Alderman, A; Gutowski, K; Ahuja, A; Gray, D.
Plastic & Reconstructive Surgery – October 2014 – Volume 134 – Issue 4 – p 648e–655e
In March of 2013, the Executive Committee of the American Society of Plastic Surgeons approved an evidence-based guideline on breast reconstruction with expanders and implants, as developed by a guideline-specific work group commissioned by the society’s Health Policy Committee. The guideline addresses ten clinical questions: patient education, immediate versus delayed reconstruction, risk factors, radiation therapy, chemotherapy, hormonal therapy, antibiotic prophylaxis, acellular dermal matrix, monitoring for cancer recurrence, and oncologic outcomes associated with implant-based reconstruction.
Breast reduction is well-known to provide an improvement in physical symptoms. However, measurements show that this procedure is less effective in restoring upper-pole fullness. Breast implants effectively augment the upper pole. This study was undertaken to determine the effectiveness and safety of this treatment combination.
Late haematomas and seromas (≥4 months postoperatively) in breasts with silicone prosthesis have been reported. Since 2001, there have only four patients with such delayed complication visiting our hospitals. The purpose of this literature review and our case presentation is to have more understanding about the clinical symptoms, surgical managements and relationship with implants for this late complication.
Despite increased cases published on breast implant–associated anaplastic large cell lymphoma (BIA-ALCL), important clinical issues remain unanswered. We conducted a second structured expert consultation process to rate statements related to the diagnosis, management, and surveillance of this disease, based on their interpretation of published evidence.
Late seromas after augmentation mammaplasty are uncommon, can manifest without a defined cause, and can be treated by implant removal or replacement. This study aimed to analyze three cases of this complication that occurred 1-10 years postoperatively and were treated differently.
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