Spontaneous autoinflation of saline mammary implants: Further studies

Robinson, O. G.; Benos, Dale J.; Mazzochi, Christopher

doi:10.1016/j.asj.2005.09.005

Cited by 11 publications

(11 citation statements)

References 4 publications

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“…Late seroma after silicone breast implants Robinson et al 13 observed 14 cases of spontaneous enlargement in 3,000 patients with saline implants. Fluid cultures were all negative.…”

Section: Discussionmentioning

confidence: 99%

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Seroma tardio após implantes mamários de silicone: três formas diferentes de apresentação, evolução e conduta

Franco¹,

Franco²

2013

Rev. Bras. Cir. Plást.

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“…Late seroma after silicone breast implants Robinson et al 13 observed 14 cases of spontaneous enlargement in 3,000 patients with saline implants. Fluid cultures were all negative.…”

Section: Discussionmentioning

confidence: 99%

“…Late seromas after breast implants have developed after both silicone 6,9,15 and saline implant placement 7,13,14 . In silicone implants, the fluid accumulates outside the implant.…”

Section: Discussionmentioning

confidence: 99%

Seroma tardio após implantes mamários de silicone: três formas diferentes de apresentação, evolução e conduta

Franco¹,

Franco²

2013

Rev. Bras. Cir. Plást.

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“…Intraprosthetic collection of fluid or sterile pus though not very common has been reported both in saline as well as silicone gel implants. [11][12][13][14] However the process differs in the two instances. In saline implants, the shell allows passage of protein macromolecules, predominantly albumin that creates an osmotic gradient across the macroscopically intact silicone shell allowing body fluids to enter the prosthesis.…”

Section: Intraprosthetic Collection Of Fluid Presenting As Autoinflatmentioning

confidence: 99%

“…No extracapsular fluid collection has been reported with the process concerning saline implants. [14] On the contrary, intraprosthetic collection of fluid in silicone gel implant is almost always associated with damaged or ruptured shell that may or may not be macroscopically visible and there is almost always intracapsular collection of fluid or sterile pus at the same time. [11][12][13] The damaged shell allows intracapsular fluid to gain access to the inside of the damaged implant resulting in autoinflation of the breast.…”

Section: Intraprosthetic Collection Of Fluid Presenting As Autoinflatmentioning

confidence: 99%

“…Rarely a saline implant can present with autoinflation of the breast without a rupture or breach in the shell of the implant. [14] The presentation of anaplastic large cell lymphoma (ALCL) following augmentation mammoplasty also presents as an autoinflation of the breast. There is increasing awareness of ALCL which merits special attention.…”

Section: Introductionmentioning

confidence: 99%

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

Khan¹

2016

PAR

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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.

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Left Unilateral Breast Autoinflation and Intraprosthetic Collection of Sterile Pus: An Unusual Operative Finding of Silicone Gel Bleed with Silicone Lymphadenitis

Khan

2008

Aesth Plast Surg

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Implant rupture is a known complication after augmentation mammoplasty. Saline implant failure may present with few diagnosable problems due to the loss of volume. On the other hand, intracapsular silicone gel implant rupture or failure can be silent, asymptomatic, and difficult to diagnose in the absence of loss of breast volume. Silicone leak and migration to regional nodes has been reported but is uncommon and lymph node enlargement can be nonspecific in patients with intact prostheses. Causes, timing, and diagnosis of implant failure sites and mechanisms have been extensively studied and reported in the literature. Implant failure resulting in lymphadenopathy is uncommon. In this article autoinflation of the left breast with regional lymphadenopathy is presented. Upon exploration, the prosthesis was found to be filled with sterile pus, showing an inward movement of a thick creamy material in an otherwise macroscopically intact prosthesis.

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Spontaneous autoinflation of saline mammary implants: Further studies

Abstract: There are multiple macromolecules that cross into the lumen of the prosthesis. We believe spontaneous autoinflation is occurring more often than is believed or reported.

Cited by 11 publications

References 4 publications

Seroma tardio após implantes mamários de silicone: três formas diferentes de apresentação, evolução e conduta

Seroma tardio após implantes mamários de silicone: três formas diferentes de apresentação, evolução e conduta

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

Left Unilateral Breast Autoinflation and Intraprosthetic Collection of Sterile Pus: An Unusual Operative Finding of Silicone Gel Bleed with Silicone Lymphadenitis

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