Late Hematoma after Breast Augmentation.

Kim, Ki Kap; Minn, Kyung Won; Jang, Sung Soo; Heo, Chan Yeong

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2005;32(6):767-769.
Published online November 1, 2005.

Late Hematoma after Breast Augmentation.

Ki Kap Kim, Kyung Won Minn, Sung Soo Jang, Chan Yeong Heo

¹Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea. minnkw@snu.ac.kr
²Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Gyunggi, Korea.

Abstract

Late capsular hematoma is one of the rare complication of augmentation mammoplasty. Although the cause has not unfolded yet, the possible damage of capsular vessels chafed against the textured prostheses is questioned. Reviewing the literatures, we present a 23-year-old female subjects to incidental swelling of the right breast a year later after augmentation mammaplasty with saline-filled textured prostheses. An MRI study confirmed intracapsular fluid collection sparing the prostheses. The exploration was followed and serosanguinous fluids was drained out of the intracapsular space, and then the existing prostheses were replaced with the smooth surface ones. In the 9 months since the last surgery the patient remained well without any further problem. Intensive massage of the breasts might be accounted to the probable cause of late hematoma in this case.

Keywords: Breast implant complication; Hematoma; Augmentation mammoplasty