Abstract
There are a number of possible complications in breast augmentation that are less common. Understanding what these complications are and how to prevent and/or treat them is important to the surgeon performing cosmetic breast procedures. These problems include areolar retraction, axillary banding, autoinflation, calcifications, galactorrhea, allergic reactions, malposition of the inframammary scar, methicillin-resistant Staphylococcus aureus infection, migration of the implant, myospasm of the pectoralis major muscle, necrosis, neurologic injury, periareolar scar indentation, synmastia (symmastia), thromboembolism, and toxic shock syndrome.
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References
Maximovich SP: Transient axillary-upper inner arm subcutaneous fibrous banding following transaxillary subpectoral endoscopic breast augmentation. Plast Reconstr Surg 1996;97(6):1304–1305
Young RV: Transaxillary submuscular breast augmentation and subcutaneous fibrous bands. Plast Reconstr Surg 1997;99(1):257
Laufer E: Fibrous bands following subpectoral endoscopic breast augmentation. Plast Reconstr Surg 1997;99(1):257
Munhoz AM, Fells K, Arruda E, Montag E, Okada A, Aldrighi C, Aldrighi JM, Gemperli R, Ferreira MC: Subfascial transaxillary breast augmentation without endoscopic assistance: technical aspects and outcome. Aesth Plast Surg 2006;30:503–512
Dowden RV: Subcutaneous fibrous banding after transaxillary subpectoral endoscopic breast augmentation. Plast Reconstr Surg 1997;99(1):257
Shiffman MA: Transient axillary-upper inner arm subcutaneous fibrous banding. Plast Reconstr Surg 1997;99(2):596
Botti G: Postoperative self-expansion in augmentation mammaplasty. Plast Reconstr Surg 1994;93(6):1310
Signorini M, Grisotti A, Ponzielli G, Pajardi G, Gilardino P: Self-expanding prosthesis complicating augmentation mammoplasties. Aesth Plast Surg 1994;18(2):195–199
Robinson OG, Benos DJ: Spontaneous autoinflation of saline mammary implants. Ann Plast Surg 1997;39(2):114–118
Ketene M, Saray A, Kara SA: Unilateral osmotic swelling in textured, single-lumen mammary implants: clinical and MRI findings. Aesth Plast Surg 2002;26(3):206–210
Chien C-H, Ding Z-Z, Yang Z-S: Spontaneous autoinflation and deflation of double-lumen breast implants. Aesth Plast Surg 2006;30(1):113–117
Luke JL, Kalasinsky VF, Turnicky RP, Centeno JA, Johnson FB, Mullick FG: Pathological and biophysical findings associated with silicone breast implants: a study of capsular tissue from 86 cases. Plast Reconstr Surg1997;100(6):1558–1565]
Huang TT: Breast and subscapular pain following submuscular placement of breast prostheses. Plast Reconstr Surg 1990;86(2):275–280
Lykissa ED, Maharaj SV: Total platinum concentration and platinum oxidation states in bodily fluids, tissue, and explants from women exposed to silicone and saline breast implants by IC-ICPMS. Anal Chem 2006;78(9):2925–2933
Rothkopf DM, Rosen HM: Lactation as a complication of aesthetic breast surgery successfully treated with bromocriptine. Br J Plast Surg 1990;43(3):373–375
Hartley JH Jr, Schatten WE: Postoperative complication of lactation after augmentation mammaplasty. Plast Reconstr Surg 1971;47(2):150–153
Hugill JV: Lactation following breast augmentation: a third case. Plast Reconstr Surg 1991;87(4):806–807
Sabbagh WH, Murphy RX Jr, Kucirka SJ, Okunski WJ: Idiosyncratic allergic reaction to textured saline implants. Plast Reconstr Surg 1996;97(4):820–823
Widdice L: The effects of breast reduction and breast augmentation surgery on lactation: an annotated bibliography. J Hum Lact 1993;9(3):161–167
Hill PD, Wilhelm PA, Aldag JC, Chatterton RT Jr: Breast augmentation and lactation outcome: a case report. MCN Am J Matern Child Nurs 2004;29(4):238–242
Hurst NM: Lactation after augmentation mammoplasty. Obstet Gynecol 1996;(87(1):30–34
Neifert MR, Seacat JM, Jobe WE: Lactation failure due to inadequate glandular development of the breast. Pediatrics 1985;76(5):823–828
Georgiade NG, Serafin D, Barwick W: Late development of hematoma around a breast implant. Plast Reconstr Surg 1979;64(5):708–710
Dawl JL, Lewis VL, Smith JW: Chronic expanding hematoma within a periprosthetic breast capsule. Plast Reconstr Surg 1996;97(7):1469–1472
Görgü M, Aslan G, Tuncel A, Erdogan B: Late and long-standing capsular hematoma after aesthetic breast augmentation with a saline-filled silicone prosthesis: a case report. Aesthetic Plast Surg 1999;23(6):443–444
Hsiao HT, Tung KY, Lin CS: Late hematoma after aesthetic breast augmentation with saline-filled, textured silicone prosthesis. Aesthetic Plast Surg 2002;26(5):368–371
Brickman M, Parsa NN, Parsa FD: Late hematoma after breast implantation. Aesthetic Plast Surg 2004;28(2):80–82
Veiga DF, Filho JV, Schnaider CS, Archangelo I Jr: Late hematoma after aesthetic breast augmentation with textured silicone prosthesis: a case report. Aesthetic Plast Surg 2005;29(5):431–433
Hall v. Rothman, State of South Carolina, County of Greenville, Court of Common Pleas, No. 2005-CP-23
Dufour P, Gillet Y, Bes M, Lina G, Vandenesch F, Floret D, Etienne A, Richet H: Community-acquired methicillin-resistant Staphylococcus aureus infections in France: emergence of a single clone that produces Panton–Valentine leukocidin. Clin Infect Dis 2002;35(7):819–824
Centers for Disease Control and Prevention (CDC): Outbreaks of community-associated methicillin-resistant Staphylococcus aureus skin infections—Los Angeles County, California, 2002–2003. MMWR Morb Mortal Wkly Rep 2003;52(5):88
Centers for Disease Control and Prevention (CDC): Methicillin-resistant Staphylococcus aureus infections among competitive sports participants—Colorado, Indiana, Pennsylvania, and Los Angeles County, 2002–2003. MMWR Morb Mortal Wkly Rep 2003;52(33):793–795
Tenover FC, McDougal LK, Goering RV, Killgore G, Projan SJ, Patel JB, Dunman PM: Characterization of a strain of community-associated methicillin-resistant Staphylococcus aureus widely disseminated in the United States. J Clin Microbiol 2006;44(1):108–118
Chambers HF: The changing epidemiology of Staphylococcus aureus? Emerg Infect Dis 2001;7(2):178–182
Deresinski S: Methicillin-resistant Staphylococcus aureus: an evolutionary, epidemiologic, and therapeutic odyssey. Clin Infect Dis 2005;40(4):562–573
Kazakova SV, Hagerman JC, Matava M, Srinivasan A, Phelan L, Garfinkel B, Boo T, McAllister S, Anderson J, Jensen B, Dodson D, Lonsway D, McDougal LK, Aduino M, Fraser VJ, Killgore G, Tenover FC, Cody S, Jernigan DB: A clone of methicillin-resistant Staphylococcus among professional football players. N Engl J Med 2005;352(5):468–475
Bratu S, Eramo A, Kopec R, Coughlin E, Ghitan M, Yost R, Chpanick EK, Landman D, Quale J: Community-associated methicillin-resistant Staphylococcus in hospital and nursery and maternity units. Emerg Infect Dis 2005;11(6):808–813
Moran GJ, Krishnadasan A, Gorwits RJ, Fosheim GE, McDougal LK, Carey RB, Talan DA; EMERGency ID Net Study Group: Methicillin-resistant S. aureus infections among patients in the emergency department. N Engl J Med 2006;355(7):666–674
Holmes A, Ganner M, McGuane S, Pitt TL, Cookson BD, Kearns AM: Staphylococcus aureus isolates carrying Panton–Valentine leucocidin genes in England and Wales: frequency, characterization, and association with clinical disease. J Clin Microbiol 2005;43(5):2384–2390
Kravitz GR, Dries DJ, Peterson ML, Schlievert PM: Purpura fulminans due to Staphylococcus aureus. Clin Infect Dis 2005;40(7):948–950
Gillet Y, Issartel B, Vanhems P, Fournet JC, Lina G, Bes M, Vandenesch F, Piemont Y, Brousse N, Floret D, Etienne J: Association between Staphylococcus aureus strains carrying gene for Panton–Valentine leukocidin and highly lethal necrotizing pneumonia in young immunocompetent patients. Lancet 2002;359(9308):753–759
Francis JS, Doherty MC, Lopatin U, Johnston CP, Sinha G, Ross T, Cai M, Hansel NN, Perl T, Ticehurst JR, Carroll K, Thomas DL, Nuermberger E, Bartlett JG: Severe community-onset pneumonia in healthy adults caused by methicillin-resistant Staphylococcus aureus carrying the Panton–Valentine leukocidin genes. Clin Infect Dis 2005;40(1):100–107
Waldvogel FA: Staphylococcus aureus (including staphylococcal toxic shock). In: Mandell GL, Bennett JE, Dolin R (eds). Principles and Practice of Infectious Diseases, 5th edn. Philadelphia, Churchill Livingstone 2000, pp 2072–2073
Hidron AI, Kourbatova EV, Halvosa JS, Terrell BJ, McDougal LK, Tenover FC, Blumberg HM, King MD: Risk factors for colonization with methicillin-resistant Staphylococcus aureus (MRSA) in patients admitted to an urban hospital: emergence of community-associated MRSA in nasal carriage. Clin Infect Dis 2005;41(2):159–166
Boyce JM: New insights for improving hand hygiene practices. Infect Control Hosp Epidemiol 2004;25(3):187–188
Boyce JM, Havill NL, Kohan C, Dumigan DG, Ligi CE: Do infection control measures work for methicillin-resistant Staphylococcus aureus? Infect Control Hosp Epidemiol 2004;25(5):395–401
Centers for Disease Control and Prevention: Strategies for clinical management of MRSA in the community. March 2006. http://www.ccar-ccra.com/english/pdfs/CAMRSA_ExpMtgStrategies.pdf
Gowan JE, Miller LG:Community-acquired methicillin-resistant Staphylococcus aureus: right here, right now. ISMR (International Society of Microbial Resistance) Update 2006;1(3):1–12
Lee MC, Rios AM, Aten MF, Mejias A, Cavuoti D, McCracken GH Jr, Hardy RD: Management and outcome of children with skin and soft tissue abscesses caused by community-acquired methicillin-resistant Staphylococcus aureus. Pediatr Infect Dis 2004;23(2):123–127
Llera JL, Levy RC: Treatment of cutaneous abscess: a double-blind clinical study. Ann Emerg Med 1985;14(1):15–19
Gorwitz RJ, Jernigan DB, Powers JH, Jernigan JA: Management of MRSA in the community. Centers for Disease Control and Prevention, March 2006. http://www.ccar-ccra.com/english/pdfs/CAMRSA_ExpMtgStrategies.pdf
Kollef MH, Micek ST: Methicillin-resistant Staphylococcus aureus: a new community-acquired pathogen? Curr Opin Infect Dis 2006;19(2):161–168
Fridkin SK, Hageman JC, Morrison M, Sanza LT, Como-Sabetti K, Jernigan JA, Harriman K, Harrison LH, Lynfield R, Farley MM; Active Bacterial Core Surveillance Program of the Emerging Infections Program Network: Methicillin-resistant Staphylococcus aureus disease in three communities. N Engl J Med 2005;352(14):1436–1444
Miller LG, Tagudar G, Tsui J, et al.: A prospective investigation of risk factors for community-acquired MRSA infection in a non-outbreak setting. Program and Abstracts of the 42nd Annual Meeting of the Infectious Disease Society of America, 29 September–3 October 2004, Boston, abstract LB-7
Frazee BW, Salz TO, Lambert L, Perdreau-Remington F: Fatal community-associated methicillin-resistant Staphylococcus aureus pneumonia in an immunocompetent young adult. Ann Emerg Med 2005;46(5):401–404
Frank AL, Marcinak JF, Mangat PD, Tjhio JT, Kelkar S, Schreckenberger PC, Quinn JP: Clindamycin treatment of methicillin-resistant Staphylococcus aureus infections in children. Pediatr Infect Dis J 2002;21(6):530–534
Martinez-Aguilar G, Avalos-Mishaan A, Hulten K, Hammerman W, Mason EO Jr, Kaplan SL: Community-acquired, methicillin resistant and methicillin-susceptible Staphylococcus aureus musculoskeletal infections in children. Pediatr Infect Dis J 2004;23(8):701–706
Chen CJ, Huang YC: Community-acquired methicillin-resistant Staphylococcus aureus in Taiwan. J Microbiol Immunol Infect 2005;38(6):376–382
Siberry GK, Tekle T, Carroll K, Dick J: Failure of clindamycin in treatment of methicillin-resistant Staphylococcus aureus expressing inducible clindamycin resistance in vitro. Clin Infect Dis 2003;37(9):1257–1260
Centers for Disease Control and Prevention: Management of multiple-resistant organisms in healthcare settings. http://www.cdc.gov/ncidod/dhgp
Chen Z-Y, Wang Z-G, Kuang R-X, Su Y-P: Implant found in thoracic cavity after breast augmentation. Plast Reconstr Surg 2005;116(6):1826–1827
Wong L: Pectoralis major myospasm resulting from subpectoral implant. Plast Reconstr Surg 2000;105(4):1571–1572
Weaver v. Borsand, No. CV 99–02491, Maricopa County, AZ (1999)
Shiffman MA, Mirrafati S: Possible nerve injuries in the axillary approach to breast augmentation surgery. Amer J Cosmetic Surg 2001;18(3):149
Maxwell GP, Tornambe R: Management of mammary subpectoral implant distortion. Clin Plast Surg 1988;15:601–611
Georgiade NG, Georgiade GS, Riefkohl R: Aesthetic Surgery of the Breast. Philadelphia, Saunders 1990, pp 80–81
Osborn JM, Stevenson TR: Pneumothorax as a complication of breast augmentation. Plast Reconstr Surg 2005;116(4):1122–1126
Fayman MS, Beeton A, Potgieter E: Barotrauma: an unrecognized mechanism for pneumothorax in breast augmentation. Plast Reconstr Surg 2005;116(6):1825–1826
Picha G J, Batra MK: Breast augmentation. In: Achauer BM, Eriksson, E, Guyuron, B, Coleman, JJ III, Russell, RC, Vander Kolk, CA (eds). Plastic Surgery. St. Louis, Mosby 2000, pp 2743–2767
Bacilious N, Kulber D, Peters E, Gayle LB, Chen MJ, Harper AD, Hoffman L: Harvesting of the latissimus dorsi muscle: a small animal model for seroma formation. Microsurgery 1995;16(9):646–649
European consensus statement of the prevention of venous thromboembolism. Int Angiol 1992;11:151
Bick RL, Haas SK: International consensus recommendations: summary statement and additional suggested guidelines. Med Clin N Amer 1998;82(3):613–633
Clement DI, Gheeraert P, Buysere M, et al.: Medical patients. In: Bergquist, D, Comerota, AJ, Nicolaides, AN, et al. (eds). Prevention of Venous Thromboembolism. London, Med-Orion 1994, p 319
Senior RM: Pulmonary embolism. In: Wyngaarden JB, Smith LH, Jr Bennett, JC (eds). Cecil Textbook of Medicine. Philadelphia WB Saunders 1992, pp 421–428
Prevention of venous thromboembolism. International consensus statement: guideline according to scientific evidence. Int Angiol 1997;16:3
McDevitt NB: Deep vein thrombosis prophylaxis. Plast Reconstr Surg 1999;104:1923–1928
Alving BM: The hypercoagulable states. Hosp Pract 1993;28(2):109–121
Bovill EG, Bauer KA, Dickerman JD, Callas P, West B: The clinical spectrum of heterozygous protein C deficiency in a large New England kindred. Blood 1989;73(3):712–717
Engesser L, Broekman AW, Briet E, Brommer EJ, Bertina RM: Hereditary protein S deficiency: clinical manifestations. Ann Intern Med 1987;106(5):677–682
Zoller B, Hillarp A, Dahlback B: Activated protein C resistance due to a common factor V gene mutation is a major risk factor for venous thrombosis. Annu Rev Med 1997;48:45–58
Svensson PJ, Dahlback B: Resistance to activated protein C as a basis for venous thrombosis. N Engl J Med 1994;330(8):517–522
Bertina RM, Koeleman BP, Koster T, Rosendaal FR, Dirven RJ, de Ronde H, van der Velden PA, Reitsma PH: Mutation in blood coagulation factor V associated with resistance to activated protein C. Nature 1994;369(6475):64–67
Bridgen ML: The hypercoagulable state. Who, how, and when to test and treat. Postgrad Med 1997;101(5): 249–267
Ginsberg JS: Management of venous thromboembolism. N Engl J Med 1996;335:1816–1828
Olesen LL, Ejlertsen T, Nielsen T: Toxic shock syndrome following insertion of breast prostheses. Br J Surg 1991;78(5):585–586
Poblete JV, Rodgers JA, Wolfort FG: Toxic shock syndrome as a complication of breast prostheses. Plast Reconstr Surg 1995;96(7):1702–1708
Walker LE, Breiner MJ, Goodman CM: Toxic shock syndrome after explantation of breast implants: a case report and review of the literature. Plast Reconstr Surg 1997;99(3):875–879
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Shiffman, M. (2009). Less Common Complications of Breast Augmentation. In: Shiffman, M. (eds) Breast Augmentation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78948-2_59
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