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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2023, Number 2

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Cir Plast 2023; 33 (2)

Treatment levels of galactorrhea in breast augmentation with implants: a rare condition with high-impact risk

Ortiz-López JB, Martínez-Mosqueira JR, Vázquez-Armenta MG

Language: Spanish
References: 18
Page: 73-80
PDF size: 347.86 Kb.


ABSTRACT

Breast augmentation was the most performed aesthetic surgical procedure worldwide according to statistics of the International Society of Aesthetic Plastic Surgery (ISAPS) in 2020. Galactorrhea is a rare complication after breast augmentation with implants, with an incidence of 0.96% and only thirty-eight cases reported in the most recent systematic review in 2021, although with highly significant short and long-term possible consequences. Predisposing factors such as: use of oral contraceptives, psychological stress, use of anti-dopaminergic drugs, approach by periareolar incision and placement of the breast implant in the sub glandular plane have been evidenced. In the period of 5 years (2015-2020) in our clinic in Mexico City we evidenced galactorrhea/galactocele after the placement of breast implants in seven patients (incidence of 0.31%), which required a more complex diagnostic strategy and pharmacological/surgical treatment, which is why we reviewed our own cases and the literature. With the information available, the existing evidence, and our experience, we put forward a guideline for the effective determination of preoperative risk factors, a complete diagnostic approach and effective therapeutic levels to reduce the possible short and long-term complications of galactorrhea/galactocele associated with breast augmentation with implants.


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