Pathogenesis, presentation and classification of late autoinflation of the breasts: case report and literature search

Abstract

Aim: Autoinflation of the breast following mammoplasty using breast implants can be divided into early and late. Early autoinflation of the breast is commonly due to haematoma. Late autoinflation of the breast is an uncommon complication and its true incidence is not known due to the paucity of its reporting.

Methods: A retrospective review was performed of the available charts for 2,772 consecutive bilateral primary, secondary augmentation mammoplasties and mastopexy with augmentation mammoplasties by the author between April 1999 and February 2015. Each breast was taken as a single unit for a total of 5,544 breasts.

Results: There were 2,334 patients in primary augmentation mammoplasty, 258 in secondary augmentation mammoplasty and 180 in simultaneous mastopexy with augmentation mammoplasty. There were three autoinflation of breasts due to late seromas identified in the series. All patients presented at least six months following augmentation mammoplasty and all had textured implants place in muscle splitting submuscular pocket. There was no late seroma noted in secondary augmentation mammoplasty or simultaneous mastopexy with augmentation mammoplasty. All patients were treated conservatively without a recurrence.

Conclusion: Late autoinflation of the breast due to seroma is an uncommon clinical complication and can be treated conservatively in the first instance.

Keywords

Anaplastic large cell lymphoma / autoinflation of the breast / haematoma / seroma of breast / anaplastic large cell lymphoma

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