Aesthetic Plastic Surgery

, Volume 43, Issue 2, pp 366–369 | Cite as

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

  • Maristella Guerra
  • Luca CodoliniEmail author
  • Enrico Cavalieri
  • Ugo Redi
  • Diego Ribuffo
Case Reports Breast Surgery



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.


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.


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.


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


Case report Galactocele Breast augmentation Breast implants Galactorrhea Humans 



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

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.


  1. 1.
    Cosmetic Surgery National Data Bank: Statistics 2013 (2014) Aesthet Surg J 34:1S–22SCrossRefGoogle Scholar
  2. 2.
    Adams WP Jr (2008) The process of breast augmentation: four sequential steps for optimizing outcomes for patients. Plast Reconstr Surg 122:1892–1900CrossRefGoogle Scholar
  3. 3.
    Basile FV, Basile AR (2015) Diagnosis and management of galactorrhea after breast augmentation. Plast Reconstr Surg 135(5):1349–1356CrossRefGoogle Scholar
  4. 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 29:274–279CrossRefGoogle Scholar
  5. 5.
    Yang EJ, Lee KT et al (2012) Treatment algorithm of galactorrhea after augmentation mammoplasty. Ann Plast Surg 69:247Y249Google Scholar
  6. 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 35:408Y413CrossRefGoogle Scholar
  7. 7.
    Chun YS, Taghinia A (2009) Hyperprolactinemia and galactocele formation after augmentation mammoplasty. Ann Plast Surg 62:122Y123CrossRefGoogle Scholar
  8. 8.
    Muhlenstedt D, Schneider HPE (1976) Chronic recurrent mastitis associated with galactorrhea: case report. Geburtshilfe Frauenheilkd 36:1102Y1104Google Scholar
  9. 9.
    Karimi H, Nourizad S, Momeni M, Rahbar H, Momeni M, Farhadi K (2013) Burns, hypertrophic scar and galactorrhea. J Inj Violence Res 5:117–119CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  1. 1.Unit of Plastic and Reconstructive SurgerySan Gallicano-IFO HospitalRomeItaly
  2. 2.Unit of Plastic SurgerySapienza University of RomeRomeItaly

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