Cutaneous complications associated with breast augmentation: A review

Chopra, Sharat; Marucci, Damian D.

doi:10.1016/j.ijwd.2018.08.005

Cited by 3 publications

References 54 publications

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Migrating foreign body granulomas after rupture of a breast implant

Grünke,

Forchhammer,

Vollert

et al. 2024

JEADV Clinical Practice

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We present the case of an 80‐year‐old female with a history of bluish streaks and painful lumps on her left arm, initially misdiagnosed as a soft tissue infection. Further investigation revealed granulomatous infiltrates in the arm and a ruptured breast implant. Upon presentation, nodular and painful swelling prompted a new biopsy. Histology and electron spectroscopy confirmed silicone deposits within granulomas. The rupture of the breast implant was identified as the likely source of silicone migration to the arm, possibly exacerbated by a past fall. Treatment challenges included the extensive size of the granuloma, leading to a trial of methotrexate therapy with initial improvement but subsequent discontinuation due to poor tolerance. This case underscores the potential for silicone migration from ruptured breast implants to induce distant granulomatous reactions, necessitating individualised treatment approaches.

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Migrating foreign body granulomas after rupture of a breast implant

Grünke,

Forchhammer,

Vollert

et al. 2024

JEADV Clinical Practice

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Dermatology/cosmetics

Singh¹

2020

Toxicological Aspects of Medical Device Implants

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Advantages and Disadvantages of Breast Augmentation: Surgical Techniques, Outcomes and Future Directions

Meretsky,

Knecht,

Schiuma

2024

Cureus

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Breast augmentation remains a highly sought-after cosmetic surgery, with various techniques available to enhance breast size using implants or fat transfer. This systematic review, spanning studies from 2003 to 2024 and adhering to PRISMA guidelines, evaluates the outcomes of different surgical approaches concerning scar quality, postoperative pain, patient satisfaction, and complications. The periareolar technique emerges as a favorable option, offering minimal postoperative pain, high patient satisfaction, and precise surgical control with subtle scarring. Transumbilical breast augmentation (TUBA) is noted for its scar-free approach, resulting in low pain and high satisfaction, though it requires specialized training and cannot use prefilled implants. The review highlights the varying complication rates across techniques: modern silicone implants, while safer than earlier injectable materials, still face risks such as rupture and capsular contracture. Autologous fat grafting is generally safer but can lead to issues like erythema and abscesses. The use of effective acellular dermal matrix (ADM) is linked to higher rates of seroma and infection compared to non-ADM procedures, although sterile human ADM shows a lower risk profile. The study underscores the importance of personalized surgical planning to optimize outcomes, as each technique offers distinct benefits and challenges. The findings suggest that future research should aim to refine these techniques and address their associated complications to further enhance patient satisfaction and surgical outcomes in breast augmentation.

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Cutaneous complications associated with breast augmentation: A review

Cited by 3 publications

References 54 publications

Migrating foreign body granulomas after rupture of a breast implant

Migrating foreign body granulomas after rupture of a breast implant

Dermatology/cosmetics

Advantages and Disadvantages of Breast Augmentation: Surgical Techniques, Outcomes and Future Directions

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