencing the hormonal effects, is rarely seen. The cause remains unknown. However, postoperative fibrosis and blockage of the mammary ducts after augmentation mammoplasty is a probable cause of this formation in some patients. In the reported case, the patient described painful massive engorgement of both breasts during the last month of pregnancy and inability to breast-feed after delivery. In her history, she had undergone breast augmentation via the semicircular periareolar transglandular approach. She had experienced an infection at an early stage of her postoperative period and had needed to have both prostheses removed. A second breast augmentation mammoplasty was performed 1 year after the first operation via the same incision. She was content with the result of her second augmentation mammoplasty, up until her third pregnancy, at which time she reported inability to breast-feed after her delivery. At our examination, it was determined that there was massive painful breast engorgement, hyperemia, and inflammation of both breasts attributable to a bilateral galactocele formation. She refused to take any medication (bromocriptine), but approved antibiotic treatment. The patient responded to the antibiotics, and the prostheses therefore were left in place without further complications.


Ductus blockage Infection Painful breast engorgement Periareolar augmentation mammoplasty Pregnancy 


  1. 1.
    Becker, H 1999The intraareolar incision for breast augmentationAnn Plast Surg42103106CrossRefPubMedGoogle Scholar
  2. 2.
    Brody, GS 1996Lactation after augmentation mammoplasty [letter to the editor]Obstet Gynecol8710621063CrossRefPubMedGoogle Scholar
  3. 3.
    Burkhardt, BR, Dempsey, PD, Schnur, PL, Tofield, JJ 1986Capsular contracture: A prospective study of the effect of local antibacterial agentsPlast Reconstr Surg77919932CrossRefPubMedGoogle Scholar
  4. 4.
    Caputy, GG, Flowers, RS 1994Copious lactation following augmentation mammoplasty: An uncommon but not rare conditionAesth Plast Surg18393397CrossRefGoogle Scholar
  5. 5.
    Courtiss, EH, Goldwyn, RM 1976Breast sensation before and after plastic surgeryPlast Reconstr Surg58113CrossRefPubMedGoogle Scholar
  6. 6.
    Courtiss, EH, Goldwyn, RM, Anastasi, GW 1979The fate of breast implants with infections around themPlast Reconstr Surg63812816CrossRefPubMedGoogle Scholar
  7. 7.
    Deloach, ED, Lord, SA, Ruf, LE 1994Unilateral galactocele following augmentation mammoplastyAnn Plast Surg336871CrossRefPubMedGoogle Scholar
  8. 8.
    Ely, JF 1990

    Augmentation mammoplasty: The triple-v approach

    Georgia, NGGeorgiade, GSRiefkohl, R eds. Aesthetic surgery of the breastSaundersPhiladelphia113120
    Google Scholar
  9. 9.
    Grant, S, Edelman, DA 1994Pregnancy, lactation and the use of silicone breast implantsAdv Contracept10187193CrossRefPubMedGoogle Scholar
  10. 10.
    Gruber, RP, Friedman, GD 1981Periareolar subpectoral augmentation mammoplastyPlast Reconstr Surg67453457CrossRefPubMedGoogle Scholar
  11. 11.
    Hartley, JH, Schatten, WE 1971Postoperative complication of lactation after augmentation mammoplastyPlast Reconstr Surg47150153CrossRefPubMedGoogle Scholar
  12. 12.
    Hidalgo, DA 2000Breast augmentation: Choosing the optimal incision, implant, and pocket planePlast Reconstr Surg10522022218CrossRefPubMedGoogle Scholar
  13. 13.
    Hoehler, H 1973Breast augmentation: axillary approachBr J Plast Surg26373376CrossRefPubMedGoogle Scholar
  14. 14.
    Hugill, JV 1991Lactation following breast augmentation: A third casePlast Reconstr Surg87806CrossRefPubMedGoogle Scholar
  15. 15.
    Hurst, NM 1996Lactation after augmentation mammoplastyObstet Gynecol873034CrossRefPubMedGoogle Scholar
  16. 16.
    Jacob, LS 1996Hormones, antagonists, and other agents affecting Endocrine function (pharmocology)4Williams & WilkinsPhiladelphia219247Google Scholar
  17. 17.
    Jones, FR, Tauras, AP 1973A periareolar incision for augmentation mammoplastyPlast Reconstr Surg51641644CrossRefPubMedGoogle Scholar
  18. 18.
    Lai, YL, Weng, CJ, Chen, YR, Noordhoff, MS 2001Circumnipple-incision, longitudinal-breast dissection augmentation mammoplastyAesth Plast Surg25194197CrossRefGoogle Scholar
  19. 19.
    Lewis, JR 1983

    Augmentation mammoplaty

    Georgiande, NG eds. Aesthetic breast surgery (Chap. 4)Williams and WilkinsBaltimore2449
    Google Scholar
  20. 20.
    McGrath, MH, Burkhardt, BR 1984The safety, efficacy of breast implants for augmentation mammoplastyPlast Reconstr Surg74550560CrossRefPubMedGoogle Scholar
  21. 21.
    Neifert, M, DeMarzo, S, Seacat, J, Young, D, Leff, M, Orleans, M 1990The influence of breast surgery, breast appearance, and pregnancy-induced breast changes on lactation sufficiency as measured by infant weight gainBirth173138CrossRefPubMedGoogle Scholar
  22. 22.
    Riefkohl, R 1990

    Augmentation mammoplasty

    McCarthy, JGMay, JW,JrLittler, JW eds. Plastic SurgerySaundersPhiladelphia38793892
    Google Scholar
  23. 23.
    Rothkopf, DM, Rosen, HM 1990Lactation as a complication of breast surgery successfully treated with bromocriptineBr J Plast Surg43373375CrossRefPubMedGoogle Scholar
  24. 24.
    Truppman, ES, Ellenby, JD, Schwartz, BM 1979Fungi in and around implants after augmentation mammaplastyPlast Reconstr Surg64804806CrossRefPubMedGoogle Scholar
  25. 25.
    Villafane, O, Garcia-Tutor, E, Taggart, I 2000Endoscopic transaxillary subglandular breast augmentation using silicone gel textured implantsAesth Plast Surg24212215CrossRefGoogle Scholar
  26. 26.
    Villa-Roviera, R 1999Breast augmentation by an umbilical approachAesth Plast Surg23323330CrossRefGoogle Scholar
  27. 27.
    Widdice, L 1993The effects of breast reduction and augmentation surgery on lactation: An annotated bibliographyJ Hum Lact9161167CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Sabri Acartürk
    • 1
  • Eyüphan Gencel
    • 1
  • Ilhan Tuncer
    • 1
  1. 1.Department of Plastic, Reconstructive, and Aesthetic SurgeryÇukurova University School of MedicineTurkey

Personalised recommendations