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Recurrent 8-Year Ongoing Unilateral Breast Seroma Formation after PIP Implant Removal—A Case Report and Review of the Literature
27 October 2017
25 January 2018
26 March 2018 (online)
Late seroma formation is a rare complication after implant-based breast enlargement surgery and even less frequent after implant removal. This case report presents a case of painful recurrent seroma formation after the removal of a ruptured Poly Implants Prothèse implant.
A 52-year-old patient presented herself in our clinic with a clinical history of recurrent unilateral seroma of the right breast over a period of 8 years after the initial unilateral implant removal. Removal of the remaining implant and complete bilateral capsulectomy was performed. Intraoperative findings revealed a macroscopically thickened capsule with signs of chronic inflammation on the affected side. The clinical history and the macroscopic appearance of the capsule demanded histopathological exclusion of a possible anaplastic large cell lymphoma.
Histopathological and microbiological analysis of the capsule and encapsulated material revealed no signs of malignancy or infection. Immediate soft tissue reconstruction of the breast was successfully performed using autologous fat transfer. An aesthetically satisfying result regarding symmetry and volume was achieved, and no further seroma formation was observed within a 6-month follow-up period.
Level of evidence: V, Case Report.
KeywordsALCL - late seroma - breast augmentation - PIP - implants - capsular contracture - autologous fat transfer - breast reconstruction - implant rupture
Presentation of This Work
05/2017: VDÄPC (German Aesthetic Surgery Meeting), Berlin, Germany
09/2017: DGPRÄC (German and Austrian Plastic Surgery Meeting), Graz, Austria
Financial Support and Industry Affiliations
There was no financial support of any kind contributing to this publication. No grants were accepted/used for this publication. None of the authors has any personal or institutional financial interest in the drugs, materials, or devices described in this submission.
The research project with all its procedures is in accordance with the national law and the World Medical Association Declaration of Helsinki (1964), with its ethical principles for medical research involving human subjects and subsequent amendments.
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